Document Detail


Effects of hydrocortisone and aminophylline on plasma leukotriene C4 levels in patients during an asthmatic attack.
MedLine Citation:
PMID:  2274566     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To study the role of leukotriene C4(LTC4) and the effect of hydrocortisone and aminophylline on plasma LTC4 levels in patients with asthmatic attacks, we measured LTC4 in plasma of 18 asthmatics during a wheezing attack and of 7 normal subjects. Blood samples were obtained before and after treatment with aminophylline and/or hydrocortisone injections. We extracted LTC4 using a Sep-Pak C18 cartridge for the measurement of LTC4 by radioimmunoassay. The plasma levels of immunoreactive LTC4 (i-LTC4) of the normal subjects were 142 +/- 25 pg/ml (n = 7), while those of nonatopic type asthmatic patients with wheezing attacks were 208 +/- 68 pg/ml (n = 15) (p less than 0.01). Before and after treatment with both hydrocortisone succinate (100 mg) and aminophylline (250 mg), 6 asthmatic patients with wheezing attacks had a mean plasma level of i-LTC4 181 +/- 24 and 132 +/- 18 pg/ml (p less than 0.01), respectively. On the other hand, the treatment with aminophylline 250 mg alone increased the i-LTC4 levels from 178 +/- 19 pg/mg to 213 +/- 16 pg/mg (n = 6)(p less than 0.05), while treatment with hydrocortisone succinate 100 mg decreased the i-LTC4 level 0.05 from 284 +/- 99 pg/ml to 249 +/- 85 pg/ml (n = 4)(p less than 0.05). In conclusion, the present study shows that the i-LTC4 level in venous blood of patients with asthmatic attacks is decreased significantly by treatment with hydrocortisone succinate.
Authors:
N Shiratsuki; O Uyama; O Kitada; N Suenaga; H Nakamura; M Sugita; Y Hayashi; S Yamamoto
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Prostaglandins, leukotrienes, and essential fatty acids     Volume:  40     ISSN:  0952-3278     ISO Abbreviation:  Prostaglandins Leukot. Essent. Fatty Acids     Publication Date:  1990 Aug 
Date Detail:
Created Date:  1991-02-28     Completed Date:  1991-02-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8802730     Medline TA:  Prostaglandins Leukot Essent Fatty Acids     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  285-9     Citation Subset:  IM    
Affiliation:
Fifth Department of Internal Medicine, Hyogo College of Medicine, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aminophylline / pharmacology*
Asthma / blood*,  drug therapy
Female
Humans
Hydrocortisone / pharmacology*
Hypersensitivity, Immediate / blood,  drug therapy
Male
Middle Aged
SRS-A / blood*
Chemical
Reg. No./Substance:
0/SRS-A; 317-34-0/Aminophylline; 50-23-7/Hydrocortisone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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