SYNTHESIS AND EVALUATION OF PHTHALATE ANALOGUE OF DICLOFENAC AGAINST
FREUND’S COMPLETE ADJUVANT INDUCED ARTHRITIS IN RAT
Original Article
P. MANIMEKALAI
*
, K. M. PREETU SHUKLA, P. SUDHAKAR, G. MURUGANANTHAN
Swamy Vivekanandha College of Pharmacy, Thirunchengode 637205
Email: mekalaivel@gmail.com
Received: 01 Sep 2019, Revised and Accepted: 16 Nov 2019
ABSTRACT
Objective: The objective of the present study is to evaluate the effect of Phthalate analogues of diclofenac in Freund’s complete adjuvant (FCA)
induced Arthritis in the rat.
Methods: Twenty four female albino wistar rats were enrolled in this study and are divided into 4 groups (six each). The groups were designed as
follows: Group I: vehicle control, Group II: arthritic control, Group III: diclofenac treated, Group IV: phthalate analogue of diclofenac treated. Various
assessments such as anti-arthritic activity, biochemical estimations, haematological parameters, ulcerogenesis, radiological and histopathological
studies were evaluated.
Results: Arthritic control group exhibited significant increase in the level of paw volume, arthritic score (p<0.0001), Serum glutamic pyruvic transaminase
(SGPT) (p<0.001), Serum glutamic oxaloacetic transaminase (SGOT) p<0.01), rheumatoid arthritis factor, C-reactive protein (CRP), White Blood Cells (WBC),
Creatinine and uric acid and a significant decrease in Red Blood Cells (RBC). Increased swelling of joints, bony destruction and profound ulceration were
observed in the Arthritic control group. All these conditions were reversed in diclofenac and phthalate analogue of diclofenac groups.
Conclusion: We conclude that phthalate analogue of diclofenac shows potent anti-arthritic activity with milder ulceration when compared to
diclofenac treatment.
Keywords: Diclofenac, Freund’s Complete Adjuvant (FCA), Phthalate moiety, Rheumatoid arthritis
© 2019 The Authors. Published by Innovare Academic Sciences Pvt Ltd. This is an open-access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
DOI: http://dx.doi.org/10.22159/ijpps.2019v11i12.32537
INTRODUCTION
Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune
disease with the main clinical manifestation of systemic complications
including synovial inflammation, joint lesion and bone damage [1]. In
RA, pannus is rich in secretion of activated macrophages and other
inflammatory mediators, resulting in the destruction of tissues when
compared to normal synovial fluid, which is essentially a cellular [2].
One of the most important groups of mediators in RA is cytokines. The
most prominent of these include TNF, IL-1, and IL-6, which are
released in the synovial microenvironment [3, 4]. Rheumatoid arthritis
is also characterized by the presence of autoantibodies known as
rheumatoid factors (RF) and anti-citrullinated peptide antibodies
(ACPA). Therefore RA synovial fluid is abundant in neutrophils,
macrophages, T lymphocytes, autoantibodies and dendritic cells.
Chondrocytes secrete proteolytic enzymes that lead to destruction of
articular cartilage causing bone deformity and loss of joint function. It
is thought that costimulation of both humoral and cellular immunity
may contribute to the pathology of the disease [5].
RA affects all the races, where the female population is affected
three times more than the male population. The cause of RA is still a
mystery. The management of RA includes Nonsteroidal anti-
inflammatory Drugs (NSAIDs), Glucocorticoids, Disease-Modifying
Anti-Rheumatic Drugs (DMARDs) and Biologic agents [6]. Among the
most popular NSAIDs worth mentioning is diclofenac ranked 30th
among the top 200 drugs with respect to new prescriptions.
Diclofenac sodium has been demonstrated to have antipyretic
activity and to be an effective analgesic in rats and mice and in
therapeutic trials in patients with rheumatoid arthritis,
osteoarthritis or pain of varying origin [7]. Despite the intensive
research that has been aimed at the development of diclofenac, their
clinical usefulness is still restricted by their gastrointestinal side
effects like gastric irritation, ulceration, bleeding, perforation and
also cardiovascular complications. Hence, the scope of the research
widens for the newer, effective and safer alternative medicine.
Gastrointestinal (GI) toxicity is attributed to direct contact of free
carboxylic acid (–COOH) moiety present on diclofenac sodium with GI
mucosal cells [7]. Hence as an alternative approach, in order to avoid
major GI side effects, we have focused our research work on Synthetic
derivatization based upon chemical modification of diclofenac structure.
Therefore we have attempted to design phthalate analogue of diclofenac
by replacing free acidic group on diclofenac structure by the most potent
less acidic heterocyclic ligand–phthalate moiety. The latter showed
negligible GI toxicity, due to very good selective interactive energies with
cyclooxygenase-2 (COX-2) when compared to that of diclofenac sodium
[8]. Hence the present study was therefore aimed to synthesize and
evaluate phthalate analogue of diclofenac and was designed to
investigate whether the synthesized compound exerts an ameliorative
effect on arthritis in rats exposed to Freund’s complete adjuvant (FCA)
and to ascertain its potential mechanism with less ulcerogenicity.
MATERIALS AND METHODS
Selection and synthetic scheme of the phthalate analogue of
diclofenac
Diclofenac sodium was hydrolyzed using concentrated sulphuric
acid to convert salt to acid. The obtained intermediate was refluxed
for 22 h with absolute alcohol and concentrated sulphuric acid. The
obtained ethyl ester reaction mixture was sodium bicarbonate
solution and recrystalised with methanol. The recrystalised ester
was refluxed with hydrazine hydrate along with absolute alcohol for
22 h. Finally the precipitated mixture was filter dried and
recrystalised from methanol. Yield: 87.44%, mp: 112 °C.
Acute oral toxicity studies of phthalate analogue of diclofenac–
OECD 423 guideline
Acute oral toxicity studies were performed using a phthalate
analogue of diclofenac at the dose level of 300 mg/kg orally in mice.
Animals
Healthy adult female Albino Wister Rats (150-200 g: 24 rats) were
obtained from Swamy Vivekananda College of Pharmacy, Tiruchengodu.
International Journal of Pharmacy and Pharmaceutical Sciences
Print ISSN: 2656-0097 | Online ISSN: 0975-1491 Vol 11, Issue 12, 2019