PMID- 10377455 OWN - NLM STAT- MEDLINE DCOM- 19990719 LR - 20220408 IS - 0027-8424 (Print) IS - 1091-6490 (Electronic) IS - 0027-8424 (Linking) VI - 96 IP - 13 DP - 1999 Jun 22 TI - Nonsteroid drug selectivities for cyclo-oxygenase-1 rather than cyclo-oxygenase-2 are associated with human gastrointestinal toxicity: a full in vitro analysis. PG - 7563-8 AB - The beneficial actions of nonsteroid anti-inflammatory drugs (NSAID) can be associated with inhibition of cyclo-oxygenase (COX)-2 whereas their harmful side effects are associated with inhibition of COX-1. Here we report data from two related assay systems, the human whole blood assay and a modified human whole blood assay (using human A549 cells as a source of COX-2). This assay we refer to as the William Harvey Modified Assay. Our aim was to make meaningful comparisons of both classical NSAIDs and newer COX-2-selective compounds. These comparisons of the actions of >40 NSAIDs and novel COX-2-selective agents, including celecoxib, rofecoxib and diisopropyl fluorophosphate, demonstrate a distribution of compound selectivities toward COX-1 that aligns with the risk of serious gastrointestinal complications. In conclusion, this full in vitro analysis of COX-1/2 selectivities in human tissues clearly supports the theory that inhibition of COX-1 underlies the gastrointestinal toxicity of NSAIDs in man. FAU - Warner, T D AU - Warner TD AD - The William Harvey Research Institute, St. Bartholomew's and the Royal London School of Medicine and Dentistry, Charterhouse Square, London, EC1M 6BQ, United Kingdom. t.d.warner@mds.qmw.ac.uk FAU - Giuliano, F AU - Giuliano F FAU - Vojnovic, I AU - Vojnovic I FAU - Bukasa, A AU - Bukasa A FAU - Mitchell, J A AU - Mitchell JA FAU - Vane, J R AU - Vane JR LA - eng GR - Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Enzyme Inhibitors) RN - 0 (Isoenzymes) RN - 0 (Membrane Proteins) RN - EC 1.14.99.1 (Cyclooxygenase 1) RN - EC 1.14.99.1 (Cyclooxygenase 2) RN - EC 1.14.99.1 (PTGS1 protein, human) RN - EC 1.14.99.1 (PTGS2 protein, human) RN - EC 1.14.99.1 (Prostaglandin-Endoperoxide Synthases) SB - IM EIN - Proc Natl Acad Sci U S A 1999 Aug 17;96(17):9666 MH - Anti-Inflammatory Agents, Non-Steroidal/*toxicity MH - Cells, Cultured MH - Cyclooxygenase 1 MH - Cyclooxygenase 2 MH - Digestive System/*drug effects MH - Drug Evaluation, Preclinical MH - Enzyme Inhibitors/*toxicity MH - Humans MH - Isoenzymes/*drug effects MH - Membrane Proteins MH - Prostaglandin-Endoperoxide Synthases/*drug effects PMC - PMC22126 EDAT- 1999/06/23 00:00 MHDA- 1999/06/23 00:01 CRDT- 1999/06/23 00:00 PHST- 1999/06/23 00:00 [pubmed] PHST- 1999/06/23 00:01 [medline] PHST- 1999/06/23 00:00 [entrez] AID - 1466 [pii] AID - 10.1073/pnas.96.13.7563 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 1999 Jun 22;96(13):7563-8. doi: 10.1073/pnas.96.13.7563.