Abstract
Many of the non-steroidal anti-inflammatory drugs (NSAIDs) currently marketed produce severe gastro-toxic side effects. The benefits of producing NSAIDs without these side effects are obvious, particularly for patients requiring long-term therapy. The aim of this investigation was to produce novel NSAIDs, based on paracetamol, that exhibit little or no gastro-toxicity. The work covers design, synthesis and testing of 13 drug candidates. The analgesic and anti-inflammatory potencies of the drug candidates were measured using the mouse abdominal constriction assay and the carrageenan-induced rat paw oedema assay, respectively. The stomachs of the rats were examined post-mortem, to assess the gastro-toxicity of the drugs. Of the 13 compounds described herein, 11 were shown to possess analgesic activity at 2–10 times the potency of aspirin, while 8 demonstrated anti-inflammatory activity at 3–10 times the potency of aspirin. Significantly, all of the compounds showed very low gastro-toxicity when compared with aspirin. The results of this study indicate that it is possible to develop novel, potent NSAIDs based on the structure of paracetamol. These compounds have the advantage of demonstrating much lower gastro-toxicity than NSAIDs currently available. Drugs of this type may, in future, provide effective treatments for inflammatory disorders.
摘要:目前市场上许多非甾体抗炎药(NSAIDs)会产生严重的胃毒性副作用。生产无这些副作用的NSAIDs的好处显而易见,特别是对于需要长期治疗的患者。本研究的目的是基于对扑热息痛的研究,生产出几乎没有胃毒性的新型NSAIDs。该研究涵盖了13种药物候选物的设计、合成和测试。通过使用小鼠腹部收缩实验和大鼠卡拉胶诱导的脚肿胀实验来测量这些药物候选物的镇痛和抗炎作用。大鼠的胃在死后进行检查,以评估药物的胃毒性。在这里描述的13种化合物中,11种显示出镇痛活性,其效力是阿司匹林的2-10倍,而8种显示出抗炎活性,其效力是阿司匹林的3-10倍。值得注意的是,与阿司匹林相比,所有化合物的胃毒性都非常低。这项研究的结果表明,可以基于对扑热息痛的结构开发出新型、有效的NSAIDs。这些化合物具有比目前市场上的NSAIDs更低的胃毒性。这类药物可能在未来为炎症性疾病提供有效的治疗。