1. [Measurement of cytokines in patients with exercise-induced asthma treated with anti-leukotrienes].
- Author
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Flores Sandoval G, Orea Solano M, Cortés Padilla V, and Santos Argumedo L
- Subjects
- Adolescent, Adult, Antigens, CD analysis, Antigens, Differentiation, T-Lymphocyte analysis, Asthma, Exercise-Induced diagnostic imaging, Asthma, Exercise-Induced drug therapy, Bronchial Spasm drug therapy, Exercise Test, Female, Forced Expiratory Flow Rates drug effects, Forced Expiratory Volume drug effects, Headache chemically induced, Humans, Indoles, Interferon-gamma blood, Interleukin-2 blood, Interleukin-4 blood, Lectins, C-Type, Leukotriene Antagonists adverse effects, Leukotriene Antagonists pharmacology, Longitudinal Studies, Lymphocyte Activation drug effects, Male, Nausea chemically induced, Phenylcarbamates, Prospective Studies, Radiography, Safety, Sulfonamides, Th1 Cells immunology, Th2 Cells immunology, Tosyl Compounds adverse effects, Tosyl Compounds pharmacology, Treatment Outcome, Asthma, Exercise-Induced blood, Cytokines blood, Leukotriene Antagonists therapeutic use, Tosyl Compounds therapeutic use
- Abstract
Background: Exercise-induced asthma is defined as the transient broncho-spasm, that occurs after 3 to 8 minutes of continuous exercise; one of two mechanisms are implicated: the first is given by a hyper-osmolar environment interchange with the warm respiratory air and the water loss, the second due to reactive hyperemia or bronchial blood vessels edema., Objectives: To determine the effectiveness and safety of Zafirlukast treatment in exercise induce asthma, and in mild and moderated persistent bronchial asthma. Evaluate the security with laboratory test IL-2, IL-4, INFg, and CD69, to determinate TH1 and Th2 cells, laboratory and thorax x-ray determinations before and after zafirlukast treatment in exercise induce asthma, plus the functional respiratory test, and assert the clinical and adverse reaction with Zafirlukast., Material and Methods: A open, prospective, longitudinal study. Challenge test on a treadmill for 8 minutes. Twenty patients from the Allergy Service at Lic. Adolfo López Mateos Hospital, ISSSTE, in México City, fifteen female and five males. Aged 15 to 35 years. There was a control group of ten healthy subjects with similar age and sex. The drug Zafirlukast was administered 20 mg twice a day for eight weeks, with patient's informed and signed consent. Laboratory test: Blood Cell count, transaminases, bilirubins A, G, M and E immunoglobulins thorax X-ray, electrocardiogram, functional respiratory test before and after treatment., Results: Zafirlukast blocked exercise induced asthma in the early and late phases. There was a statistically significant improvement of a VEF-1 after exercise with a p > 0.001; furthermore, there was significant improvement in the mid-spiratory speed before the exercise with a p > 0.05. The mid-spiratory speed after the exercise, improved (p > 0.01). There were no collateral reactions, such as Churg-Strauss, only transitory headache in six and nauseas in two. There were no statistically significant changes in the cytokines assessment., Conclusions: There were no statistically significant changes in the cytokines assessments, in four cases the IL-4 decreased after the treatment. The anti-leukotriene improved the bronchospastic answer during the early and late phases, reducing the FEV-1, decreasing the recovering phase.
- Published
- 2002