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B) Activation:
Role of Arachidonic Acid
Department of Anaesthesia and Critical Care Medicine, Acetylsalicylic acid (aspirin) is the drug most commonly
self-administered to reduce inflammation, swelling, and pain. The established mechanism of action of aspirin is inhibition of the enzyme
cyclo-oxygenase (COX). Once taken, aspirin is rapidly deacetylated to
form salicylic acid, which may account, at least in part, for the
therapeutic actions of aspirin. However, where tested, salicylic acid
has been found to be a relatively inactive inhibitor of COX activity
in vitro, despite being an effective inhibitor of
prostanoids formed at the site of inflammation in vivo.
Recently, the identification of a cytokine-inducible isoform of COX,
COX-2, has led to the suggestion that salicylate produces its
anti-inflammatory actions by inhibiting COX-2 induction through actions
on nuclear factor
B (NF-
B). We have used interleukin
1
-induced COX-2 in human A549 cells to investigate the mechanism of
action of salicylate on COX-2 activity. Sodium salicylate inhibited
prostaglandin E2 release when added together with
interleukin 1
for 24 hr with an IC50 value of 5 µg/ml,
an effect that was independent of NF-
B activation or COX-2
transcription or translation. Sodium salicylate acutely (30 min) also
caused a concentration-dependent inhibition of COX-2 activity measured
in the presence of 0, 1, or 10 µM exogenous arachidonic
acid. In contrast, when exogenous arachidonic acid was increased to 30 µM, sodium salicylate was a very weak inhibitor of COX-2
activity with an IC50 of >100 µg/ml. Thus, sodium
salicylate is an effective inhibitor of COX-2 activity at
concentrations far below those required to inhibit NF-
B (20 mg/ml)
activation and is easily displaced by arachidonic acid.
Copyright © by The American Society for Pharmacology and Experimental Therapeutics
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