Anti-Inflammatory and Anti-Hyperuricemic Functions of Two Synthetic Hybrid Drugs with Dual Biological Active Sites

Int J Mol Sci. 2019 Nov 11;20(22):5635. doi: 10.3390/ijms20225635.

Abstract

The present study aimed to test the anti-inflammatory and xanthine oxidase inhibitory activities of two synthesized molecules and compare them to routinely prescribed nonsteroidal anti-inflammatory drugs (NSAIDs), such as diclofenac and the serum urate-lowering drug, allopurinol. The anti-inflammatory effects of the designed compounds (A and B) were evaluated in carrageenan (CAR)-induced paw edema in mice. The levels of nitric oxide and myeloperoxidase activity were measured in paw skin using biochemical methods. Additionally, prostaglandin E2 (PGE2), C-reactive protein (CRP), cyclooxygenase-2 (Cox-2), tumor necrosis factor-α (TNFα), interleukin (IL)-1β, IL-2 and IL-10, and monocyte chemoattractant protein-1 (MCP1) were assessed by enzyme-linked immunosorbent assay (ELISA). The expression of inflammation-related genes was confirmed by real-time qPCR. The expression of inducible nitric oxide synthase (iNOS) and nuclear factor-kappa B (NF-κB) were estimated using immunohistochemistry, and xanthine oxidase inhibitory activity was evaluated using an in vitro assay. The results revealed that compounds A and B decreased inflammation, as was observed by a reduction in the elevation of all the tested markers. In addition, the tested compounds markedly decreased paw swelling, mobilization of inflammatory cells, iNOS-, and NF-κB-immunoreactive cells in a mouse model of paw edema. Interestingly, both compounds were potent xanthine oxidase inhibitors as well as Cox inhibitors with higher activity in favor of compound B providing potential dual acting series of anti-hyperuricemic and anti-inflammatory therapeutic agents.

Keywords: allopurinol; arthritis; diclofenac; febuxostat; inflammation; paw edema; xanthine oxidase.

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / chemistry
  • Anti-Inflammatory Agents / pharmacology*
  • Anti-Inflammatory Agents / therapeutic use
  • C-Reactive Protein / analysis
  • Cells, Cultured
  • Chemokine CCL2 / metabolism
  • Cyclooxygenase 2 / metabolism
  • Dinoprostone / metabolism
  • Edema / drug therapy*
  • Gout Suppressants / chemistry
  • Gout Suppressants / pharmacology*
  • Gout Suppressants / therapeutic use
  • Interleukins / metabolism
  • Male
  • Mice
  • NF-kappa B / metabolism
  • Nitric Oxide / metabolism
  • Nitric Oxide Synthase Type II / metabolism
  • Peroxidase / metabolism
  • Skin / drug effects
  • Skin / metabolism
  • Skin / pathology
  • Tumor Necrosis Factor-alpha / metabolism
  • Xanthine Oxidase / antagonists & inhibitors

Substances

  • Anti-Inflammatory Agents
  • Chemokine CCL2
  • Gout Suppressants
  • Interleukins
  • NF-kappa B
  • Tumor Necrosis Factor-alpha
  • Nitric Oxide
  • C-Reactive Protein
  • Peroxidase
  • Nitric Oxide Synthase Type II
  • Cyclooxygenase 2
  • Xanthine Oxidase
  • Dinoprostone