Abstract

Non-steroidal anti-inflammatory drugs (NSAIDs) are generally utilized for numerous inflammatory ailments. The long-term utilization of NSAIDs prompts adverse reactions such as gastrointestinal ulceration, renal dysfunction and hepatotoxicity; however, selective COX-2 inhibitors prevent these adverse events. Various scientific approaches have been employed to identify safer COX-2 inhibitors, as in any case, a large portion of particular COX-2 inhibitors have been retracted from the market because of severe cardiovascular events. This study aimed to develop and synthesize a novel series of indomethacin analogues with potential anti-inflammatory properties and fewer side effects, wherein carboxylic acid moiety was substituted using DCC/DMAP coupling. This study incorporates the docking of various indomethacin analogues to detect the binding interactions with COX-2 protein (PDB ID: 3NT1). MD simulation was performed to measure the stability and flexibility of ligand–protein interactions at the atomic level, for which the top-scoring ligand–protein complex was selected. These compounds were evaluated in vitro for COX enzymes inhibition. Likewise, selected compounds were screened in vivo for anti-inflammatory potential using the carrageenan-induced rat paw oedema method and their ulcerogenic potential. The acute toxicity of compounds was also predicted using in silico tools. Most of the compounds exhibited the potent inhibition of both COX enzymes; however, 3e and 3c showed the most potent COX-2 inhibition having IC50 0.34 µM and 1.39 µM, respectively. These compounds also demonstrated potent anti-inflammatory potential without ulcerogenic liability. The biological evaluation revealed that the compound substituted with 4-nitrophenyl was most active.

Highlights

  • Non-selective Non-steroidal anti-inflammatory drugs (NSAIDs) and selective COX-2 inhibitors are a group of medicines used to relieve pain fever and reduce inflammation

  • Many heterocyclic molecules have been discovered for inflammation, but they all work in the same way, by blocking cyclooxygenase enzymes. These enzymes are responsible for the synthesis of prostaglandins, which are involved in different processes such as inflammation, blood flow and the formation of blood clots

  • The inhibition of COX-1 and COX-2 enzymes leads to adverse events, while the inhibition of COX-2 enzymes is selectively attributed to increased risk of cardiovascular side effects

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Summary

Introduction

Many heterocyclic molecules have been discovered for inflammation, but they all work in the same way, by blocking cyclooxygenase enzymes. These enzymes are responsible for the synthesis of prostaglandins, which are involved in different processes such as inflammation, blood flow and the formation of blood clots. Gastrointestinal adverse effects observed with non-selective NSAIDs are due to the inhibition of COX-1 enzyme. There are reports which confirm the potential benefits of COX-2 inhibitors over nonselective NSAIDs. Selective cyclooxygenase II inhibitors were discovered to reduce the side effects associated with NSAIDs. most selective COX-2 inhibitors were retracted from the market due to severe cardiovascular adverse effects [4,5]

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