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N,N'-Bis(5-aminosalicyl)-L-cystine is a potential colon-specific 5-aminosalicylic acid prodrug with dual therapeutic effects in experimental colitis.

Abstract
To evaluate N,N'-bis(5-aminosalicyl)-L-cystine (5-ASA-Cys) as a potential colon-specific 5-aminosalicylic acid prodrug with dual therapeutic effects in experimental colitis, the pharmacokinetics and therapeutic activity were investigated after oral administration of 5-ASA-Cys and amelioration of experimental colitis was compared after rectal administration of 5-aminosalicylic acid (5-ASA) and/or cysteine. In addition, the gluthathione (GSH) level in the inflamed colonic tissue was examined after administration of cysteine or 5-ASA-Cys. Oral administration of 5-ASA-Cys delivered much greater amount of 5-ASA to the large intestine and excreted lower amount of 5-ASA via urine than that of free 5-ASA. Oral administration of 5-ASA-Cys ameliorated experimental colitis of rats induced by TNBS, which was more effective than that of sulfasalazine. Although cysteine administered rectally was not significantly effective, intracolonic treatment with both 5-ASA and cysteine showed a synergic effect in alleviating the rat colitis. Furthermore, not only 5-ASA-Cys administered orally but also cysteine administered rectally increased the glutathione level in the inflamed colonic tissue. Taken together, these results suggest that 5-ASA-Cys is a potential colon specific 5-ASA prodrug with dual therapeutic effects on experimental colitis and cysteine modulation of the glutathione level may be relevant to the dual effects of the prodrug.
AuthorsHeejung Kim, Jeongsoon Huh, Hyunchu Jeon, Daekyu Choi, Jungoh Han, Youngmi Kim, Yunjin Jung
JournalJournal of pharmaceutical sciences (J Pharm Sci) Vol. 98 Issue 1 Pg. 159-68 (Jan 2009) ISSN: 1520-6017 [Electronic] United States
PMID18399548 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
Copyright(c) 2008 Wiley-Liss, Inc. and the American Pharmacists Association
Chemical References
  • Aminosalicylic Acids
  • N,N'-bis(5-aminosalicyl)cystine
  • Prodrugs
  • Cystine
Topics
  • Aminosalicylic Acids (administration & dosage, chemistry)
  • Animals
  • Colitis (drug therapy, metabolism)
  • Colon (drug effects, metabolism)
  • Cystine (administration & dosage, analogs & derivatives, chemistry)
  • Male
  • Prodrugs (administration & dosage, chemistry)
  • Rats
  • Rats, Sprague-Dawley

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