Properties of the NO-ASA family of NO-donating NSAIDs (NO-NSAIDs), notably NCX 4016 (mNO-ASA) and NCX 4040 (pNO-ASA), reported in more than one hundred publications, have included positive preclinical data in cancer chemoprevention and therapy. Evidence is presented that the antiproliferative, the chemopreventive (antioxidant/electrophile response element (ARE) activation), and the anti-inflammatory activity of NO-ASA in cell cultures is replicated by X-ASA derivatives that are incapable of acting as NO donors. pBr-ASA and mBr-ASA are conisogenic with NO-ASA, but are not NO donors. The biological activity of pNO-ASA is replicated by pBr-ASA; and both pNO-ASA and pBr-ASA are bioactivated to the same quinone methide electrophile. The biological activity of mNO-ASA is replicated by mBr-ASA; mNO-ASA and mBr-ASA are bioactivated to different benzyl electrophiles. The observed activity is likely initiated by trapping of thiol biomolecules by the quinone and benzyl electrophiles, leading to depletion of GSH and modification of Cys-containing sensor proteins. Whereas all NO-NSAIDs containing the same structural "linker" as NCX 4040 and NCX 4016 are anticipated to possess activity resulting from bioactivation to electrophilic metabolites, this expectation does not extend to other linker structures. Nitrates require metabolic bioactivation to liberate NO bioactivity, which is often poorly replicated in vitro, and NO bioactivity provided by NO-NSAIDs in vivo provides proven therapeutic benefits in mitigation of NSAID gastrotoxicity. The in vivo properties of X-ASA drugs await discovery.

译文

在100多个出版物中报道的NO-ASA非捐赠非甾体抗炎药 (NO-NSAIDs) 家族的特性,特别是NCX 4016 (mno-asa) 和NCX 4040 (pno-asa),包括癌症化学预防和治疗中的阳性临床前数据。有证据表明,细胞培养物中NO-ASA的抗增殖,化学预防 (抗氧化剂/亲电反应元件 (is) 激活) 和抗炎活性被不能作为NO供体的x-asa衍生物复制。Pbr-asa和mbr-asa与NO-ASA同生异生,但不是没有供体。Pbr-asa复制了pNO-ASA的生物活性; pNO-ASA和pbr-asa均被生物激活为相同的醌甲基亲电试剂。Mno-asa的生物活性由mbr-asa复制; Mno-asa和mbr-asa被生物激活为不同的苄基亲电试剂。观察到的活性可能是通过醌和苄基亲电试剂捕获硫醇生物分子而引发的,从而导致GSH的消耗和含Cys的传感器蛋白的修饰。尽管所有含有与NCX 4040和NCX 4016相同的结构 “接头” 的NO-NSAIDs预期具有由对亲电代谢物的生物活化产生的活性,但该预期并不延伸到其他接头结构。硝酸盐需要代谢生物活化以释放NO生物活性,这通常在体外复制不佳,并且NO-NSAIDs在体内提供的NO生物活性在减轻NSAID胃毒性方面提供了已证明的治疗益处。X-asa药物的体内特性有待发现。

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