BACKGROUND AND PURPOSECysteinyl leukotrienes (CysLTs) are pro-inflammatory lipid mediators that exacerbate disease state in several asthma phenotypes including asthma induced by allergen, virus and exercise. However, the role of CysLTs in irritant-induced airway disease is not well characterized. The purpose of the current study was to investigate the effect of montelukast, a CysLT 1 receptor antagonist, on parameters of irritant-induced asthma induced by inhalation of chlorine in the mouse.
EXPERIMENTAL APPROACHBALB/c mice were exposed to chlorine in air (100 ppm, for 5 min). Montelukast (3 mg·kg À1 ) or the vehicle (1% methylcellulose) was administered 24 and 1 h prior to chlorine exposure and 1 h prior to outcome measurements. Twenty-four hours after exposure, responses to inhaled aerosolized methacholine, cell composition and an array of cytokines/chemokines in bronchoalveolar lavage (BAL) fluid were measured. Neutralizing antibodies against IL-6 and VEGF were administered prior to exposures.
KEY RESULTSMontelukast reduced chlorine -induced airway hyperresponsiveness (AHR) to methacholine in the peripheral lung compartment as estimated from dynamic elastance, but not in large conducting airways. Montelukast treatment attenuated chlorine-induced macrophage influx, neutrophilia and eosinophilia in BAL fluid. Chlorine exposure increased VEGF, IL-6, the chemokines KC and CCL3 in BAL fluid. Montelukast treatment prevented chlorine-induced increases in VEGF and IL-6. Anti-IL-6 antibody inhibited chlorine-induced neutrophilia and reduced AHR.
CONCLUSIONS AND IMPLICATIONSPre-treatment with montelukast attenuated chlorine-induced neutrophilia and AHR in mice. These effects are mediated, in part, via IL-6.
IntroductionIrritant-induced asthma (IIA) is a subtype of asthma that occurs following inhalation of noxious substances, with a short latency and does not require prior sensitization (Brooks and Bernstein, 2011;Tarlo and Lemiere, 2014). One of the most commonly reported toxic exposures that results in the development of IIA is inhalation of chlorine gas and chlorine-related compounds (see White and Martin, 2010). Chlorine is a highly reactive substance that mediates its inhalational toxicity through oxidative stress (Martin et al., 2003), resulting in a predominantly neutrophilic airway inflammation and airway hyperresponsiveness (AHR) to inhaled aerosolized methacholine (MCh). Chlorine-induced neutrophilia is responsible for further oxidative damage and the consequent airway dysfunction and is sufficient to engage the Nrf2-mediated antioxidant response (McGovern et al., 2015). Cysteinyl-leukotrienes (CysLTs) are lipid mediators which have been extensively studied in the context of allergen-driven airway dysfunction but have received less attention in the context of responses to irritants. Montelukast (MK) is a highly selective antagonist of CysLT 1 receptors (Jones et al.,1995), the predominant CysLT receptor expressed in the bronchial tree (Lynch et al., 1999). While CysLTs have not been usually associated with o...