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一种用于环氧化酶抑制剂生化疗效临床评估的人体全血检测方法。

A human whole blood assay for clinical evaluation of biochemical efficacy of cyclooxygenase inhibitors.

作者信息

Brideau C, Kargman S, Liu S, Dallob A L, Ehrich E W, Rodger I W, Chan C C

机构信息

Department of Pharmacology, Merck Frosst Centre for Therapeutic Research, Pointe Claire-Dorval, Quebec, Canada.

出版信息

Inflamm Res. 1996 Feb;45(2):68-74. doi: 10.1007/BF02265118.

DOI:10.1007/BF02265118
PMID:8907587
Abstract

In this study, PGE2 levels in lipopolysaccharide (LPS)-challenged human whole blood and TxB2 levels following blood coagulation were measured as biochemical index for cyclooxygenase (Cox)-2 and Cox-1 activity respectively. Incubation of human mononuclear cells isolated from whole blood with LPS (100 mu g/mL) induced a time-dependent increase in the expression of Cox-2 protein (>100 fold at 24 hr). This is associated with increases in PGE2 production and free arachidonate release in the plasma. Cox-1 protein was detected in the human mononuclear cells at time zero but was not induced by either LPS or PBS. Most non-steroidal anti-inflammatory drugs (NSAIDs) are more potent at inhibiting Cox-1 than Cox-2. Five experimental compounds CGP-28238, Dup-697, NS-398, SC-58125 and L-745,337, have a greater selectivity for Cox-2. Indomethacin at a single oral dose (25 mg) inhibited approximately 90% the whole blood Cox-2 and Cox-1 activities ex vivo in healthy subjects. These results support the use of this assay to assess the biochemical efficacy of selective Cox-2 inhibitors in clinical trials.

摘要

在本研究中,分别测定了脂多糖(LPS)刺激的人全血中PGE2水平以及血液凝固后的TxB2水平,作为环氧化酶(Cox)-2和Cox-1活性的生化指标。用LPS(100μg/mL)孵育从全血中分离的人单核细胞,可诱导Cox-2蛋白表达呈时间依赖性增加(24小时时增加超过100倍)。这与血浆中PGE2生成增加和游离花生四烯酸释放增加相关。在时间零点时在人单核细胞中检测到Cox-1蛋白,但LPS或PBS均未诱导其表达。大多数非甾体抗炎药(NSAIDs)对Cox-1的抑制作用比对Cox-2更强。五种实验化合物CGP-28238、Dup-697、NS-398、SC-58125和L-745,337对Cox-2具有更高的选择性。单剂量口服吲哚美辛(25mg)在健康受试者体内可抑制约90%的全血Cox-2和Cox-1活性。这些结果支持在临床试验中使用该检测方法来评估选择性Cox-2抑制剂的生化疗效。

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