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Inhibition of Clostridium difficile toxin A-induced colitis in rats by APAZA.

Abstract
A new compound, APAZA, consisting of a molecule of 5-aminosalicylic acid linked to one molecule of 4-aminophenylacetic acid by an azo bond, was testedfor its ability to inhibit acute colitis in rats caused by Clostridium difficile toxin A. When administered chronically for 5 days in drinking water, APAZA significantly inhibited toxin A-induced myeloperoxidase activity, luminal fluid accumulation, and structural damage to the colon at doses of from 1 to 100 mg/kg x day. For comparison, sulfasalazine was administered in identical doses and was found to significantly inhibit toxin A-induced colitis only at the dose of 100 mg/kg x day. When 4-aminophenylacetic acid alone was administered chronically in drinking water, it also inhibited toxin A-induced colonic inflammation at a dose of 100 mg/kg x day. In order to determine if 4-aminophenylacetic acid has a direct anti-inflammatory effect on the colon rather than a systemic effect, 4-aminophenylacetic acid was administered acutely to surgically prepared isolated colonic segments by intraluminal injection in anesthetized rats 30 min before toxin A was injected. 4-Aminophenylacetic acid strongly and significantly inhibited toxin A-induced colitis in this experiment at doses as low as 10 microg/segment. It is concluded that APAZA is a potent inhibitor of toxin A-induced colonic inflammation in rats and that its constituent, 4-aminophenylacetic acid, is responsible for this increased protection against colitis compared to the 5-aminosalicylic acid component of sulfasalazine.
AuthorsDouglas C McVey, Rodger A Liddle, Jennifer Riggs-Sauthier, Nnochiri Ekwuribe, Steven R Vigna
JournalDigestive diseases and sciences (Dig Dis Sci) Vol. 50 Issue 3 Pg. 565-73 (Mar 2005) ISSN: 0163-2116 [Print] United States
PMID15810644 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Aniline Compounds
  • Bacterial Toxins
  • Phenylacetates
  • 4-aminophenylacetic acid
Topics
  • Analysis of Variance
  • Aniline Compounds (pharmacology)
  • Animals
  • Bacterial Toxins
  • Biopsy, Needle
  • Clostridioides difficile
  • Colitis (drug therapy, pathology)
  • Disease Models, Animal
  • Female
  • Immunohistochemistry
  • Male
  • Phenylacetates (pharmacology)
  • Probability
  • Rats
  • Rats, Inbred Strains
  • Sensitivity and Specificity

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