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Gastrointestinal safety and anti-inflammatory effects of a hydrogen sulfide-releasing diclofenac derivative in the rat
Abstract
Background & aims Gastrointestinal damage caused by nonsteroidal anti-inflammatory drugs (NSAIDs) remains a significant clinical problem. Hydrogen makes an important contribution to mucosal defense, and NSAIDs can suppress its synthesis. In this study, we evaluated the gastrointestinal safety and anti-inflammatory effects of a novel "HS-NSAID" (ATB-337) that consists of diclofenac linked to a hydrogen sulfide-releasing moiety.Methods The gastrointestinal injury-inducing effects of single or repeated administration of diclofenac versus ATB-337 were compared in rats, as were their effects on prostaglandin synthesis and cyclooxygenase-1 and -2 activities. The ability of these drugs to reduce carrageenan-induced paw edema and to elicit leukocyte adherence to the vascular endothelium (intravital microscopy) were also examined in rats.Results Diclofenac (10-50 micromol/kg) dose-dependently damaged the stomach, while ATB-337 did not. Repeated administration of diclofenac caused extensive small intestinal damage and reduced hematocrit by 50%. ATB-337 induced >90% less intestinal damage and had no effect on hematocrit. Diclofenac, but not ATB-337, elevated gastric granulocyte infiltration and expression of tumor necrosis factor alpha, lymphocyte function-associated antigen 1, and intercellular adhesion molecule 1. ATB-337 inhibited cycloxygenase-1 and cyclooxygenase-2 activity as effectively as diclofenac. ATB-337 did not induce leukocyte adherence, whereas diclofenac did, and was more potent at reducing paw edema.Conclusions An HS-NSAID spares the gastric mucosa of injury despite markedly suppressing prostaglandin synthesis. This effect may be related to hydrogen sulfide-mediated inhibition of tumor necrosis factor-alpha expression and of the leukocyte adherence to vascular endothelium normally induced by cyclooxygenase inhibitors.
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“Suppression of endogenous H2S synthesis has been shown to impair gastric and colonic mucosal defence, and to impair healing of ulcers [26], [27], [34], [35].”
From Cytoprotective Effects of Hydrogen Sulfide in Novel Rat Models of Non-Erosive Esophagitis (2014) · cites this paper as [26]
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Metadata
- Authors
- Wallace, J. L., Caliendo, G., Santagada, V., Cirino, G., & Fiorucci, S.
- Affiliations
- University of Calgary (CA)
- University of Naples Federico II (IT)
- Corresponding author
- Wallace, John L.
- Venue
- Gastroenterology
- Publisher
- Elsevier BV
- Published
- 2007-01
- Volume
- 132
- Issue
- 1
- Pages
- 261-271
- ISSN
- 0016-5085 (ISSN-L)
- OpenAlex
- W2163895651
- Cited by
- 271
- References
- 39
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 6 · 2023: 9 · 2022: 13 · 2021: 13 · 2020: 12 · 2019: 13 · 2018: 9 · 2017: 23 · 2016: 19 · 2015: 26 · 2014: 23 · 2013: 22 · 2012: 18
- FWCI
- 6.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Inflammatory mediators and NSAID effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Sulfur Compounds in Biology
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Hydrogen's biological and therapeutic effects
- Keywords
- diclofenac, NSAID-induced gastrointestinal injury, gastroprotection, cyclooxygenase-1, cyclooxygenase-2, prostaglandin synthesis, TNF-α, leukocyte adhesion, paw edema, small bowel injury, hematocrit, anti-inflammatory activity
- MeSH terms
- Animals, Anti-Inflammatory Agents, Non-Steroidal, Blood Platelets, Diclofenac, Gastric Acid, Heterocyclic Compounds, 1-Ring, Humans, Hydrogen Sulfide, Male, Platelet Aggregation Inhibitors, Stomach, Drug Design, Cyclooxygenase Inhibitors, Rats, Wistar, Rats, Cyclooxygenase 1, Cyclooxygenase 2
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