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1.
Eur J Pain ; 16(6): 816-26, 2012 Jul.
Article in English | MEDLINE | ID: mdl-22337256

ABSTRACT

BACKGROUND: Most animal models currently used to evaluate antinociceptive efficacy of analgesics rely on the assessment of evoked pain behaviours as primary endpoints. METHODS: Here, we have developed and characterized the carrageenan-induced locomotor activity impairment (CLAIM) model to objectively assess non-evoked inflammatory pain behaviour in rats. In this model, 100 µL of 1% carrageenan was subcutaneously injected into the plantar aspect of the right hind paw and exploratory behaviour in the novel testing chamber was recorded using an automated locomotor activity system. RESULTS: Carrageenan-injected animals exhibited an exploratory behavioural deficit 2-7 h following injection compared to saline-injected animals. The severity of impairment was carrageenan dose related, and sensitive to the light intensity in the testing room. The effects of standard analgesics on CLAIM were examined 2 or 3 h following carrageenan injection. Diclofenac and ibuprofen, in a dose range exerting no effect on locomotor activity in naïve rats, exhibited dose-related reversal of CLAIM (ED(50) = 1.5 and 5.0 mg/kg, respectively), with comparable efficacy on carrageenan-induced thermal hyperalgesia (ED(50) = 2.0 and 6.0 mg/kg, respectively). Gabapentin and duloxetine produced no reversal of CLAIM, or attenuation of thermal hyperalgesia. Efficacy discrepancy was noted for morphine on thermal hyperalgesia and CLAIM. Additionally, amphetamine dose dependently reversed CLAIM, and similarly increased locomotor activity in normal animals. DISCUSSION AND CONCLUSION: The results presented here demonstrate that CLAIM provides an objective assessment of non-evoked pain behaviours for acute inflammatory pain. The pharmacological profile of standard analgesics supports that CLAIM model can be used to identify agents to treat acute inflammatory pain in the clinic.


Subject(s)
Acute Pain/chemically induced , Acute Pain/physiopathology , Lameness, Animal/chemically induced , Lameness, Animal/physiopathology , Motor Activity/drug effects , Acute Pain/drug therapy , Adrenergic Uptake Inhibitors/pharmacology , Amines/pharmacology , Amphetamine/pharmacology , Analgesics/pharmacology , Analgesics, Opioid/pharmacology , Animals , Anti-Inflammatory Agents, Non-Steroidal/pharmacology , Behavior, Animal/drug effects , Behavior, Animal/physiology , Carrageenan/pharmacology , Central Nervous System Stimulants/pharmacology , Cyclohexanecarboxylic Acids/pharmacology , Diclofenac/pharmacology , Disease Models, Animal , Duloxetine Hydrochloride , Gabapentin , Hyperalgesia/chemically induced , Hyperalgesia/drug therapy , Hyperalgesia/physiopathology , Ibuprofen/pharmacology , Lameness, Animal/drug therapy , Male , Morphine/pharmacology , Motor Activity/physiology , Neuritis/chemically induced , Neuritis/drug therapy , Neuritis/physiopathology , Rats , Rats, Sprague-Dawley , Thiophenes/pharmacology , gamma-Aminobutyric Acid/pharmacology
2.
Br J Pharmacol ; 157(4): 645-55, 2009 Jun.
Article in English | MEDLINE | ID: mdl-19371344

ABSTRACT

BACKGROUND AND PURPOSE: Activation of cannabinoid (CB) receptors decreases nociceptive transmission in inflammatory or neuropathic pain states. However, the effects of CB receptor agonists in post-operative pain remain to be investigated. Here, we characterized the anti-allodynic effects of WIN 55,212-2 (WIN) in a rat model of post-operative pain. EXPERIMENTAL APPROACH: WIN 55,212-2 was characterized in radioligand binding and in vitro functional assays at rat and human CB(1) and CB(2) receptors. Analgesic activity and site(s) of action of WIN were assessed in the skin incision-induced post-operative pain model in rats; receptor specificity was investigated using selective CB(1) and CB(2) receptor antagonists. KEY RESULTS: WIN 55,212-2 exhibited non-selective affinity and agonist efficacy at human and rat CB(1) versus CB(2) receptors. Systemic administration of WIN decreased injury-induced mechanical allodynia and these effects were reversed by pretreatment with a CB(1) receptor antagonist, but not with a CB(2) receptor antagonist, given by systemic, intrathecal and supraspinal routes. In addition, peripheral administration of both CB(1) and CB(2) antagonists blocked systemic WIN-induced analgesic activity. CONCLUSIONS AND IMPLICATIONS: Both CB(1) and CB(2) receptors were involved in the peripheral anti-allodynic effect of systemic WIN in a pre-clinical model of post-operative pain. In contrast, the centrally mediated anti-allodynic activity of systemic WIN is mostly due to the activation of CB(1) but not CB(2) receptors at both the spinal cord and brain levels. However, the increased potency of WIN following i.c.v. administration suggests that its main site of action is at CB(1) receptors in the brain.


Subject(s)
Analgesics/pharmacology , Benzoxazines/pharmacology , Cerebral Cortex/drug effects , Disease Models, Animal , Morpholines/pharmacology , Naphthalenes/pharmacology , Pain, Postoperative/drug therapy , Receptor, Cannabinoid, CB2/agonists , Analgesics/administration & dosage , Animals , Benzoxazines/administration & dosage , Cell Line , Cerebral Cortex/metabolism , Foot/pathology , Humans , Injections, Intraperitoneal , Male , Morpholines/administration & dosage , Naphthalenes/administration & dosage , Rats , Rats, Sprague-Dawley , Receptor, Cannabinoid, CB2/antagonists & inhibitors , Spinal Cord/drug effects
3.
Br J Pharmacol ; 153(2): 367-79, 2008 Jan.
Article in English | MEDLINE | ID: mdl-17965748

ABSTRACT

BACKGROUND AND PURPOSE: Activation of cannabinoid CB1 and/or CB2 receptors mediates analgesic effects across a broad spectrum of preclinical pain models. Selective activation of CB2 receptors may produce analgesia without the undesirable psychotropic side effects associated with modulation of CB1 receptors. To address selectivity in vivo, we describe non-invasive, non-ionizing, functional data that distinguish CB1 from CB2 receptor neural activity using pharmacological MRI (phMRI) in awake rats. EXPERIMENTAL APPROACH: Using a high field (7 T) MRI scanner, we examined and quantified the effects of non-selective CB1/CB2 (A-834735) and selective CB2 (AM1241) agonists on neural activity in awake rats. Pharmacological specificity was determined using selective CB1 (rimonabant) or CB2 (AM630) antagonists. Behavioural studies, plasma and brain exposures were used as benchmarks for activity in vivo. KEY RESULTS: The non-selective CB1/CB2 agonist produced a dose-related, region-specific activation of brain structures that agrees well with published autoradiographic CB1 receptor density binding maps. Pretreatment with a CB1 antagonist but not with a CB2 antagonist, abolished these activation patterns, suggesting an effect mediated by CB1 receptors alone. In contrast, no significant changes in brain activity were found with relevant doses of the CB2 selective agonist. CONCLUSION AND IMPLICATIONS: These results provide the first clear evidence for quantifying in vivo functional selectivity between CB1 and CB2 receptors using phMRI. Further, as the presence of CB2 receptors in the brain remains controversial, our data suggest that if CB2 receptors are expressed, they are not functional under normal physiological conditions.


Subject(s)
Brain/drug effects , Cannabinoid Receptor Agonists , Algorithms , Animals , Behavior, Animal/drug effects , Cells, Cultured , Cerebrovascular Circulation/drug effects , Humans , Image Interpretation, Computer-Assisted , Inflammation/complications , Magnetic Resonance Imaging , Male , Motor Activity/drug effects , Pain/drug therapy , Pain/etiology , Peripheral Nervous System Diseases/complications , Postural Balance/drug effects , Rats , Rats, Sprague-Dawley , Receptor, Cannabinoid, CB1/agonists , Receptor, Cannabinoid, CB1/antagonists & inhibitors , Receptor, Cannabinoid, CB2/agonists , Receptor, Cannabinoid, CB2/antagonists & inhibitors
4.
Br J Pharmacol ; 153(2): 390-401, 2008 Jan.
Article in English | MEDLINE | ID: mdl-17994110

ABSTRACT

BACKGROUND AND PURPOSE: Selective cannabinoid CB2 receptor agonists have demonstrated analgesic activity across multiple preclinical pain models. AM1241 is an indole derivative that exhibits high affinity and selectivity for the CB2 binding site and broad spectrum analgesic activity in rodent models, but is not an antagonist of CB2 in vitro functional assays. Additionally, its analgesic effects are mu-opioid receptor-dependent. Herein, we describe the in vitro and in vivo pharmacological properties of A-796260, a novel CB2 agonist. EXPERIMENTAL APPROACH: A-796260 was characterized in radioligand binding and in vitro functional assays at rat and human CB1 and CB2 receptors. The behavioural profile of A-796260 was assessed in models of inflammatory, post-operative, neuropathic, and osteoarthritic (OA) pain, as well as its effects on motor activity. The receptor specificity was confirmed using selective CB1, CB2 and mu-opioid receptor antagonists. KEY RESULTS: A-796260 exhibited high affinity and agonist efficacy at human and rat CB2 receptors, and was selective for the CB2 vs CB1 subtype. Efficacy in models of inflammatory, post-operative, neuropathic and OA pain was demonstrated, and these activities were selectively blocked by CB2, but not CB1 or mu-opioid receptor-selective antagonists. Efficacy was achieved at doses that had no significant effects on motor activity. CONCLUSIONS AND IMPLICATIONS: These results further confirm the therapeutic potential of CB2 receptor-selective agonists for the treatment of pain. In addition, they demonstrate that A-796260 may be a useful new pharmacological compound for further studying CB2 receptor pharmacology and for evaluating its role in the modulation of pain.


Subject(s)
Analgesics, Non-Narcotic/pharmacology , Cyclopropanes/pharmacology , Morpholines/pharmacology , Pain/drug therapy , Receptor, Cannabinoid, CB2/agonists , Analgesics, Non-Narcotic/therapeutic use , Animals , Arthritis, Experimental/drug therapy , Arthritis, Experimental/pathology , Cells, Cultured , Constriction, Pathologic/complications , Cyclic AMP-Dependent Protein Kinases/metabolism , Cyclohexanols/pharmacology , Cyclopropanes/therapeutic use , Humans , Hyperalgesia/drug therapy , Hyperalgesia/pathology , Immunosuppressive Agents/pharmacology , Joints/pathology , Male , Microscopy, Fluorescence , Morpholines/therapeutic use , Motor Activity/drug effects , Radioligand Assay , Rats , Rats, Sprague-Dawley , Sciatica/drug therapy , Sciatica/etiology
5.
Int J Impot Res ; 14(1): 8-14, 2002 Feb.
Article in English | MEDLINE | ID: mdl-11896472

ABSTRACT

Soluble guanylate cyclase (sGC) is an important enzyme in corpus cavernosum smooth muscle cells as it is one of the regulators of the synthesis of cGMP. The efficacy of sildenafil (Viagra) in the treatment of male erectile dysfunction indicates the importance of the cGMP system in the erectile response as the increased levels of cGMP induce relaxation of the corpus cavernosum. sGC is physiologically activated by nitric oxide (NO) during sexual stimulation, and its activity can be pharmacologically enhanced by several NO-donors. Agents like YC-1 can also activate sGC after binding to a novel allosteric site in the enzyme, a site different from the NO binding site. YC-1 can relax rabbit cavernosal tissue and it facilitates penile erection in vivo. This review summarizes the enzymology, biochemistry and pharmacology of this novel allosteric site and its relevance for the regulation of penile function. This type of sGC activators represent a new class of compounds with a different pharmacological profile in comparison to the classical NO-donors and they could be beneficial for the treatment of male erectile dysfunction.


Subject(s)
Enzyme Activators/therapeutic use , Erectile Dysfunction/drug therapy , Guanylate Cyclase/metabolism , Allosteric Site , Animals , Erectile Dysfunction/physiopathology , Guanylate Cyclase/chemistry , Humans , Indazoles/metabolism , Indazoles/therapeutic use , Male , Solubility
6.
Int J Impot Res ; 13(4): 240-6, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11494082

ABSTRACT

The potential of ATP-sensitive potassium channel openers (KCOs) for the treatment of male erectile dysfunction has recently been suggested based on positive clinical outcomes following intra-cavernosal administration of pinacidil. Agents that increase the levels of cGMP via elevation of nitric oxide (NO) nitroglycerin, for example, are also effective in improving erectile function preclinically and clinically. The aim of the present study was to determine the effects and mechanism of the action of nicorandil on rabbit corpus cavernosum. The in vitro regulation of smooth muscle tone was assessed in isolated cavernosal tissues pre-contracted with phenylephrine. Nicorandil, but not its major metabolite, relaxed phenylephrine-precontracted cavernosum smooth muscle with an EC(50) of 15 microM. The effects of nicorandil were only partially reversed by the K(ATP) channel blocker glyburide (10 microM) or by a soluble guanylate cyclase (sGC) inhibitor 1H-[1,2,4] oxadiazole [4,3-a] quinoxalin-1-one (ODQ, 3 microM). However, a combination of ODQ and glyburide completely blocked the relaxant effects of nicorandil. The results of the present study indicate that nicorandil can relax rabbit cavernosal tissue in vitro via a mechanism that involves activation of K(ATP) channels and stimulation of soluble guanylate cyclase.


Subject(s)
Muscle, Smooth/drug effects , Nicorandil/pharmacology , Penis/drug effects , Vasodilator Agents/pharmacology , Adenosine Triphosphate/physiology , Adrenergic alpha-Agonists/pharmacology , Animals , Enzyme Activation/physiology , Enzyme Inhibitors/pharmacology , Glyburide/pharmacology , Guanylate Cyclase/metabolism , Male , Muscle Contraction/drug effects , Muscle Relaxation/drug effects , Nicorandil/metabolism , Nitroprusside/pharmacology , Oxadiazoles/pharmacology , Phenylephrine/pharmacology , Potassium Channels/physiology , Quinoxalines/pharmacology , Rabbits , Vasodilator Agents/metabolism
7.
Article in English | MEDLINE | ID: mdl-11294532

ABSTRACT

The aim of this study was to determine whether an isolated low Valsalva leak-point pressure (VLPP) is predictive of intrinsic sphincter deficiency (ISD) and can be an independent risk factor for retropubic urethropexy failure in patients with a normal maximal urethral closure pressure (MUCP). Twenty-four women with urodynamically proven genuine stress incontinence with low VLPP (<60 cmH2O) and normal MUCP (>20 cmH2O) were evaluated subjectively and objectively by complex urodynamic testing before and after undergoing a modified Burch urethropexy. Success rates were then compared to historical success rates for subjects with ISD treated with retropubic urethropexy using an exact one-sample test for binomial proportions. Patients were followed postoperatively for a mean of 11.1 months, with a range of 5-16 months. Twenty-two of the 24 (91.7%) were continent on postoperative cystometry. This differs significantly from the published success rates of 50% (P < 0.001), if a low VLPP alone were predictive of ISD. Retropubic urethropexy was successful in the majority of our patients with genuine stress incontinence with a low VLPP and normal MUCP.


Subject(s)
Urethra/pathology , Urinary Incontinence, Stress/surgery , Urologic Surgical Procedures/methods , Adult , Aged , Female , Follow-Up Studies , Humans , Middle Aged , Pressure , Recurrence , Risk Factors , Treatment Outcome , Urethra/surgery , Urinary Incontinence, Stress/pathology , Urodynamics
8.
J Med Chem ; 43(16): 2975-81, 2000 Aug 10.
Article in English | MEDLINE | ID: mdl-10956206

ABSTRACT

A series of bis(trifluoromethyl)pyrazoles (BTPs) has been found to be a novel inhibitor of cytokine production. Identified initially as inhibitors of IL-2 synthesis, the BTPs have been optimized in this regard and even inhibit IL-2 production with a 10-fold enhancement over cyclosporine in an ex vivo assay. Additionally, the BTPs show inhibition of IL-4, IL-5, IL-8, and eotaxin production. Unlike the IL-2 inhibitors, cyclosporine and FK506, the BTPs do not directly inhibit the dephosphorylation of NFAT by calcineurin.


Subject(s)
Chemokines, CC , DNA-Binding Proteins/metabolism , Nuclear Proteins , Protein Synthesis Inhibitors/chemical synthesis , Pyrazoles/chemical synthesis , Transcription Factors/metabolism , Animals , Asthma/drug therapy , Cell Division , Chemokine CCL11 , Combinatorial Chemistry Techniques , Cyclosporine/pharmacology , Cytokines/antagonists & inhibitors , Cytokines/biosynthesis , Genes, Reporter , Haplorhini , Humans , Immunosuppressive Agents/chemical synthesis , Immunosuppressive Agents/chemistry , Immunosuppressive Agents/pharmacology , In Vitro Techniques , Interleukin-2/antagonists & inhibitors , Interleukin-2/biosynthesis , Interleukin-4/antagonists & inhibitors , Interleukin-4/biosynthesis , Interleukin-5/antagonists & inhibitors , Interleukin-5/biosynthesis , Interleukin-8/antagonists & inhibitors , Interleukin-8/biosynthesis , Jurkat Cells , Leukocytes, Mononuclear/cytology , Leukocytes, Mononuclear/drug effects , Luciferases/genetics , NFATC Transcription Factors , Protein Synthesis Inhibitors/chemistry , Protein Synthesis Inhibitors/pharmacology , Pyrazoles/chemistry , Pyrazoles/pharmacology , Rats
9.
J Cardiovasc Pharmacol ; 33(6): 829-35, 1999 Jun.
Article in English | MEDLINE | ID: mdl-10367584

ABSTRACT

Rapamycin, a macrolide antibiotic known to prevent allograft rejection, is a potent inhibitor of cell proliferation. Therefore we studied the effects of orally administered rapamycin in a pig model of balloon injury in an attempt to reduce the cellular proliferation and neointimal formation thought to play a role in restenosis. Twenty Yucatan minipigs, divided into groups of 10 animals each, were subjected to balloon inflation of the carotid arteries. One group received the methylcellulose vehicle for rapamycin, whereas the second group was treated for a total of 31 days with 2.0 mg/kg of rapamycin administered daily by oral gavage. This dose and treatment regimen produced significant (p < 0.05) reductions in neointimal area (59%) and in the maximal thickness of the neointima (59%) when comparisons were made with vehicle-treated animals. These effects were accompanied by a significant increase in the lumen area in animals that received rapamycin (33%). Medial area was decreased by 18% in these animals. Blood samples from rapamycin-treated pigs indicated peak concentrations of 1.87 +/- 0.45 and 1.70 +/- 0.24 ng/ml at 2 and 4 weeks after balloon angioplasty, respectively. Significant increases in blood pressure of 21 mm Hg and decreases in heart rate of 25 beats/min also were observed in rapamycin-treated animals relative to those that received vehicle. These results indicate that the antiproliferative effect of rapamycin can be demonstrated after oral dosing in a pig vascular injury model, suggesting a possible therapeutic utility for rapamycin or its analogs in patients undergoing balloon angioplasty.


Subject(s)
Angioplasty, Balloon/adverse effects , Anti-Bacterial Agents/therapeutic use , Carotid Stenosis/prevention & control , Sirolimus/therapeutic use , Tunica Intima/metabolism , Animals , Blood Pressure/drug effects , Carotid Arteries/pathology , Carotid Arteries/surgery , Carotid Artery Injuries , Cell Division/drug effects , Chromatography, High Pressure Liquid , Heart Rate/drug effects , Lymphocytes/metabolism , Male , Sirolimus/pharmacokinetics , Swine , Swine, Miniature , Tunica Intima/drug effects
10.
J Invest Dermatol ; 112(5): 729-38, 1999 May.
Article in English | MEDLINE | ID: mdl-10233764

ABSTRACT

T lymphocytes play a critical part in inflammatory skin diseases but are targeted by available therapies that have only partial efficacy, significant side-effects, or both. Because psoriasis, atopic dermatitis, and allergic contact hypersensitivity are associated with T helper type 1 (Th1), T helper type 2 (Th2), or mixed Th1-Th2 cell subsets and cytokine types, respectively, there is a need for a better broad-based inhibitor. The macrolactam ascomycin analog, ABT-281, was found to inhibit potently T cell function across species and to inhibit expression of multiple cytokines in human peripheral blood leukocytes which have been found in human skin disease cells and tissues. These included immunoregulatory Th1 (interleukin-2 and interferon-gamma) and Th2 (interleukin-4 and interleukin-5) cytokines. ABT-281 was shown to have potent topical activity (ED50 = 0.6% in acetone/olive oil) in a stringent swine model of allergic contact hypersensitivity, but its potency was markedly reduced compared with ascomycin when administered systemically due to more rapid clearance. Topical application of 3% ABT-281 in acetone/olive oil over 25% of the body surface in swine resulted in undetectable blood levels. Compared with a wide potency range of topical corticosteroids in clinical formulations, 0.3% and 1% ABT-281 ointments profoundly inhibited dinitrochlorobenzene-induced contact hypersensitivity in the pig by 78% and 90%, respectively, whereas super-potent steroids such as clobetasol propionate only inhibited in the 50% range and mild to moderate potency steroids such as fluocinolone acetonide were inactive. The potent topical activity of ABT-281 in swine, its superior efficacy, its rapid systemic clearance following uptake into the bloodstream, and its ability to inhibit cytokine biosynthesis of both Th1 and Th2 cell subsets, suggests that it will have a broad therapeutic value in inflammatory skin diseases, including psoriasis, atopic dermatitis, and allergic contact dermatitis.


Subject(s)
Cytokines/antagonists & inhibitors , Dermatitis, Contact/drug therapy , Lactams/pharmacology , Th1 Cells/drug effects , Th2 Cells/drug effects , Administration, Topical , Animals , Anti-Inflammatory Agents/pharmacology , Anti-Inflammatory Agents/therapeutic use , Cell Division/drug effects , Cytokines/biosynthesis , Dermatitis, Contact/immunology , Disease Models, Animal , Dose-Response Relationship, Drug , Drug Administration Routes , Drug Evaluation, Preclinical , Female , Guinea Pigs , Humans , Lactams/metabolism , Lactams/therapeutic use , Male , Mice , Rats , Swine , Tacrolimus/analogs & derivatives , Tacrolimus/pharmacology , Tacrolimus/therapeutic use
11.
Clin Immunol ; 90(1): 133-40, 1999 Jan.
Article in English | MEDLINE | ID: mdl-9884362

ABSTRACT

To assess the duration of immunosuppression in FK506-dosed pigs, an undiluted whole blood assay was established to measure reactivities of T cells in their physiological milieu. PMA and ionomycin were shown to induce IL-2 production in swine blood. The IC50 of FK506 in inhibiting IL-2 production in whole blood and isolated PBMC stimulated with PMA and ionomycin measured 1.2 and 0.04 nM, respectively. These data underscore the influence of red blood cells and plasma proteins on drug potency. IL-2 levels were determined in blood drawn immediately before and 1, 24, 48, and 72 h after iv dosing. For pigs dosed with 0.05 mg/kg, 50% recovery of IL-2 production was observed at 16 h and 100% at 35 h after dosing. For pigs dosed with 0.15 mg/kg, 50% recovery was observed at 38 h and 100% at 72 h. Blood concentrations of FK506 at 50 and 100% recovery of IL-2 production measured 10.8 and 2.2 nM for pigs dosed with 0.05 mg/kg and 6.1 and 1.1 nM for pigs dosed with 0.15 mg/kg, respectively. These concentrations are severalfold higher than predicted from the IC50 of FK506 for inhibiting IL-2 production in the whole blood assay. These data suggest that the true potency of FK506 in blood after dosing is influenced by additional factors, which could include plasma protein binding, the presence of active or interfering metabolites, serum interfering factors, and sequestration of drug in blood cells. Our results demonstrate the utility of an undiluted whole blood assay for assessing the duration of immunosuppression in drug-dosed animals and emphasize the importance of assessing drug potency in the whole blood environment ex vivo.


Subject(s)
Immunosuppressive Agents/blood , Immunosuppressive Agents/pharmacology , Tacrolimus/blood , Tacrolimus/pharmacology , Animals , Immunosuppressive Agents/pharmacokinetics , Interleukin-2/biosynthesis , Interleukin-2/blood , Interleukin-2/metabolism , Ionomycin/pharmacology , Leukocytes, Mononuclear/drug effects , Leukocytes, Mononuclear/metabolism , Lymphocyte Activation/drug effects , Lymphocytes/drug effects , Lymphocytes/immunology , Lymphocytes/metabolism , Swine , Tacrolimus/pharmacokinetics , Tetradecanoylphorbol Acetate/pharmacology
12.
J Pharmacol Toxicol Methods ; 39(1): 9-17, 1998 Feb.
Article in English | MEDLINE | ID: mdl-9596143

ABSTRACT

The rodent heterotopic ear-heart transplant method is a useful alternative to the more technically demanding vascularized graft technique. We modified the procedure to improve efficiency and used it in mice and rats to determine the survival times of both isologous and allogeneic grafts and compare reference immunosuppressants. Bisected rat and mouse cardiac (split-heart) isografts were uniformly viable up to 4 weeks postimplant; however, by 24 weeks only 90% of Lewis rat or C3H mouse split-heart isografts retained electrocardiographic activity, regressing to 81% by 60 weeks for the Lewis rat and to less than 50% for the C3H mouse by 43 weeks post-implant. The potency of tacrolimus, sirolimus, and cyclosporine for prevention of allograft rejection was comparable whether using split-hearts or whole hearts in the Balb/C to C3H mouse model. The maximally effective doses at 2 weeks postimplant for intraperitoneally administered tacrolimus, sirolimus, cyclosporine, and oral leflunomide with Brown-Norway (BN) to Lewis rat ear-split-heart allografts (0.3, 0.1, 3.0, 10, mg/kg/day, respectively) agreed extremely well with published data for the rat primary vascularized heterotopic heart model. This reproducible and efficient transplantation model was improved by using split-hearts to double available donor tissue, a gonadotropin-enhanced breeding strategy that enables routine use of low-fecundity inbred rats as donors, implantation devices that speed and simplify the procedure, and defined electrocardiographic evaluation criteria to maximize sensitivity and provide an objective endpoint for defining rejection.


Subject(s)
Heart Transplantation/methods , Immunosuppressive Agents/therapeutic use , Transplantation, Heterotopic/methods , Animals , Animals, Newborn , Ear, External , Female , Graft Rejection/prevention & control , Graft Survival , Immunosuppressive Agents/economics , Male , Mice , Mice, Inbred C3H , Rats , Rats, Inbred BN , Rats, Inbred Strains
13.
Toxicology ; 125(2-3): 169-81, 1998 Feb 06.
Article in English | MEDLINE | ID: mdl-9570331

ABSTRACT

The nephrotoxic potential of ascomycin, the C21-ethyl analogue of FK506, was defined and ways explored to enhance its detection. After 14-day dosing in the Fischer-344 rat, FK506 and ascomycin reduced creatinine clearance by >50% at doses of 1 and 3 mg/kg, i.p., respectively. Ascomycin also had a 3-fold lower immunosuppressive potency in a popliteal lymph node hyperplasia assay, resulting in an equivalent therapeutic index consistent with a common mechanistic dependence on calcineurin inhibition. Renal impairment with different routes of administration was correlated with pharmacokinetics. Sensitivity of detection was not adequate with shorter dosing durations in rats with unilateral nephrectomy or in mice using a cytochrome P-450 inhibitor, SKF-525A. In 14-day studies, nephrotoxicity was not induced by continuous i.p. infusion of ascomycin at 10 mg/kg/day or daily oral administration (up to 50 mg/kg/day) in rats on a normal diet, nor by continuous i.v. infusion (up to 6 mg/kg/day) in rats on a low salt diet to enhance susceptibility. The lack of toxicity at high oral doses of FK506 or ascomycin, and the finding of non-linear oral pharmacokinetics of ascomycin show that this drug class has an oral absorption ceiling. The negative results with continuous infusion suggest that ascomycin nephrotoxicity is governed by peak drug levels. In addition to defining ways to meaningfully compare the nephrotoxic potential of FK506 derivatives, these results have implications for overall safety assessment and improved clinical use.


Subject(s)
Immunosuppressive Agents/toxicity , Kidney Diseases/chemically induced , Tacrolimus/analogs & derivatives , Tacrolimus/toxicity , Animals , Biological Availability , Diet, Sodium-Restricted , Dose-Response Relationship, Drug , Drug Administration Routes , Drug Evaluation, Preclinical , Immunosuppressive Agents/pharmacokinetics , Kidney Diseases/metabolism , Male , Metabolic Clearance Rate , Mice , Mice, Inbred Strains , Models, Biological , Nephrectomy , Rats , Rats, Inbred Strains , Tacrolimus/pharmacokinetics
14.
Bioorg Med Chem Lett ; 8(8): 935-8, 1998 Apr 21.
Article in English | MEDLINE | ID: mdl-9871515

ABSTRACT

Ascomycin 2, a close analogue of the immunosuppressant FK506 1, was modified to incorporate a hydroxyl group at the C-33 position. This increased the aqueous solubility of ascomycin by a hundred-fold at pH 7.4 and by approximately 300-fold at pH 6.5. Ascomycin 3 also exhibited an excellent immunosuppressive activity in vitro, as tested in a human mixed lymphocyte proliferation (HuMLR) assay, and in vivo using a rat popliteal lymph node (rPLN) hyperplasia assay.


Subject(s)
Immunosuppressive Agents/chemical synthesis , Lymphocyte Activation/drug effects , Tacrolimus/analogs & derivatives , Animals , Humans , Hydrogen-Ion Concentration , Hyperplasia , Immunosuppressive Agents/chemistry , Immunosuppressive Agents/pharmacology , Indicators and Reagents , Lymph Nodes/drug effects , Lymph Nodes/pathology , Lymphocyte Culture Test, Mixed , Molecular Conformation , Molecular Structure , Rats , Solubility , Structure-Activity Relationship , Tacrolimus/chemical synthesis , Tacrolimus/chemistry , Tacrolimus/pharmacology
15.
Bioorg Med Chem Lett ; 8(19): 2787-92, 1998 Oct 06.
Article in English | MEDLINE | ID: mdl-9873623

ABSTRACT

A series of novel pyrazole carboxamides is disclosed that demonstrate strong immunosuppressant activity in rodent and human mixed leukocyte response (MLR) assays (IC50 < 1 microM). The synthesis, biological activity, mode of action, and pharmacokinetic properties of this new lead series are discussed.


Subject(s)
Immunosuppressive Agents/chemical synthesis , Immunosuppressive Agents/pharmacology , Pyrazoles/chemical synthesis , Pyrazoles/pharmacology , Animals , Biological Availability , Humans , Immunosuppressive Agents/pharmacokinetics , Isoxazoles/pharmacology , Leflunomide , Lymphocyte Activation/drug effects , Lymphocyte Culture Test, Mixed , Pyrazoles/pharmacokinetics , Rats , Structure-Activity Relationship , T-Lymphocytes/drug effects , T-Lymphocytes/immunology
16.
J Pharmacol Exp Ther ; 283(3): 1509-19, 1997 Dec.
Article in English | MEDLINE | ID: mdl-9400028

ABSTRACT

Comparing nephrotoxicity of numerous drug analogs is impractical with chronic in vivo models. We devised a new cisplatin potentiation assay (CISPA) that sensitively detects renal injury as a serum creatinine increase when only one dose of test compound is followed by cisplatin. Reference nephrotoxins known to act on various sites in kidney tubules, glomeruli or renal papilla were all detected by the CISPA at single doses that without cisplatin gave little change, which showed that this simple, sensitive assay has broad potential utility for mechanistic studies of nephrotoxicity. We used the CISPA both to probe the nephrotoxic mode of action of immunosuppressants and to search for safer compounds. Although several non-nephrotoxic immunosuppressants were inactive, cyclosporine, FK506, ascomycin (C21-ethyl-FK506) and rapamycin were nephrotoxic in the CISPA at single doses equal to the daily amounts required to reduce creatinine clearance with 14 days of treatment. Similar therapeutic indices were derived comparing toxicity by either method to prevention of rat ear-heart allograft rejection. C18-OH-ascomycin, an FK506-binding protein (FKBP) antagonist, reversed in vivo immunosuppression by FK506 and ascomycin in the rat, and pretreatment in the CISPA blocked FK506 and ascomycin nephrotoxicity, which showed a common immunophilin dependence. Rapamycin nephrotoxicity was unaffected (as with cyclosporine), which indicated that binding to FKBP was not required. Rapamycin nephrotoxicity thus appears mechanistically unrelated to its immunosuppressive mode of action. Screening with the CISPA enabled discovery of A-119435, a less nephrotoxic ascomycin analog having a 10-fold higher therapeutic index.


Subject(s)
Carrier Proteins/metabolism , Cisplatin/toxicity , DNA-Binding Proteins/metabolism , Heat-Shock Proteins/metabolism , Immunosuppressive Agents/toxicity , Kidney/drug effects , Tacrolimus/analogs & derivatives , Animals , Drug Interactions , Male , Rats , Rats, Inbred BN , Rats, Inbred F344 , Rats, Inbred Lew , Rats, Sprague-Dawley , Tacrolimus/toxicity , Tacrolimus Binding Proteins
18.
Virology ; 200(1): 105-13, 1994 Apr.
Article in English | MEDLINE | ID: mdl-8128614

ABSTRACT

Eighty-seven mutants with single-base substitution in the control region (from -44 to +70) of the adenovirus VARNA1 gene were generated, including nearly every base pair, to examine the role of DNA sequences within this control region for regulating transcription. The effect of these mutations on transcription of the gene was determined in vitro using cytoplasmic S100 extracts from human KB cells. Mutations at -37T, -35A, -29T, -28A, -25C, -18A, -17A, -16A, -13A, -9C, -8C, and -1C in the 5'-flanking region reduced transcription of the gene. Thus two positive regulatory elements, from -44 to -25 and from -18 to +2, interspersed with a putative negative regulatory element were defined. Furthermore, a distinct A-rich purine stretch in the -18 to +2 element was identified. Point mutations in the pyrimidine-rich sequence immediately upstream of the A block promoter element reduced transcription of the gene. Mutations in the GTGG direct repeats of the A block promoter element drastically decreased transcription. Furthermore, mutations that altered the AT-rich sequence immediately downstream of the A block element to become less AT-rich decreased transcription. Mutations of the base pairs at +43C, +45T, and +51A in the inter-block element moderately reduced transcription efficiency of the gene. Mutations at the central four base pairs, GTTC, of the B block palindrome severely affected transcription. These unique sequence motifs and their exact base pairs were proven to be important for regulating transcription of the VARNA1 gene.


Subject(s)
Adenoviruses, Human/genetics , Genes, Viral/genetics , RNA, Viral/genetics , Regulatory Sequences, Nucleic Acid/genetics , Transcription, Genetic , Base Sequence , DNA Mutational Analysis , Humans , KB Cells , Molecular Sequence Data , Mutagenesis, Site-Directed , Point Mutation/genetics , Sequence Analysis
19.
FEBS Lett ; 316(2): 107-13, 1993 Jan 25.
Article in English | MEDLINE | ID: mdl-7678400

ABSTRACT

The immunosuppressive agent FK-506 has received much attention due to its efficacy and potency in the areas of transplant rejection and autoimmune disease. Calcineurin, a Ca(2+)-calmodulin activated phosphatase, was recently implicated in the immunosuppressive mechanism of FK-506. In our ongoing search for superior immunosuppressive agents, we have synthesized several analogues of FK-506 and tested their mechanistic and immunosuppressive actions. It was found that C-18 hydroxyl analogues of ascomycin, an analogue of FK-506 also called FR900520, bound tightly to immunophilin FKBP-12, but do not show any immunosuppressive activity in vitro or in vivo despite good bioavailability. Further, they reverse the inhibition of calcineurin caused by FK-506/FKBP-12 complex.


Subject(s)
Tacrolimus/analogs & derivatives , Carrier Proteins/metabolism , Cell Division/drug effects , Cells, Cultured , Humans , Hyperplasia , Interleukin-2/biosynthesis , Lymph Nodes/pathology , Lymphocytes/cytology , Lymphocytes/drug effects , Structure-Activity Relationship , Tacrolimus/chemical synthesis , Tacrolimus/pharmacokinetics , Tacrolimus/pharmacology , Tacrolimus Binding Proteins
20.
Eur J Pharmacol ; 228(2-3): 107-14, 1992 Sep 01.
Article in English | MEDLINE | ID: mdl-1446716

ABSTRACT

Phenol, a major metabolite of benzene, is a potentially immunotoxic and neurotoxic substance of environmental significance. Male CD-1 mice were continuously exposed to 0, 4.7, 19.5, and 95.2 mg phenol/l in drinking water for 4 weeks. Various immune functions were evaluated and levels of selected neurotransmitters and metabolites measured in discrete brain regions. The doses of phenol did not produce any overt clinical signs of toxicity; peripheral red blood cell counts and hematocrits decreased. A dose of 95.2 mg/l suppressed the stimulation of cultured splenic lymphocytes by lipopolysaccharide, pokeweed mitogen, and phytohemagglutinin and the response in mixed lymphocyte cultures. The two high doses suppressed antibody production response to the T cell-dependent antigen (sheep erythrocytes), as determined by plaque-forming cells, and serum antibody levels. Mice treated with phenol had lower levels of neurotransmitters in several brain regions. In the hypothalamus, a major norepinephrine-containing compartment, the concentrations of norepinephrine significantly decreased by 29 and 40% in groups dosed with 19.5 and 95.2 mg/l, while dopamine concentrations decreased in the corpus striatum by 21, 26, and 35% at 4.7, 19.5 and 95.2 mg/l, respectively. Phenol also decreased 5-hydroxytryptamine in the hypothalamus, medulla oblongata, midbrain and corpus striatum. Levels of monoamine metabolites decreased in the hypothalamus (5-hydroxyindoleacetic acid), midbrain (vanillylmandelic acid), corpus striatum (vanillylmandelic acid and dihydroxyphenylacetic acid), cortex (vanillylmandelic acid), and cerebellum (dihydroxyphenylacetic acid).


Subject(s)
Biogenic Amines/metabolism , Brain/drug effects , Phenols/toxicity , Administration, Oral , Animals , Antibody Formation/drug effects , Brain/immunology , Brain/metabolism , Lymphocytes/drug effects , Male , Mice , Mitogens/immunology , Phenol , Spleen/drug effects , Spleen/immunology
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