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. 2007 Nov;122(3):438-44.
doi: 10.1111/j.1365-2567.2007.02664.x. Epub 2007 Jul 11.

The effects of montelukast on tissue inflammatory and bone marrow responses in murine experimental allergic rhinitis: interaction with interleukin-5 deficiency

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The effects of montelukast on tissue inflammatory and bone marrow responses in murine experimental allergic rhinitis: interaction with interleukin-5 deficiency

Johanna Roa et al. Immunology. 2007 Nov.

Abstract

The cysteinyl leukotrienes (cysLTs) are potent lipid mediators in allergic disease, acting through the receptors, cysLT1R and cysLTR2, and are produced by eosinophils derived from eosinophil/basophil (Eo/B) bone marrow (BM) progenitors. We have demonstrated the suppressive effects of either interleukin-5 (IL-5) deficiency or montelukast on eosinophil recruitment in murine allergic rhinitis, but neither of them fully abrogated the symptoms caused by residual inflammation and cytokine redundancy in eliciting BM Eo/B responses. We hypothesized that IL-5 deficiency and montelukast act synergistically to suppress tissue inflammatory and BM responses. Our objective was to investigate the effects of the cysLT1R antagonist, montelukast, on in vivo tissue inflammatory and BM responses in murine experimental allergic rhinitis with or without IL-5 deficiency. Three groups of age-matched BALB/c mice with or without IL-5 deficiency were tested: controls (ovalbumin sensitization and challenge, placebo treatment) and two montelukast-treated groups (2.5 mg/kg or 5 mg/kg). Nasal symptoms, BM and nasal mucosal eosinophils, basophils, and BM Eo/B colony-forming units (CFU) were evaluated. Montelukast decreased nasal symptoms in a dose-dependent manner, and significantly decreased the number of eosinophils in both BM and nasal tissue in IL-5-replete mice compared to controls. In IL-5-deficient mice, in which eosinophilia was absent, montelukast significantly decreased both nasal symptoms and basophils in BM and nasal mucosal tissue, and lowered IL-5-responsive Eo/B-CFU ex vivo, compared to controls. The addition of cysLT1R blockade to IL-5 deficiency more fully attenuates symptoms and upper airway inflammation than either factor alone, providing evidence of systemic, BM mechanisms in allergic rhinitis.

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Figures

Figure 1
Figure 1
Sensitization and challenge protocol. Schematic representation of the murine experimental allergic rhinitis model. Mice were killed on day 36 and replicate bone marrow and nasal tissue samples were taken for analysis. OVA, ovalbumin. (modified from Immunology 2004;113:246–52).
Figure 2
Figure 2
Allergic nasal symptoms at day 35 (2 weeks) of the sensitization protocol, (a) nasal rubs, (b) sneezes. ML reduced the observed symptoms in both treatment groups compared with controls. SEM shown. **P < 0·001; statistical analysis performed within groups, comparing treatment to control. Between groups statistics compared the differences between treatment and control groups.
Figure 3
Figure 3
Bone marrow changes. ML reduced the percentages of total cells for (a) basophilic cells and (b) eosinophils in both treatment groups when compared to controls. SEM shown. *P < 0·05, **P < 0·001; statistical analysis performed within groups, comparing treatment to control. Between groups statistics compared the differences between treatment and control groups.
Figure 4
Figure 4
Nasal mucosa. The absolute numbers of (a) basophilic cells and (b) eosinophilic cells counted per 0·01 mm2 of lamina propria are shown. ML reduced the numbers of eosinophils and basophils in both treatment groups, except for IL-5-deficient mice, in which no eosinophils were present. SEM shown. *P < 0·05, **P < 0·001; statistical analysis performed within groups, comparing treatment to control. Between groups statistics compared the differences between treatment and control groups.
Figure 5
Figure 5
Eo/B-CFU counts. The results of methylcellulose colony assays in the presence of rmIL-5 are shown. ML treatment groups produced fewer colonies than controls. SEM shown. *P < 0·05; statistical analysis performed within groups, comparing treatment to control. Between groups statistics compared the differences between treatment and control groups.

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