Effects of acetaminophen on constitutive and inducible prostanoid biosynthesis in human blood cells

Acetaminophen, an analgesic and antipyretic drug with weak antiinflammatory properties, has been suggested to act as a tissue‐selective inhibitor of prostaglandin H synthases (PGHSs) (e.g. COX‐1 and COX‐2) through its reducing activity, that is influenced by the different cellular levels of peroxide...

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Veröffentlicht in:British journal of pharmacology 2003-02, Vol.138 (4), p.634-641
Hauptverfasser: Sciulli, Maria G, Seta, Francesca, Tacconelli, Stefania, Capone, Marta L, Ricciotti, Emanuela, Pistritto, Giuseppa, Patrignani, Paola
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container_issue 4
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container_title British journal of pharmacology
container_volume 138
creator Sciulli, Maria G
Seta, Francesca
Tacconelli, Stefania
Capone, Marta L
Ricciotti, Emanuela
Pistritto, Giuseppa
Patrignani, Paola
description Acetaminophen, an analgesic and antipyretic drug with weak antiinflammatory properties, has been suggested to act as a tissue‐selective inhibitor of prostaglandin H synthases (PGHSs) (e.g. COX‐1 and COX‐2) through its reducing activity, that is influenced by the different cellular levels of peroxides. We have studied the effects of acetaminophen on inducible and constitutive prostanoid biosynthesis in monocytes and platelets in vitro. To discriminate between the inhibitory effect of the drug on PGHS‐isozymes vs PGE‐synthases (PGESs), parallel measurements of PGE2 and thromboxane (TX) B2 were carried out. Since antioxidant enzymes and cofactors, present in plasma, may affect acetaminophen‐dependent inhibition of prostanoids, comparative experiments in whole blood vs isolated monocytes were performed. Acetaminophen inhibited LPS‐induced whole blood PGE2 and TXB2 production, in a concentration‐dependent fashion [IC50 μM (95% confidence intervals): 44 (27–70) and 94 (79–112), respectively]. Therapeutic plasma concentrations (100 and 300 μM) of the drug more profoundly reduced PGE2 than TXB2 (71±3 vs 54±4 and 95±0.8 vs 78±2%, respectively, mean±s.e.mean, n=6, P
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We have studied the effects of acetaminophen on inducible and constitutive prostanoid biosynthesis in monocytes and platelets in vitro. To discriminate between the inhibitory effect of the drug on PGHS‐isozymes vs PGE‐synthases (PGESs), parallel measurements of PGE2 and thromboxane (TX) B2 were carried out. Since antioxidant enzymes and cofactors, present in plasma, may affect acetaminophen‐dependent inhibition of prostanoids, comparative experiments in whole blood vs isolated monocytes were performed. Acetaminophen inhibited LPS‐induced whole blood PGE2 and TXB2 production, in a concentration‐dependent fashion [IC50 μM (95% confidence intervals): 44 (27–70) and 94 (79–112), respectively]. Therapeutic plasma concentrations (100 and 300 μM) of the drug more profoundly reduced PGE2 than TXB2 (71±3 vs 54±4 and 95±0.8 vs 78±2%, respectively, mean±s.e.mean, n=6, P&lt;0.01). Differently, in isolated monocytes stimulated with LPS, both PGE2 and TXB2 production was maximally reduced by only 60%. At 100 and 300 μM, the drug caused a similar and incomplete inhibition of platelet PGE2 and TXB2 production during whole blood clotting (45±4 vs 54±4 and 75±2 vs 75±1%, respectively, mean±s.e.mean, n=4). In conclusion, therapeutic concentrations of acetaminophen caused an incomplete inhibition of platelet COX‐1 and monocyte COX‐2 but in the presence of plasma, the drug almost completely suppressed inducible PGE2 biosynthesis through its inhibitory effects on both COX‐2 and inducible PGES. 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We have studied the effects of acetaminophen on inducible and constitutive prostanoid biosynthesis in monocytes and platelets in vitro. To discriminate between the inhibitory effect of the drug on PGHS‐isozymes vs PGE‐synthases (PGESs), parallel measurements of PGE2 and thromboxane (TX) B2 were carried out. Since antioxidant enzymes and cofactors, present in plasma, may affect acetaminophen‐dependent inhibition of prostanoids, comparative experiments in whole blood vs isolated monocytes were performed. Acetaminophen inhibited LPS‐induced whole blood PGE2 and TXB2 production, in a concentration‐dependent fashion [IC50 μM (95% confidence intervals): 44 (27–70) and 94 (79–112), respectively]. Therapeutic plasma concentrations (100 and 300 μM) of the drug more profoundly reduced PGE2 than TXB2 (71±3 vs 54±4 and 95±0.8 vs 78±2%, respectively, mean±s.e.mean, n=6, P&lt;0.01). Differently, in isolated monocytes stimulated with LPS, both PGE2 and TXB2 production was maximally reduced by only 60%. At 100 and 300 μM, the drug caused a similar and incomplete inhibition of platelet PGE2 and TXB2 production during whole blood clotting (45±4 vs 54±4 and 75±2 vs 75±1%, respectively, mean±s.e.mean, n=4). In conclusion, therapeutic concentrations of acetaminophen caused an incomplete inhibition of platelet COX‐1 and monocyte COX‐2 but in the presence of plasma, the drug almost completely suppressed inducible PGE2 biosynthesis through its inhibitory effects on both COX‐2 and inducible PGES. 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We have studied the effects of acetaminophen on inducible and constitutive prostanoid biosynthesis in monocytes and platelets in vitro. To discriminate between the inhibitory effect of the drug on PGHS‐isozymes vs PGE‐synthases (PGESs), parallel measurements of PGE2 and thromboxane (TX) B2 were carried out. Since antioxidant enzymes and cofactors, present in plasma, may affect acetaminophen‐dependent inhibition of prostanoids, comparative experiments in whole blood vs isolated monocytes were performed. Acetaminophen inhibited LPS‐induced whole blood PGE2 and TXB2 production, in a concentration‐dependent fashion [IC50 μM (95% confidence intervals): 44 (27–70) and 94 (79–112), respectively]. Therapeutic plasma concentrations (100 and 300 μM) of the drug more profoundly reduced PGE2 than TXB2 (71±3 vs 54±4 and 95±0.8 vs 78±2%, respectively, mean±s.e.mean, n=6, P&lt;0.01). Differently, in isolated monocytes stimulated with LPS, both PGE2 and TXB2 production was maximally reduced by only 60%. At 100 and 300 μM, the drug caused a similar and incomplete inhibition of platelet PGE2 and TXB2 production during whole blood clotting (45±4 vs 54±4 and 75±2 vs 75±1%, respectively, mean±s.e.mean, n=4). In conclusion, therapeutic concentrations of acetaminophen caused an incomplete inhibition of platelet COX‐1 and monocyte COX‐2 but in the presence of plasma, the drug almost completely suppressed inducible PGE2 biosynthesis through its inhibitory effects on both COX‐2 and inducible PGES. British Journal of Pharmacology (2003) 138, 634–641. doi:10.1038/sj.bjp.0705078</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>12598417</pmid><doi>10.1038/sj.bjp.0705078</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Acetaminophen
Acetaminophen - pharmacology
Adult
Analgesics
Biological and medical sciences
Blood Cells - drug effects
Blood Cells - metabolism
Dose-Response Relationship, Drug
Female
Humans
Male
Medical sciences
monocyte COX‐2
Neuropharmacology
PGE‐synthase
Pharmacology. Drug treatments
platelet COX‐1
Prostaglandins - biosynthesis
whole blood
title Effects of acetaminophen on constitutive and inducible prostanoid biosynthesis in human blood cells
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