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Comparison of the effects of different anti-inflammatory drugs on synovial fluid prostanoid concentrations in patients with rheumatoid arthritis

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Summary

The effects of one-day treatment with nine nonsteroidal anti-inflammatory drugs and prednisolone on human synovial fluid concentrations of prostanoids were studied. The doses were calculated so as to be approximately equipotent according to clinical experience and the recommendations of the manufacturs. Most of the drugs used reduced clearly PGE2 and TxB2 levels in synovial fluid, but only a slight diminution in 6-keto-PGF values was found. Carprofen, diclofenac, indomethacin, naproxen and tolfenamic acid reduced significantly the synovial fluid PGE2 concentrations. Diclofenac and indomethacin also reduced significantly the synovial TxB2 concentrations.

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References

  1. Flower, R.J. Prostaglandins and related compounds. In: Inflammation. Handb. Exp. Pharm. 50/I. Editor: Vane, J.R., Ferreira, S.H., Berlin, Springer Verlag, 1978, 374–442.

    Google Scholar 

  2. Silvola, J., Kangasaho, M., Tokola, O., Vapaatalo, H. Effects of nonsteroidal anti-inflammatory drugs on rat gastric mucosal phosphodiesterase activity. Agents Actions 1982, 12, 516–520.

    Article  PubMed  CAS  Google Scholar 

  3. Ferreira, S.H. Prostaglandins. In: Chemical messengers of the inflammatory process. Handb. Inflammation 1, Editor: Houck, J.C., Amsterdam, Elsevier, North Holland Biomedical Press, 1979, 114–151.

    Google Scholar 

  4. Weissmann, G. Prostaglandins as mediators of inflammation. In: Acetylsalicylic acid: New uses for an old drug. Editors: Barnett, H.J.M., Hirsch, J., Mustard, J.F., New York, Raven Press, 1982, 17–31.

    Google Scholar 

  5. Lewis, G.P. Immunoregulatory activity of metabolites of arachidonic acid and their role in inflammation. Br Med Bull, 1983, 39, 243–248.

    PubMed  CAS  Google Scholar 

  6. Robinson, D.R., McGuire, M.B., Levine, L. Prostaglandins in the rheumatic diseases. Ann NY Acad Sci, 1975, 256, 318–329.

    Article  PubMed  CAS  Google Scholar 

  7. Drayer, J.M., Robinson, D.R., Krane, S.M. Prostaglandin production of rheumatoid synovial cells. J Exp Med, 1977, 145, 1399–1404.

    Article  PubMed  Google Scholar 

  8. Laitinen, O., Seppälä, E., Nissilä, M., Vapaatalo, H. Plasma levels and urinary excretion of prostaglandins in patients with rheumatoi arthritis. Clin Rheumatol, 1983, 2, 401–406.

    Article  PubMed  CAS  Google Scholar 

  9. Salmon, J.A., Higgs, G.A., Vane, J.R., Bitensky, L., Chayen, J., Henderson, B., Cashman, B. Synthesis of arachidonate cyclo-oxygenase products by rheumatoid and nonrheumatoid synovial lining in nonproliferative organ culture. Ann Rheum Dis, 1983, 42, 36–40.

    Article  PubMed  CAS  Google Scholar 

  10. Seppälä, E., Nissilä, M., Lepistö, P., Laitinen, O., Pietilä, P.N Moilanen, E., Vapaatalo, H. Differences in the production of arachidonic acid metabolites between healthy and rheumatic synovial fibroblasts in vitro. Scand J Rheum, 1984.

  11. Vane, J.R., Ferreira, S.H. (Eds.): Anti-inflammatory drugs. Handb. Exp. Pharm. 50. Springer-Verlag, Berlin, 1979.

    Google Scholar 

  12. Vapaatalo, H., Parantainen, J. Prostaglandins: their biological and pharmacological role. Med Biol, 1978, 56, 163–183.

    PubMed  CAS  Google Scholar 

  13. Kaliner, M., Austen, K.F. Cyclic nucleotides and modulation of effector system of inflammation. Biochem Pharmacol, 1974, 23, 763–771.

    Article  PubMed  CAS  Google Scholar 

  14. Seppälä, E., Pora, O., Metsä-Ketelä, T. A modified method for extraction and purification of prostaglandins using resin XAD-2. Prostaglandins Leukotr Med, 1984, 14, 235–241.

    Article  Google Scholar 

  15. Wallis, W.J., Simkin, P.A. Antirheumatic drug concentration in human synovial fluid and synovial tissue. Clin Pharmacokinet, 1983, 8, 496–522.

    Article  PubMed  CAS  Google Scholar 

  16. Vapaatalo, H., Parantainen, J., Lindén, I-B., Hakkarainen, H. Prostaglandins and vascular headache. Action of tolfenamic acid, a new antiinflammatory analgesic, on migraine. In: Sicuteri F Headache, New vistas. Florence: Biochemical Press, 1977, 287–300.

    Google Scholar 

  17. Shen, T.Y. Prostaglandin Synthetase Inhibitors. In: Anti-Inflammatory Drugs. Handb. Exp. Pharm. 50/II. Editors: Vane, J.R., Ferreira, S.H., Berlin, Springer-Verlag, 1979, 305–347.

    Google Scholar 

  18. Ahnfelt-Rønne, I., Arrigoni-Martelli, E. A new anti-inflammatory compound, timegadine (N-cyclo-hexyl-N″-4-/2-methylquinolyl/-N′-2-thiazolylguanidine), which inhibits both prostaglandin and 12-hydroxyeicosatetraenoic acid (12 HETE) formation. Biochem Pharmacol, 1980, 29, 3265–3269.

    Article  PubMed  Google Scholar 

  19. Flower, R.J., Wood, J.N., Parente, L. Macrocortin and the mechanism of action of the glucocorticoids. In: Advances of Inflammation Research. Vol. 7. Editors: Otterness, I., Capetola, R., Wong, S., New York, Raven Press, 1984, 61–70.

    Google Scholar 

  20. Hirata, F. Roles of lipomodulin: A phospholipase inhibitory protein in immunoregulation. In: Advances of Inflammation Research. Vol. 7. Editors: Otterness, I., Capetola, R., Wong, S., New York, Raven Press, 1984, 71–78.

    Google Scholar 

  21. Isomäki, H., Martio, J., Kaarela, K., Kajander, A., Koota, K., Lehtinen, K., Luukkainen, R., Martio, T., Nissilä, M., Nuotio, P. Comparison of the analgesic effects of nine nonsteroidal antiinflammatory drugs. Br J Rheumatol, 1984, 23, 61–65.

    Article  PubMed  Google Scholar 

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Seppälä, E., Nissilä, M., Isomäki, H. et al. Comparison of the effects of different anti-inflammatory drugs on synovial fluid prostanoid concentrations in patients with rheumatoid arthritis. Clin Rheumatol 4, 315–320 (1985). https://doi.org/10.1007/BF02031615

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