Abstract
Tebufelone is a novel nonsteroidal anti-inflammatory drug (NSAID), of the di-tert-butylphenol (DTBP) class, which displays potent anti-inflammatory, analgesic and anti-pyretic properties in a variety of animal models. In this report, the effects of Tebufelone on arachidonic acid (AA) metabolism are reviewed. Tebufelone potently inhibits the formation of prostaglandins (PGE2) a key mediator of pain and inflammation, in isolated enzyme preparations (IC50=1.5 μM,K I=0.35 μM), twoin vitro cellular systems: rat peritoneal macrophages (IC50=0.02 μM) and human whole blood (IC50=0.08 μM), andex vivo in man. In addition to PGE2 inhibition, which is common to all NSAIDs, higher concentrations of Tebufelone block thein vitro formation of products of the lipoxygenase pathway [leukotrienes (LTB4)] in rat macrophages (IC50=20 μM) and human whole blood (IC50=22 μM). Substrate incorporation studies (14C-AA) indicate that Tebufelone reversibly inhibits cyclooxygenase (CO) and 5-lipoxygenase (5-LO) enzymes rather than regulating the release of AA. Tebufelone was shown to be a more potent CO inhibitor than indomethacin and a less potent 5-LO inhibitor than RG-5901. Comparisons to structurally related compounds under development (E-5110, Esai; KME-4, Kanagafuchi), found Tebufelone to be the most potent CO inhibitorin vitro. All three DTBP compounds were equipotent 5-LO inhibitors. It is likely that Tebufelone's inhibitory effects on AA metabolism are, in part, responsible for itsin vivo efficacy and enhanced safety profile.
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Weisman, S.M., Doyle, M.J., Wehmeyer, K.R. et al. Effects of Tebufelone (NE-11740), a new anti-inflammatory drug, on arachidonic acid metabolism. Agents and Actions 41, 156–163 (1994). https://doi.org/10.1007/BF02001910
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DOI: https://doi.org/10.1007/BF02001910