title: Effects of cyproheptadine and cetirizine on eosinophilic airway inflammation in cats with experimentally induced asthma.
abstract: OBJECTIVE
  To determine whether oral administration of cyproheptadine or cetirizine blocks the action of serotonin and histamine, respectively, and results in diminished eosinophilic airway inflammation in cats with experimentally induced asthma.
  
  
  METHODS
  9 cats in which asthma was experimentally induced through exposure to Bermuda grass allergen (BGA) during a 3-month period.
  
  
  METHODS
  Cats were randomized to receive monotherapy with each of 3 treatments for 1 week: placebo (flour in a gelatin capsule, PO, q 12 h), cyproheptadine (8 mg, PO, q 12 h), or cetirizine (5 mg, PO, q 12 h). A 1-week washout period was allowed to elapse between treatments. Prior to and following each 1-week treatment period, blood and bronchoalveolar lavage fluid (BALF) samples were collected. The percentage of eosinophils in BALF was evaluated to determine treatment efficacy. Serum and BALF BGA-specific immunoglobulin contents and plasma and BALF histamine concentrations were determined via ELISAs. Plasma and BALF serotonin concentrations were measured by use of a fluorometric method.
  
  
  RESULTS
  The mean +/- SD percentage of eosinophils in BALF did not differ significantly among treatment groups (placebo, 40 +/- 22%; cyproheptadine, 27 +/- 16%; and cetirizine, 31 +/- 20%). Among the treatment groups, BGA-specific immunoglobulin content and histamine and serotonin concentrations were not significantly different.
  
  
  CONCLUSIONS
  In cats with experimentally induced asthma, cyproheptadine and cetirizine were not effective in decreasing airway eosinophilic inflammation or in altering several other measured immunologic variables. Neither cyproheptadine nor cetirizine can be advocated as monotherapy for cats with allergen-induced asthma.
authors.affiliation: Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211, USA.
authors.forename: Elizabeth K
authors.initials: EK
authors.lastname: Schooley
authors.forename: Joseph B
authors.initials: JB
authors.lastname: McGee Turner
authors.forename: Renee D
authors.initials: RD
authors.lastname: Jiji
authors.forename: Christine M
authors.initials: CM
authors.lastname: Spinka
authors.forename: Carol R
authors.initials: CR
authors.lastname: Reinero
mesh_terms: D000818:Animals; D001249:Asthma / Q000188:drug therapy / Q000276:immunology / Q000662:veterinary*; D001992:Bronchoalveolar Lavage Fluid / Q000737:chemistry / Q000166:cytology; D002371:Cat Diseases / Q000188:drug therapy* / Q000276:immunology; D002415:Cats; D017332:Cetirizine / Q000494:pharmacology*; D018592:Cross-Over Studies; D031744:Cynodon / Q000276:immunology; D003533:Cyproheptadine / Q000494:pharmacology*; D004804:Eosinophils / Q000276:immunology; D006632:Histamine / Q000097:blood; D039563:Histamine H1 Antagonists, Non-Sedating / Q000494:pharmacology*; D007070:Immunoglobulin A / Q000097:blood; D007073:Immunoglobulin E / Q000097:blood; D007074:Immunoglobulin G / Q000097:blood; D008297:Male; D011657:Pulmonary Eosinophilia / Q000188:drug therapy / Q000276:immunology / Q000662:veterinary*; D011897:Random Allocation; D012701:Serotonin / Q000097:blood; D012702:Serotonin Antagonists / Q000494:pharmacology*; D013047:Specific Pathogen-Free Organisms
chemical_list: D039563:Histamine H1 Antagonists, Non-Sedating; D007070:Immunoglobulin A; D007074:Immunoglobulin G; D012702:Serotonin Antagonists; D003533:Cyproheptadine; D012701:Serotonin; D007073:Immunoglobulin E; D006632:Histamine; D017332:Cetirizine