The ability of linetastine (TMK688, 1-[{5'-(3 ''-methoxy-4 tadienoyl}a
minoethyl]-4-diphenylmethoxypiperidine, CAS 110501-66-1) to inhibit le
ukotriene production and to antagonize the effect of histamine was exa
mined in comparison with the ability of azelastine, an antiallergic dr
ug having an antihistamine activity. Linetastine and its active metabo
lite TMK777 (1-[{5'-(3 ''-methoxy-4 tadienoyl}aminoethyl]-4-diphenylme
htoxypiperidine, CAS 101619-11-8) inhibited the release of leukotriene
s B-4 and C-4 from calcium ionophore-stimulated human leukocytes. The
respective IC50 values of leukotriene B-4 were 1.2 x 10(-7) mol/l and
8.6 x 10(-8) mol/l, and those of leukotriene C-4 were 1.5 x 10(-7) mol
/l and 7.1 x 10(-8) mol/l. Azelastine also inhibited the release of le
ukotriene B-4 and C-4, but its IC50 values were higher than 1 x 10(-5)
mol/l. Linetastine at 1-10 mg/kg p.o. inhibited the increase in leuko
triene B-4 and C-4 production in the lungs during late asthmatic respo
nses in actively sensitized guinea-pigs. The effect of 3.2 mg/kg laste
d for more than 16 h. Since repeated oral administration of linetastin
e, 1 mg/kg once a day for 7 successive days, showed the same inhibitor
y effect on the increase in respiratory resistance and the leukotriene
production as single oral administration, the effect of linetastine w
as neither tachyphylactic nor cumulative. Azelastine at 10 mg/kg had n
o effect on the leukotriene production. Linetastine, TMK777 and azelas
tine dose-dependently inhibited the histamine-induced contraction of i
solated guinea-pig trachea in a noncompetitive manner, the respective
pD'(2) values were 7.28, 7.98 and 8.07. Linetastine inhibited histamin
e-induced bronchoconstriction dose-dependently at 1-10 mg/kg (p.o) in
guinea-pigs, and the effects lasted for more than 24 h. Repeated oral
administration of linetastine, 0.32 to 3.2 mg/kg once a day for 7 succ
essive days inhibited the histamine-induced bronchoconstriction, the s
ame as single oral dosing. Azelastine at 0.32 mg/kg p.o. also showed a
ntihistamine activity. In conclusion, linetastine inhibits both the pr
oduction of leukotrienes and the effect of histamine at almost the sam
e dose and the effects were long lasting.