Terasawa M, Imayoshi T, Maruyama Y, Abe C
Nihon Yakurigaku Zasshi. 1985 Nov;86(5):329-40. doi: 10.1254/fpj.86.329.
Traxanox was inactive against classic acute and subacute inflammation models such as carrageenin paw edema, UV erythema, 6-hr Evans blue-carrageenin (E-C) pleurisy and cotton pellet granuloma formation, and it failed to inhibit the production of prostaglandin E2 and a slow reacting substance from rat peritoneal leucocytes which phagocytize killed bacteria in vitro. On the other hand, traxanox inhibited the anaphylactoid reaction and decreased the pleural fluid in 24-hr E-C pleurisy. Traxanox (100 mg/kg, p.o.) also showed a tendency to suppress dextran edema and cotton pellet granuloma formation in adjuvant arthritis (AA) in rats. In experimental models of delayed type hypersensitivity (DTH), traxanox (100 mg/kg, p.o.) inhibited the accumulation of the exudate and the leucocyte migration in B. pertussis-induced pleurisy in rats. Traxanox (50 mg/kg) did not show any effect on AA in Lewis rats when administered orally for 21 days after the adjuvant inoculation, but the combined administration of traxanox with hydrocortisone (10 mg/kg, p.o.) or indomethacin (0.25 mg/kg, p.o.) resulted in a synergistic inhibition of AA. When the administration of traxanox was started 21 days before the adjuvant inoculation, it inhibited AA in a dose-dependent manner (50-100 mg/kg, p.o.). On the other hand, traxanox (100 mg/kg, p.o.) enhanced the concanavalin A-induced DTH-like skin reaction in guinea pigs. These results indicate that the mode of action of traxanox on inflammatory responses resembles that of D-penicillamine or levamisole, so that it may prove to be clinically effective in treating rheumatoid arthritis.
曲克索辛对经典的急性和亚急性炎症模型无效,如角叉菜胶致爪肿胀、紫外线红斑、6小时伊文思蓝-角叉菜胶(E-C)胸膜炎以及棉球肉芽肿形成,并且它不能抑制大鼠腹腔白细胞在体外吞噬杀死细菌时前列腺素E2和慢反应物质的产生。另一方面,曲克索辛抑制类过敏反应,并减少24小时E-C胸膜炎中的胸腔积液。曲克索辛(100毫克/千克,口服)在大鼠佐剂性关节炎(AA)中也显示出抑制葡聚糖水肿和棉球肉芽肿形成的趋势。在迟发型超敏反应(DTH)的实验模型中,曲克索辛(100毫克/千克,口服)抑制大鼠百日咳杆菌诱导的胸膜炎中渗出物的积聚和白细胞迁移。在佐剂接种后口服21天,曲克索辛(50毫克/千克)对Lewis大鼠的AA没有任何影响,但曲克索辛与氢化可的松(10毫克/千克,口服)或吲哚美辛(0.25毫克/千克,口服)联合给药导致对AA的协同抑制作用。当在佐剂接种前21天开始给予曲克索辛时,它以剂量依赖的方式(50-100毫克/千克,口服)抑制AA。另一方面,曲克索辛(100毫克/千克,口服)增强了豚鼠中伴刀豆球蛋白A诱导的类似DTH的皮肤反应。这些结果表明,曲克索辛对炎症反应的作用方式类似于D-青霉胺或左旋咪唑,因此它可能在治疗类风湿性关节炎方面被证明具有临床疗效。