Skip to main content

Therapeutic Aspects of Leukotriene Antagonists and Inhibitors

  • Chapter
Prostaglandins, Leukotrienes, Lipoxins, and PAF

Abstract

The metabolism of arachidonic acid by the 5-lipoxygenase enzyme system results in the production of leukotrienes (Ford-Hutchinson, 1990a). 5-lipoxygenase is only present in cells of the myeloid lineage, including inflammatory cells such as polymorphonuclear leukocytes, eosinophils, mast cells and macrophages. Cellular activation induces a rise in intracellular calcium leading to an activation and translocation from the cytosol to the membrane fraction of both phospholipase A2 and 5-lipoxygenase (Rouzer and Kargman, 1988; Clark et al., 1991). Activation of 5-lipoxygenase is associated with the presence of a novel membrane protein, 5-lipoxygenase activating protein (FLAP) (Dixon et al., 1990; Miller et al., 1990). The end product of metabolism of arachidonic acid by the 5-lipoxygenase enzyme is leukotriene A4, an unstable epoxide intermediate. Further metabolism of leukotriene A4 can occur through, first, leukotriene A4 hydrolase, to produce the dihydroxy fatty acid, leukotriene B4, and, secondly, through leukotriene C4 synthase, to produce the glutathione conjugate, leukotriene C4 (Ford-Hutchinson, 1990a). Leukotriene C4 can then be converted to leukotriene D4 through loss of L-glutamic acid by the action of γ-glutamyl transferase. Leukotriene D4 in turn can be further metabolized by peptidases through loss of glycine to produce leukotriene E4.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Arm, J.P., Spur, B.W., and Lee, T.H., 1988, The effects of inhaled leukotriene E4 on the airway responsiveness to histamine in subjects with asthma and normal subjects, J.Allergy Clin. Immunol., 82: 654–660.

    Article  PubMed  CAS  Google Scholar 

  • Bel, E.H., van der Veen, H., Kramps, J.A., Dijkman, J.H., and Sterk, P.J., 1987, Maximal airway narrowing to inhaled leukotriene D4 in normal subjects, Comparison and interaction with methacholine, Am.Rev.Respir.Dis., 136: 979–984.

    Article  PubMed  CAS  Google Scholar 

  • Bel, E.H., Tanaka, W., Spector, R., Friedman, B., v.d. Veen, H., Dijkman, J.H., and Sterk, P.J., 1990, MK-886, an effective oral leukotriene biosynthesis inhibitor on antigen-induced early and late asthmatic reactions in man, Am.Rev.Respir.Dis., 141: A31.

    Article  Google Scholar 

  • Christie, P.E., Tagari, P., Ford-Hutchinson, A.W., Charleson, S., Chee, P., Arm, J.P., and Lee, T.H., 1991, Urinary leukotriene E4 concentrations increase after aspirin challenge in aspirin-sensitive asthmatic subjects, Am.Rev.Respir.Dis., 143: 1025–1029.

    Article  PubMed  CAS  Google Scholar 

  • Clark, J.D., Lin L-L, Kriz, R.W., Ramesha, C.S., Sultzman, L.A., Lin, A.Y., Milona, N., and Knopf, J.L., 1991, A novel arachidonic acid-selective cytosolic PLA2 contains a Caa+-dependent translocation domain with homology to PKC and GAP, Cell, 65: 1043–1051.

    Article  PubMed  CAS  Google Scholar 

  • de Jong, E.M.G.J., van Vlijmen, I.M.M.J., Scholte, J.G.M., Buntinx, A., Friedman, B., Tanaka, W., van de Kerkhof, P.C.M., Clinical and biochemical effects of an oral leukotriene biosynthesis inhibitor (MK-886) in psoriasis, Skin Pharmacol. submitted for publication.

    Google Scholar 

  • Dixon, R.A.F., Diehl, R.E., Opas, E., Rands, E., Vickers, P.J., Evans, J.F., Gillard, J.W., and Miller, D.K., 1990, Requirement of a 5-lipoxygenase activating protein for leukotriene synthesis, Nature 343: 282–284.

    Article  PubMed  CAS  Google Scholar 

  • Ford-Hutchinson, A.W., 1990a, Arachidonic acid metabolism–enzymatic pathways. In “Eicosanoids and the Skin”, T. Ruzicka, Ed. pp. 3–22, CRC Press, Boca Raton, Florida.

    Google Scholar 

  • Ford-Hutchinson, A.W., 1990b, Leukotriene B4 in inflammation, Crit.Rev.Immunol., 10: 1–12.

    PubMed  CAS  Google Scholar 

  • Ford-Hutchinson, A.W., Bray, M.A., Doig, M.V., Shipley, M.E., and Smith, M.J.H., 1980, Leukotriene B, a potent chemokinetic and aggregating substance released from polymorphonuclear leukocytes, Nature, 286: 264–265.

    Article  PubMed  CAS  Google Scholar 

  • Fretland, D.J., Djuric, S.W., and Gaginella, T.S., 1990, Eicosanoids and inflammatory bowel disease: regulation and prospects for therapy, Prostaglandins Leukot. Essent. Fatty Acids, 41: 215–233.

    Article  CAS  Google Scholar 

  • Gaddy, J., Bush, R.K., Margolskee, D., Williams, V.C., and Busse, W., 1990, The effects of a leukotriene D4 (LTD4) antagonist (MK-571) in mild to moderate asthma, J. Allergy Clin Immunol., 85: 197 (Abstr).

    Google Scholar 

  • Gillard, J., Ford-Hutchinson, A.W., Chan, C., Charleson, S., Denis, D., Foster, A., Fortin, R, Leger, S., McFarlane, C.S., Morton, H., Piechuta, H., Riendeau, D., Rouzer, C.A., Rokach, J., Young, R., MacIntyre, D.E., Peterson, L., Bach, T., Eiermann, G., Hopple, S., Humes, J., Hupe, L., Luell, S., Metzger, J., Meurer, R., Miller, D.K., Opas E., and Pacholok S., 1989, L-663,536 (MK-886)(3-[1-(4-chlorobenzyl)-3-tbutyl-thio-5-isopropylindol-2-yl]-2,2-dimethylpropanoic acid), a novel, orally active leukotriene biosynthesis inhibitor, Can.J.Physiol.Pharmacol. 67: 456–464.

    Article  PubMed  CAS  Google Scholar 

  • Hendeles, L., Davison, D., Blake, K., Harman, E., Cooper, R., and Margolskee, D., 1990, Leukotriene D4 is an important mediator of antigen-induced bronchoconstriction: attenuation of dual response with MK-571, a specific LTD4 receptor antagonist, J.Allergy Clin.Immunol., 85: 197 (Abstr).

    Google Scholar 

  • Hui, K.P., and Barnes, N.C., 1991, Lung function improvement in asthma with a cysteinylleukotriene receptor antagonist, Lancet, 337: 1062–1063.

    Article  PubMed  CAS  Google Scholar 

  • Israel, E., Dermarkarian, R., Rosenberg, M, Sperling, R., Taylor, G., Rubin, P., and Drazen, J.M., 1990, The effects of 5-lipoxygenase inhibitor on asthma induced by cold, dry air, N.Engl.J.Med. 323: 1740–1744.

    Article  PubMed  CAS  Google Scholar 

  • Jones, T.R., Zamboni, R., Belley, M., Champion, E., Charette, L., Ford-Hutchinson, A.W., Frenette, R., Gauthier, J-Y., Leger, S., Masson, P., McFarlane, C.S., Piechuta, H., Rokach, J., Williams, H., Young, R.N. DeHaven, R.N., and Pong, S.S., 1989, Pharmacology of L-660,711 (MK-571): A novel, potent and selective leukotriene D4 receptor antagonist, Can.J.Physiol.Pharmacol., 67: 17–28.

    Article  PubMed  CAS  Google Scholar 

  • Kips, J., Joos, G., DeLepeleire, I., Margolskee, D., Buntinx, A., Pauwels, R., and Van der Straeten, M. MK-571: a potent antagonist of LTD4 induced bronchoconstriction in man. Am.Rev.Respir.Dis. (in press).

    Google Scholar 

  • Knapp, H.R., 1990, Reduced allergen-induced nasal congestion and leukotriene synthesis with an orally active 5-lipoxygenase inhibitor, N.Engl.J.Med., 323: 1745–1748.

    Article  PubMed  CAS  Google Scholar 

  • Laursen, L.S., Naesdal, J., Bukhave, K., Lauritsen, K., and Rask-Madsen, J., 1990, Selective 5-lipoxygenase inhibition in ulcerative colitis, Lancet, 335: 683–685.

    Article  PubMed  CAS  Google Scholar 

  • Lewis, M.A., Mong, S., Vessella, R.L., and Crooke, S.T., 1985, Identification and characterization of leukotriene D4 receptors in adult and fetal human lung, Biochem.Pharmacol., 34: 4311–4317.

    Article  PubMed  CAS  Google Scholar 

  • Manning, P.J., Watson, R.M., Margolskee, D.J., Williams, V.C., Schwartz, J.I., and O’Byrne, P.M., 1990, Inhibition of exercise-induced bronchoconstriction by MK571, a potent leukotriene D4 receptor antagonist, N.Engl.J.Med., 323: 1736–1739.

    Article  PubMed  CAS  Google Scholar 

  • Margolskee, D., Bodman, S., Dockhorn, R., Israel, E., Kemp, J., Mansmann, H., Minotti, D.A., Spector, S., Snicker, W., Tinkelman, D., Townley, R., Winder, J., and Williams, V., 1991, The therapeutic effects of MK-571, a potent and selective leukotriene (LT) D4 receptor antagonist, in patients with chronic asthma, J.Allergy Clin.Immunol., 87: 309 (Abstr).

    Google Scholar 

  • Miller, D.K., Gillard, J.W., Vickers, P.J., Sadowski, S., Léveillé, C., Mancini, J.A., Charleson, P., Dixon, R.A.F., Ford-Hutchinson, A.W., Fortin, R., Gauthier, J-Y., Rodkey, J., Rosen, R., Rouzer, C., Sigal, I.S., Strader, C.D., and Evans, J.F., 1990, Identification and isolation of a membrane protein necessary for leukotriene production, Nature, 343: 278–281.

    Article  PubMed  CAS  Google Scholar 

  • Piper, P.J., 1985, Leukotrienes: potent mediators of airway constriction, Int.Arch.Allergy Appl.Immun., 76:(Suppl.1)43–48.

    Google Scholar 

  • Rouzer, C.A., and Kargman, S., 1988, Translocation of 5-lipoxygenase to the membrane in human leukocytes challenged with ionophore A23187, J.Biol.Chem., 263: 1098010988.

    Google Scholar 

  • Samuelsson, B., 1983, Leukotrienes: mediators of immediate hypersensitivity reactions and inflammation, Science, 220: 568–575.

    Article  PubMed  CAS  Google Scholar 

  • Smith, L.J., Geller, S., Ebright, L., Glass, M. and Thyrum, P.T., 1990, Inhibition of leukotriene (LT) DQ induced bronchoconstriction in asthmatic subjects by the oral LTD4 receptor antagonist ICI 204,219, Am.Rev.Respir.Dis., 141: A33.

    Article  Google Scholar 

  • Tanaka, W., Dallob, A., Winchell, G., Kline, W., Spector, R., Bjornsson, T., and DeSchepper, P., 1990, Safety, pharmacokinetics and leukotriene B4 (LTB4) inhibition after MK-886 administration in normal male volunteers, Am.Rev.Respir.Dis., 141: A32.

    Google Scholar 

  • Taylor, G.W., Taylor, I., Black, P.,Maltby, N.H., Turner, N., Fuller, R.W., and Dollery, C.T., 1989, Urinary leukotriene E4 after antigen challenge in acute asthma and allergic rhinitis, Lancet, I: 584–588.

    Article  Google Scholar 

  • Taylor, I.K., O’Shaughnessy, K.M., Fuller, R.W., and Dollery, C.T., 1991, Effect of cysteinyl-leukotriene receptor antagonist ICI 204.219 on allergen-induced bronchoconstriction and airway hyperreactivity in atopic subjects, Lancet, 337: 690–694.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer Science+Business Media New York

About this chapter

Cite this chapter

Ford-Hutchinson, A.W. (1991). Therapeutic Aspects of Leukotriene Antagonists and Inhibitors. In: Bailey, J.M. (eds) Prostaglandins, Leukotrienes, Lipoxins, and PAF. GWUMC Department of Biochemistry Annual Spring Symposia. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0727-1_41

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-0727-1_41

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0729-5

  • Online ISBN: 978-1-4899-0727-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics