Leukotriene Modifiers in the Treatment of Asthma

  • Jonathan Sadeh
  • Elliot Israel

Abstract

Asthma is a chronic inflammatory disease associated with variable airflow obstruction. The mechanisms that lead to airflow obstruction in asthma are broncho-constriction, mucosal edema, increased secretion of mucus, and an inflammatory infiltrate that is rich in eosinophils. Leukotrienes (LTs) B4, C4, D4, and E4 have been shown experimentally to play a role in each of these inflammatory processes and mimic the pathologic changes seen in asthma [1,2]. LTC4, D4, and E4 have potent effects on airway smooth muscle, submucosal glands, epithelial cells, and blood vessels, where they cause contraction, mucus secretion, and changes in vascular permeability leading to edema. LTs are the most potent endogenous constrictors of airway smooth muscle that have been identified. Inhalation of LTD4 results in the same degree of airway obstruction as inhalation of solutions of histamine or metha-choline that are 1,000 to 10,000 times as concentrated [3]. LTB4 can recruit neutrophils to the airways, thereby further promoting inflammation.

Keywords

Corticosteroid Aspirin Histamine Warfarin Prostaglandin 

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Copyright information

© Springer Science+Business Media New York 2003

Authors and Affiliations

  • Jonathan Sadeh
  • Elliot Israel

There are no affiliations available

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