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NO-NSAIDs. Part 3: Nitric oxide-releasing prodrugs of non-steroidal anti-inflammatory drugs

  • Namdev Borhade
  • , Asif Rahimkhan Pathan
  • , Somnath Halder
  • , Manoj Karwa
  • , Mini Dhiman
  • , Venu Pamidiboina
  • , Machhindra Gund
  • , Jagannath Janardhan Deshattiwar
  • , Sunil Vasantrao Mali
  • , Nitin Janardanrao Deshmukh
  • , Subrayan Palanisamy Senthilkumar
  • , Parikshit Gaikwad
  • , Santhosh Goud Tipparam
  • , Jayesh Mudgal
  • , Milan Chandra Dutta
  • , Aslam Usmangani Burhan
  • , Gajanan Thakre
  • , Ankur Sharma
  • , Shubhada Deshpande
  • , Dattatraya Chandrakant Desai
  • Nauzer Pervez Dubash, Arun Kumar Jain, Somesh Sharma, Kumar Venkata Subrahmanya Nemmani, Apparao Satyam*
*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

In continuation of our efforts to discover novel nitric oxide-releasing non-steroidal anti-inflammatory drugs (NO-NSAIDs) as potentially "Safe NSAIDs," we report herein the design, synthesis and evaluation of 21 new NO-NSAIDs of commonly used NSAIDs such as aspirin, diclofenac, naproxen, flurbiprofen, ketoprofen, sulindac, ibuprofen and indomethacin. These prodrugs have NO-releasing disulfide linker attached to a parent NSAID via linkages such as an ester (compounds 9-16), a double ester (compounds 17-24), an imide (compounds 25-30) or an amide (compounds 31-33). Among these NO-NSAIDs, the ester-containing NO-aspirin (9), NO-diclofenac (10), NO-naproxen (11), and the imide-containing NO-aspirin (25), NO-flurbiprofen (27) and NO-ketoprofen (28) have shown promising oral absorption, anti-inflammatory activity and NO-releasing property, and also protected rats from NSAID-induced gastric damage. NO-aspirin compound 25, on further co-evaluation with aspirin at equimolar doses, exhibited comparable dose-dependent pharmacokinetics, inhibition of gastric mucosal prostaglandin E 2 (PGE 2) synthesis and analgesic properties to those of aspirin, but retained its gastric-sparing properties even after doubling its oral dose. These promising NO-NSAIDs could therefore represent a new class of potentially "Safe NSAIDs" for the treatment of arthritic pain and inflammation.

Original languageEnglish
Pages (from-to)465-481
Number of pages17
JournalChemical and Pharmaceutical Bulletin
Volume60
Issue number4
DOIs
Publication statusPublished - 01-04-2012

All Science Journal Classification (ASJC) codes

  • General Chemistry
  • Drug Discovery

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