1. Galactosylated Pro–Drug of Ursodeoxycholic Acid: Design, Synthesis, Characterization, and Pharmacological Effects in a Rat Model of Estrogen-Induced Cholestasis
- Author
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Roberto Russo, Claudio Pirozzi, Rosaria Meli, Maria Pina Mollica, Federica Sodano, Salvatore Magliocca, Lucia Burrai, Anna Santoro, Maria Grazia Rimoli, Maria Nieddu, Gianpiero Boatto, Loretta Lazzarato, Adriano Lama, Konstantin Chegaev, Giuseppina Mattace Raso, Francesca Guida, Di Guida, Francesca, Pirozzi, Claudio, Magliocca, Salvatore, Santoro, Anna, Lama, Adriano, Russo, Roberto, Nieddu, Maria, Burrai, Lucia, Boatto, Gianpiero, Mollica, Maria Pina, Sodano, Federica, Lazzarato, Loretta, Chegaev, Konstantin, Meli, Rosaria, Mattace Raso, Giuseppina, and Rimoli, Maria Grazia
- Subjects
Male ,UDCAgal ,0301 basic medicine ,medicine.medical_specialty ,Interleukin-1beta ,ethinyl estradiol induced cholestasis ,Pharmaceutical Science ,Ethinyl Estradiol ,03 medical and health sciences ,0302 clinical medicine ,Cholestasis ,Internal medicine ,Ethinylestradiol ,Drug Discovery ,medicine ,Animals ,Humans ,Potency ,Prodrugs ,Rats, Wistar ,Tumor Necrosis Factor-alpha ,Chemistry ,Drug Discovery3003 Pharmaceutical Science ,Ursodeoxycholic Acid ,pro-drug approach ,solubility enhancement ,Molecular Medicine ,3003 ,Estrogens ,Transporter ,Hep G2 Cells ,Prodrug ,medicine.disease ,Bile Salt Export Pump ,Multidrug Resistance-Associated Protein 2 ,Ursodeoxycholic acid ,Rats ,030104 developmental biology ,Endocrinology ,Solubility ,Cyclooxygenase 2 ,030211 gastroenterology & hepatology ,Efflux ,Multidrug Resistance-Associated Proteins ,UDCAgal, pro-drug approach, solubility enhancement, ethinyl estradiol induced cholestasis ,medicine.drug - Abstract
Ursodeoxycholic acid (UDCA) is considered the first-choice therapy for cholestatic disorders. To enhance solubility and exploit specific transporters in liver, we synthesized a new galactosyl pro-drug of UDCA (UDCAgal). Ethinylestradiol (EE)-induced cholestasis was used to study and compare the effects of UDCAgal with UDCA on bile flow, hepatic canalicular efflux transporter expression, and inflammation. UDCAgal resulted quite stable both at pH 7.4 and 1.2 and regenerated the parent drug after incubation in human plasma. Its solubility, higher than UDCA, was pH- and temperature-independent. UDCAgal displayed a higher cell permeation compared to UDCA in liver HepG2 cells. Moreover, in cholestatic rats, UDCAgal showed a higher potency compared to UDCA in reducing serum biomarkers (AST, ALT, and ALP) and cytokines (TNF-α and IL-1β). The higher effect of UDCAgal on the increase in bile salt export pump and multidrug resistance-associated protein 2 transcription indicated an improved spillover of bile acids from the liver. UDCAgal showed a reduction in CCL2, as well as TNF-α, IL-1β, and cyclooxygeanse-2 mRNAs, indicating a reduction in hepatic neutrophil accumulation and inflammation. Moreover, UDCAgal, similarly to UDCA, heightens bile flow and modulates biliary acids secretion. These results indicate that UDCAgal has a potential in the treatment of cholestatic disease.
- Published
- 2017
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