Synthesis of budesonide conjugates and their anti-inflammatory effects: a preliminary study.

PURPOSE

Budesonide (Bud) is a nonhalogenated glucocorticoid with high anti-inflammatory potency and low systemic side effects. However, the poor water solubility of Bud affects its dissolution and release behavior, thus influencing its anti-inflammatory effect. This study was aimed at synthesizing and evaluating novel conjugates of Bud, hoping to increase the anti-inflammatory activity of Bud by improving its water solubility.

MATERIALS AND METHODS

Seven novel Bud conjugates (-) were designed and synthesized in this study. Besides, the equilibrium solubility, cell viability, in vitro and in vivo anti-inflammatory activity, and the hydrolysis behavior of the conjugates in different pH solutions, rat and human plasma, and rat lung homogenate were studied in detail.

RESULTS

As compared to Bud, the equilibrium solubility of , , and was significantly increased; , , and significantly inhibited the interleukin-6 production in lipopolysaccharide-induced A549 cells; and could significantly decrease the xylene-induced ear edema; and and were gradually and slowly hydrolyzed into Bud in the alveolar fluid and lung homogenate and broken down quickly in plasma.

CONCLUSION

The amino acid ester compounds budesonide-21-glycine ester () and budesonide-21-alanine ester () were selected as potential conjugates of Bud. This study would provide a theoretical and an experimental basis for the in vivo process of glucocorticoids and the treatment of inflammatory diseases.