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Home > Evaluation of Synthesized Bis-Aminomethylene Derivatives of Hydroquinone for Anti-Inflammatory, Anti-Pyretic, Anti-Nociceptive, and Gastiric Ulcerogenic Activities in Animal Models

Evaluation of Synthesized Bis-Aminomethylene Derivatives of Hydroquinone for Anti-Inflammatory, Anti-Pyretic, Anti-Nociceptive, and Gastiric Ulcerogenic Activities in Animal Models

Thesis Info

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Author

Fawad, Khawaja

Program

PhD

Institute

University of Peshawar

City

Peshawar

Province

KPK

Country

Pakistan

Thesis Completing Year

2018

Thesis Completion Status

Completed

Subject

Pharmacy

Language

English

Link

http://prr.hec.gov.pk/jspui/bitstream/123456789/11551/1/Khwaja%20Fawad_Pharmacy_2018_UoPsw_PRR.pdf

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676726142221

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Non-steroidal anti-inflammatory drugs (NSAIDs) have long been the most frequently prescribed drugs in the developed world for the treatment of pain, fever, and inflammation. However, their chronic use is well known to be associated with significant morbidity, particularly in terms of gastric ulceration, bleeding from gastrointestinal tract (GIT), cardiovascular problems and renal complications. The frequency of clinically significant gastrointestinal (GI) side effects and potentially life-threatening toxicity due to NSAIDs is high and causes some patients to desert NSAIDs therapy. Therefore, the challenge still exists for the pharmaceutical industry to develop effective alternatives with enhanced safety profile which will at least maintain their pharmacological properties. Heterocyclic compounds are profusely found in nature and are very important from both therapeutic and economic point of view. In our attempt to discover new and useful agents for treatment of pain, inflammation and pyrexia, we have gathered the two bioactive entities (hydroquinone and moieties) into one compact structure and evaluated their biological activities, which have been found to possess an interesting profile of anti-nociceptive, antipyretic and anti-inflammatory activities with significant reduction in their ulcerogenic effect. The heterocyclic moieties reported here are morpholine, piperidine-4-carboxamide, piperidine and pyrrolidine. This Ph.D. dissertation reports the synthesis and characterization of novel hydroquinone derivatives and their evaluation for different in-vivo biological activities. Hydroquinone derivatives i.e. [2,5-bis(morpholinomethyl)hydroquinone as compound I], [1,1''-((2,5-dihydroxy-1,4-phenylene)bis(methylene))bis(piperidine-4 Abstract xix carboxamide) as compound II], [2,5-bis(piperidinomethyl)hydroquinone as compound III] and [2,5-bis(pyrrolidinomethyl)hydroquinone as compound IV] were synthesized by refluxing a mixture of hydroquinone, paraformaldehyde and the respective moiety (morpholine, piperidine-4-carboxamide, piperidine, pyrrolidine), in a reflux condenser with constant stirring which was assembled on magnetic stirrer. The resulting solution was than cooled while solvent was slowly evaporated at room temperature. The obtained solids were recrystallized three times with ethanol or acetone to obtain pure compounds. Their structures were elucidated using different spectroscopic techniques such as IR, 1H-NMR, 13C-NMR, HRMS (ESI) and elemental analyses. The compounds were then subjected to pharmacological evaluation for in-vivo activities in order to prove that adding the heterocyclic moieties (morpholine, piperidine-4 carboxamide, piperidine and pyrrolidine) into the basic hydroquinone ring structure enhances the pharmacological activities and reduce the side effect (gastric ulceration) associated with traditional NSAIDs. These compounds were screened for their prospective antinociceptive (chemical and thermal induced nociception), anti-inflammatory (carrageenan induced paw edema) and antipyretic (brewer‘s yeast induced pyrexia) activities in comparable doses relative to aspirin. Docking analysis was also conducted for their inhibition capacity towards cyclooxygenase (COX) enzymes. 2,5-bis(morpholinomethyl)hydroquinone as compound I and 1,1''-((2,5-dihydroxy-1,4-phenylene)bis(methylene))bis(piperidine-4 carboxamide) as compound II at doses of 50, 100, 150 mg/kg, significantly attenuated the tonic acetic acid induced and thermally induced nociceptive pain, while 2,5 bis(piperidinomethyl)hydroquinone as compound III and 2,5 bis(pyrrolidinomethyl)hydroquinone as compound IV at doses of 10, 20 and 40 mg/kg, significantly attenuated only the tonic acetic acid induced nociceptive pain. Abstract xx Similarly, all these compounds inhibited the temporal inflammatory reaction during the entire study duration (1-5 h) as well as allay the febrile response with all the tested doses (50, 100 and 150 mg/kg) during 0.5 h, 1 and 1.5 h of study period. These beneficial proclivities were comparable to aspirin, used as a standard. The in silico studies predicted high binding affinity of the hydroquinone derivatives to the active site of the cyclooxygenase 2 (COX-2) enzyme. These compounds were then tested in-vivo for per se ulcerogenicity in aspirin induced pyloric ligation model using biochemical and histological correlative approach. Results of the biochemical findings indicated that, the ulcerative effects were exacerbated in aspirin (150 mg/kg) and compound I (150 mg/kg) treated animals, as confirmed from the biochemical parameters such as lesion score, gastric juice pH, gastric juice volume, free acidity and total acidity. However, these biochemical parameters remained unchanged with 2,5-bis(morpholinomethyl)hydroquinone (100 mg/kg), 1,1''-((2,5-dihydroxy-1,4-phenylene)bis(methylene))bis(piperidine-4 carboxamide), 2,5-bis(piperidinomethyl)hydroquinone and 2,5 bis(pyrrolidinomethyl)hydroquinone (100, 150 mg/kg). Additionally, no gross morphological changes of the gastric mucosa were seen with test compounds and saline control. However, the ulcer spots and red coloration of stomach mucosa were clearly visible in aspirin and compound I [2,5-bis(morpholinomethyl)hydroquinone] treated animals, both at 150 mg/kg. Moreover, the photomicrographs from histopathological analysis of stomach specimen of control and drug treated animals revealed no significant changes. However, aspirin treated rats was characterized by disruption of mucosal layer, edema with increased number of lymphocytes in the sub mucosa along with exudates in the muscularis external layer, while compound I [2,5 bis(morpholinomethyl)hydroquinone; 150 mg/kg] treated rats has shown eradication Abstract xxi of the mucosal layer. As revealed from the results of the ulcerogenicity evaluation, the synthesized compounds possess negligible gastric ulcer propensity in comparison to aspirin. In conclusion, hydroquinone derivatives are designed to overcome the serious side effect such as gastric ulcerogenicity associated with traditional NSAIDs. All available evidences, suggest that the synthesized compounds embrace great promise to become a versatile remedial tool. Their potential antinociceptive, anti-inflammatory and antipyretic properties with minimum ulcerogenic proclivity recommend greater safety compared to traditional NSAIDs. Currently, their evaluation for intended significance in medicine is generally at a preclinical stage. Thus, it is hasty to predict or conclude with confidence what their final position in human therapeutics will be. However, further comprehensive research work on the synthesized derivatives is most warranted in order to develop safe and effective therapeutic agents.
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ہمایوں کبیر

ہمایوں کبیر
افسوس ہے کہ گذشتہ مہینہ ہمایوں کبیر صاحب نے انتقال کیا، وہ اس دور کے لائق ترین مسلمانوں میں تھے اور اپنے ذوق کے اعتبار سے علمی و تعلیمی لائن کے آدمی تھے لیکن انھوں نے سیاست کا پُر خار راستہ اختیار کیا، اس لیے اس میں کامیاب نہ ہوسکے، علمی و تعلیمی لائن میں وہ زیادہ مفید کام انجام دے سکتے تھے، ان میں بعض خامیوں کے باوجود اسلامی حمیت پوری طرح موجود تھی جس کا اظہار ان کی تقریروں میں ہوتا رہتا تھا، وہ مولانا ابوالکلام کے شعبۂ میں رہ چکے تھے، اس لیے دارالمصنفین سے بھی واقف اور اس کے بڑے قدردان تھے، چنانچہ انھوں نے مولانا کے بعد بھی دارالمصنفین کے کاموں میں بڑی مدد پہنچائی، اب جو اور جیسا مسلمان بھی اٹھتا ہے، اس کا بدل نہیں مل سکتا، اس لیے ان کی جگہ بھی خالی رہے گی، اﷲ تعالیٰ ان کی خامیوں اور خطاؤں سے درگذر کرکے ان کی مغفرت فرمائے۔ (شاہ معین الدین ندوی، ستمبر ۱۹۶۹ء)

 

ESTIMATING PREVALENCE OF CARPAL TUNNEL SYNDROME AND SEVERITY USING BOSTON CARPAL TUNNEL SYNDROME QUESTIONNAIRE AMONG DEXTEROUS POPULATION

Objective: The study was designed to estimate the prevailing percentage of Carpal Tunnel Syndrome (CTS) using Boston Carpal tunnel syndrome questionnaire (BCTSQ) in the dexterous population and to assess its severity. Study Design: This was a Cross-sectional survey. Study Settings and Participants: The study setting was Karachi where 226 Dexterous workers including; musicians, typist, dentists, butchers office workers, working for more than 1 year were recruited using non-probability convenience sampling. Outcome Measures: Boston Carpal Tunnel Syndrome Questionnaire. Results: This study enrolled 226 participants, 140 (61.9%) of which were males and 86 (38.1%) were females with mean age of 34.05±10.93. Out of the total 25 were diagnosed with CTS in which, 10 (40%) were males and 15 (60%) were females with mean age of 37.60±14.41. Hence, the prevalence of CTS among dexterous population was found to be 11.06%.                                                                            Conclusion: The results of our study revealed that CTS is a prevalent neuromuscular disorder among dexterous population. The severity level varies among the population. More epidemiological studies are required to get the approximate value to promote ergonomic awareness.

Comparison of Xpert Mtb/Rif With Histology for the Detection of Mycobacterium Tuberculosis in Formalin Fixed Paraffin Embedded Tissues at Aga Khan University Hospital, Nairobi

Background: Diagnosis of extrapulmonary tuberculosis (EPTB) continues to be a challenge due to the complexity of the causative organism and the wide array of pathologic features seen in this infection. A number of studies have shown polymerase chain reaction (PCR) for EPTB to be a feasible, sensitive and specific test for diagnosis of tuberculosis (TB) of which, the World Health Organisation (WHO) has given recommendations. As pertains EPTB, Xpert MTB/RIF may be used in place of conventional tests such as microscopy, histopathology and culture in lymph nodes and other tissues from patients suspected to have EPTB. It has been demonstrated that Xpert MTB/RIF can be used for fresh or frozen tissues specimens with good results. However, the use of formalin fixed paraffin embedded (FFPE) tissues, a widely available and rich source of clinical material, on the Xpert platform is yet to be described. Objectives: The aim of this study was to demonstrate the potential utility of Xpert MTB/RIF in the detection of Mycobacterium tuberculosis from FFPE tissues with histological features suggestive of tuberculosis. We compared Xpert MTB/RIF to histology for the detection of Mycobacterium tuberculosis from FFPE tissues. In those cases with a positive Xpert result, we determined the prevalence of rifampicin resistance in EPTB. Methods: Eighty randomly selected archived FFPE tissues exhibiting histological features suggestive of TB (necrotizing granulomatous inflammation, non-necrotizing granulomatous inflammation, chronic inflammation, necrotizing inflammation and suppurative inflammation) from January 1, though December 31, 2014 were retrieved. All the cases were subjected to microscopic evaluation of Haematoxylin and Eosin (H&E) stained and Ziehl-Neelsen (ZN) slides. With prior deparaffinization and lysis, all cases were also subjected to the Xpert MTB/RIF assay. Only 79 cases were included in the final analysis. This was after exclusion of one case due to an error in the Xpert MTB/RIF assay. The outcome measures were proportions of positively identified cases by each test. The data were analysed using chi - square test. Results: Xpert MTB/RIF assay detected 32.9% more cases than microscopy (53.2% versus 20.3%) which was statistically significant, (p= 0.002). None of the cases tested positive for rifampicin resistance. Seven cases however, had an indeterminate rifampicin resistance result. Conclusion: With prior deparaffinization and lysis, FFPE tissues can also be subjected to the Xpert MTB/RIF assay. A validation study to determine the clinical utility of this assay for FFPE tissues is recommended.