Zhang Yi-hua, Ji Hui, Peng Si-xun
Center of Drug Discovery, China Pharmaceutical University, Nanjing 210009, China.
Yao Xue Xue Bao. 2007 Apr;42(4):352-7.
Traditional non-steroidal anti-inflammatory drugs (NSAIDs) and COX-2 selective inhibitors are among the most widely used drugs. However, their significant side effects in gastrointestinal and cardiovascular systems limited the use of these drugs. Recently, research and development of NO-donating NSAIDs (NO-NSAIDs) have become one of the most important strategies to reduce these side effects. NO-NSAIDs may exert a broad range of positive effects in terms of NO-mediated gastrointestinal and cardiovascular safety as well as comparable or increased anti-inflammatory, analgesic properties relative to NSAIDs. This review briefly deals with chemistry of NO-NSAIDs, more details are focused on biological significance, mechanism of action, and therapeutic potential of this novel class of drugs.
传统非甾体抗炎药(NSAIDs)和COX-2选择性抑制剂是使用最为广泛的药物之一。然而,它们在胃肠道和心血管系统方面的显著副作用限制了这些药物的使用。近来,研发供体一氧化氮的非甾体抗炎药(NO-NSAIDs)已成为减少这些副作用的最重要策略之一。就一氧化氮介导的胃肠道和心血管安全性而言,NO-NSAIDs可能发挥广泛的积极作用,并且相对于NSAIDs,其抗炎、镇痛特性相当或有所增强。本综述简要介绍了NO-NSAIDs的化学性质,更多细节集中于这类新型药物的生物学意义、作用机制和治疗潜力。