title: Leukotriene modifiers.
abstract: Leukotrienes (LTs) are 5-lipoxygenase products formed from arachidonic acid metabolism. There is compelling evidence that LTs play an important role in the pathogenesis of asthma. LTs affect vascular permeability, mucus production, and smooth muscle constriction, and may contribute to airway remodeling. In mild-to-moderate asthma, LT modifiers improve measures of airflow limitation and quality of life and reduce the frequency of asthma exacerbations and the need for short-acting bronchodilator therapy. In moderate-to-severe asthma, an LT modifier in combination with an inhaled corticosteroid results in improvements in lung function and asthma control over that achieved with an inhaled corticosteroid alone. LT modifiers are effective in the treatment of exercise-induced bronchoconstriction and aspirin-induced asthma. There are few adverse effects of LT modifiers.
authors.affiliation: Division of Pulmonary and Critical Medicine, University of Washington, Box 356522, 1959 NE Pacific Street, Seattle, WA 98195-6588, USA. tealh@u.washington.edu
authors.forename: Teal S
authors.initials: TS
authors.lastname: Hallstrand
authors.forename: William R
authors.initials: WR
authors.lastname: Henderson
mesh_terms: D001249:Asthma / Q000188:drug therapy* / Q000503:physiopathology*; D006801:Humans; D020024:Leukotriene Antagonists / Q000494:pharmacology* / Q000627:therapeutic use*; D015289:Leukotrienes / Q000502:physiology*
chemical_list: D020024:Leukotriene Antagonists; D015289:Leukotrienes