Effects of loratadine on cytosolic Ca2+ levels and leukotriene release: novel mechanisms of action independent of the anti-histamine activity

Eur J Pharmacol. 1994 Feb 15;266(3):219-27. doi: 10.1016/0922-4106(94)90130-9.

Abstract

Loratadine, a non-sedating anti-histamine drug, displays in vitro potential anti-allergic properties not related to its interaction with the histamine H1 receptor. In a search for the mechanisms of these actions, we have found that loratadine induces an elevation of cytosolic calcium ion, [Ca2+]i, in rat peritoneal macrophages or human platelets. The mechanism of this elevation resides in the ability of loratadine to discharge intracellular Ca2+ stores, similarly to thapsigargin. This in turn brings about the inhibition of [Ca2+]i rise induced by physiological activators (platelet activating factor and ADP), as well as by thapsigargin. One of the active metabolites of loratadine, descarbo-ethoxy-loratadine, and another anti-histamine, namely terfenadine, exhibit the same effects. In addition, loratadine partially inhibits antigen-induced leukotriene release from human bronchi, but is unable to inhibit the concomitant contraction. We conclude that loratadine can interfere with the mechanisms controlling Ca2+ release, thus inhibiting the cell activation elicited by various agonists through [Ca2+]i elevation. This might be the mechanism underlying its anti-allergic actions in vitro. Furthermore, loratadine might represent an interesting tool in the study of Ca2+ homeostasis.

MeSH terms

  • Animals
  • Blood Platelets / drug effects*
  • Blood Platelets / metabolism
  • Bronchi / drug effects
  • Bronchi / metabolism
  • Calcium / blood
  • Calcium / metabolism*
  • Cells, Cultured
  • Cytosol / metabolism
  • Dose-Response Relationship, Drug
  • Humans
  • Immunoenzyme Techniques
  • Leukotrienes / metabolism*
  • Loratadine / analogs & derivatives
  • Loratadine / pharmacology*
  • Macrophages, Peritoneal / drug effects*
  • Macrophages, Peritoneal / metabolism
  • Male
  • Rats
  • Receptors, Histamine H1 / drug effects*
  • Terfenadine / pharmacology
  • Terpenes / pharmacology
  • Thapsigargin

Substances

  • Leukotrienes
  • Receptors, Histamine H1
  • Terpenes
  • des(ethoxycarbonyl)loratadine
  • Thapsigargin
  • Loratadine
  • Terfenadine
  • Calcium