Anti-asthma effect of an antiviral drug, acyclovir: a clinical case and experimental study

Clin Exp Allergy. 1997 Apr;27(4):431-7.

Abstract

Background: Although acyclovir (9-(2-hydroxyethoxymethyl) guanine) is an antiviral drug that inhibits DNA polymerase of herpes virus, we have had the experience of an asthmatic patient's peak flow rate being improved by oral administration of acyclovir.

Objective: The aim of this experiment is whether acyclovir has anti-asthma effects using an asthma model in guinea-pigs.

Methods: The airway response was induced by a single inhalation of calcium ionophore A23187 (2 mg/mL). The airway obstruction was estimated by the ratio of expiration to inspiration time (E/I). The peribronchial eosinophil infiltration and eosinophil influx into bronchoalveolar lavage (BAL) fluid 7 h after the inhalation were also examined. To assess the effects of acyclovir (1, 10, and 100 mg/kg), aminophylline (20 mg/kg) and pemirolast potassium (TBX, 20 mg/kg) on A23187-induced asthmatic response, the drugs were intraperitoneally administered before the inhalation.

Results: The immediate airway obstruction was significantly suppressed by acyclovir (10 mg/kg) and aminophylline, whereas different doses of acyclovir (1 and 100 mg/kg) and TBX showed only a small inhibitory effect on the airway obstruction. On the other hand, the peribronchial eosinophilia was most successfully inhibited by TBX. Acyclovir (10 mg/kg) and aminophylline also suppressed the eosinophilia significantly. Furthermore, acyclovir significantly suppressed eosinophil influx into BAL fluid, whereas aminophylline and TBX weakly suppressed the influx.

Conclusion: These results suggest that acyclovir exhibits not only antiviral but also antiasthma activity.

Publication types

  • Case Reports

MeSH terms

  • Acyclovir / administration & dosage
  • Acyclovir / pharmacology*
  • Acyclovir / therapeutic use
  • Aminophylline / pharmacology
  • Animals
  • Anti-Asthmatic Agents / administration & dosage
  • Anti-Asthmatic Agents / pharmacology*
  • Anti-Asthmatic Agents / therapeutic use
  • Antiviral Agents / administration & dosage
  • Antiviral Agents / pharmacology
  • Antiviral Agents / therapeutic use
  • Asthma / drug therapy*
  • Asthma / pathology
  • Asthma / physiopathology
  • Bronchi / drug effects
  • Bronchi / pathology
  • Bronchoalveolar Lavage Fluid / cytology
  • Bronchoconstriction / drug effects
  • Calcimycin / pharmacology
  • Eosinophils / drug effects
  • Eosinophils / pathology
  • Guinea Pigs
  • Histamine Antagonists / pharmacology
  • Humans
  • Male
  • Middle Aged
  • Peak Expiratory Flow Rate / drug effects
  • Pyridines / pharmacology
  • Pyrimidinones / pharmacology
  • Time Factors

Substances

  • Anti-Asthmatic Agents
  • Antiviral Agents
  • Histamine Antagonists
  • Pyridines
  • Pyrimidinones
  • Aminophylline
  • pemirolast
  • Calcimycin
  • Acyclovir