NO-NSAIDs: Gastric-sparing nitric oxide-releasable prodrugs of non-steroidal anti-inflammatory drugs

Bioorg Med Chem Lett. 2009 Sep 15;19(18):5297-301. doi: 10.1016/j.bmcl.2009.07.142. Epub 2009 Aug 3.

Abstract

Recently, a new class of nitric-oxide-releasing non-steroidal anti-inflammatory drugs (NO-NSAIDs) is being studied as 'Safe NSAIDs' because of their gastric-sparing properties. As an extension of our novel disulfide linker technology, we have designed, synthesized and evaluated novel NO-releasing NSAID prodrugs such as NO-Aspirin (1b-d) and NO-Diclofenac (2b-c). Although the amide-containing derivative 1d did not show any bioavailability, the remaining compounds have shown fair to excellent pharmacokinetic, anti-inflammatory and gastric-sparing properties. Among them, however, the NO-Diclofenac (2b) has shown the most promising pharmacokinetic, anti-inflammatory and NO-releasing properties and protected rats from NSAID-induced gastric damage which could be attributable to the beneficial effects of NO released from these prodrugs.

MeSH terms

  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / chemistry
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology*
  • Aspirin / chemistry
  • Aspirin / pharmacology*
  • Diclofenac / chemistry
  • Diclofenac / pharmacology*
  • Nitric Oxide / metabolism*
  • Prodrugs / chemistry
  • Prodrugs / pharmacology*
  • Rats
  • Stomach / drug effects*

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Prodrugs
  • Diclofenac
  • Nitric Oxide
  • Aspirin