A colon-specific prodrug of metoclopramide ameliorates colitis in an experimental rat model

BACKGROUND: We examined whether metoclopramide (MCP), a modulator of dopamine and serotonin receptors, alleviated colitis and had synergistic effects when coadministered with 5-aminosalicylic acid (5-ASA) in an experimental model of colitis.

METHODS: MCP azo-linked to 5-ASA (5-[4-chloro-2-{2-(diethylamino)ethylcarbamoyl}- 1-methoxyphenyl]azosalicylic acid, MCP-azo-ASA) was synthesized, where 5-ASA was used as a colon-targeting carrier and an anti-colitic agent, and the ability of MCP-azo-ASA to target the colon in vitro and in vivo was evaluated.

RESULTS: Our results indicate that MCP-azo-ASA was cleaved to MCP and 5-ASA in the cecal contents, but not in the contents of the small intestine. Oral gavage with equimolar concentrations of MCP-azo-ASA and sulfasalazine (SSZ, a colon-specific prodrug of 5-ASA widely used clinically) demonstrated that the two prodrugs delivered comparable amounts of 5-ASA to the cecum. MCP was barely detected in the blood after oral gavage with MCP-azo-ASA. In a rat model of 2,4-dinitrobenzene sulfonic acid hydrate (DNBS)-induced colitis, MCP-azo-ASA alleviated colonic damage in a dose-dependent manner. Moreover, MCP-azo-ASA reduced the concentrations of inflammatory mediators in the inflamed colon. At low equimolar doses, MCP-azo-ASA, but not SSZ, resulted in significant anti-colitic effects, which indicates that MCP has anti-colitic activity. MCP-azo-ASA had anti-colitic effects equal to those of SSZ at high equimolar doses.

CONCLUSION: Thus, our results indicate that MCP-azo-ASA is a colon-specific prodrug of MCP. Targeted delivery of MCP to the colon ameliorated DNBS-induced colitis in rats, and we did not observe any synergistic effects of MCP after co-delivery with 5-ASA.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Drug design, development and therapy - 13(2019) vom: 07., Seite 231-242

Sprache:

Englisch

Beteiligte Personen:

Yang, Yejin [VerfasserIn]
Kim, Wooseong [VerfasserIn]
Kim, Dayoon [VerfasserIn]
Jeong, Seongkeun [VerfasserIn]
Yoo, Jin-Wook [VerfasserIn]
Jung, Yunjin [VerfasserIn]

Links:

Volltext

Themen:

2,4-dinitrobenzenesulfonic acid
3WF0U675G6
4Q81I59GXC
5-aminosalicylic acid
Anti-Inflammatory Agents, Non-Steroidal
Azo Compounds
Benzenesulfonates
Colitis
Colon-specific prodrug
Dopamine
Journal Article
L4YEB44I46
Mesalamine
Metoclopramide
Prodrugs
Serotonin

Anmerkungen:

Date Completed 29.05.2019

Date Revised 31.03.2022

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.2147/DDDT.S185257

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM292714823