Center for Clinical Pharmacology, Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven, Belgium.
J Basic Clin Physiol Pharmacol. 2023 Mar 27;34(4):531-537. doi: 10.1515/jbcpp-2023-0004. eCollection 2023 Jul 1.
In preclinical research, etodolac, a non-steroidal anti-inflammatory drug, affected transient receptor potential ankyrin 1 (TRPA1) activation. Yet, whether the interaction between etodolac and TRPA1 translates to altered TRPA1 functionality in human remains to be investigated.
A randomized, double-blinded, celecoxib-controlled study was conducted to assess the effect of etodolac on TRPA1-mediated dermal blood flow (DBF) changes on the forearm of 15 healthy, male volunteers aged between 18 and 45 years. Over four study visits, separated by at least five days wash-out, a single or four-fold dose of etodolac 200 mg or celecoxib 200 mg was administered orally. Two hours post-dose, TRPA1 functionality was evaluated by assessing cinnamaldehyde-induced DBF changes. DBF changes were quantified and expressed in Perfusion Units (PUs) using laser Doppler imaging during 60 min post-cinnamaldehyde application. The corresponding area under the curve (AUC) was calculated as summary measure. Statistical analysis was performed using Linear mixed models with post-hoc Dunnett.
Neither the single dose of etodolac nor celecoxib inhibited the cinnamaldehyde-induced DBF changes compared to no treatment (AUC ± SEM of 17,751 ± 1,514 PUsmin and 17,532 ± 1,706 PUsmin vs. 19,274 ± 1,031 PUsmin, respectively, both p=1.00). Similarly, also a four-fold dose of both compounds failed to inhibit the cinnamaldehyde-induced DBF changes (19,235 ± 1,260 PUsmin and 19,367 ± 1,085 PUsmin vs. 19,274 ± 1,031 PUsmin, respectively, both p=1.00).
Etodolac did not affect the cinnamaldehyde-induced DBF changes, suggesting that it does not alter TRPA1 functionality in human.
在临床前研究中,非甾体抗炎药依托度酸可影响瞬时受体电位锚蛋白 1(TRPA1)的激活。然而,依托度酸与 TRPA1 的相互作用是否会导致人类 TRPA1 功能改变仍有待研究。
一项随机、双盲、塞来昔布对照研究评估了依托度酸对 15 名 18 至 45 岁健康男性志愿者前臂 TRPA1 介导的皮肤血流(DBF)变化的影响。在至少 5 天洗脱期的 4 次研究访视中,志愿者分别口服单剂量或 4 倍剂量的依托度酸 200mg 或塞来昔布 200mg。给药后 2 小时,通过评估肉桂醛诱导的 DBF 变化来评估 TRPA1 功能。使用激光多普勒成像在肉桂醛应用后 60 分钟内定量和表示 DBF 变化,并以灌注单位(PU)表示。计算相应的曲线下面积(AUC)作为汇总测量。使用线性混合模型进行统计分析,并进行事后 Dunnett 检验。
与未治疗相比,依托度酸单剂量或塞来昔布均未抑制肉桂醛诱导的 DBF 变化(AUC±SEM 分别为 17751±1514PUmin 和 17532±1706PUmin 与 19274±1031PUmin,均为 p=1.00)。同样,两种化合物的 4 倍剂量也未能抑制肉桂醛诱导的 DBF 变化(19235±1260PUmin 和 19367±1085PUmin 与 19274±1031PUmin,均为 p=1.00)。
依托度酸并未影响肉桂醛诱导的 DBF 变化,表明其不会改变人类的 TRPA1 功能。