Adelmidrol, a Palmitoylethanolamide Analogue, as a New Pharmacological Treatment for the Management of Inflammatory Bowel Disease

Mol Pharmacol. 2016 Nov;90(5):549-561. doi: 10.1124/mol.116.105668. Epub 2016 Sep 13.

Abstract

Leukocyte infiltration, improved levels of intercellular adhesion molecule 1 (ICAM-1), and oxidative stress in the colon are the principal factors in inflammatory bowel disease. The goal of the current study was to explore the effects of adelmidrol, an analog of the anti-inflammatory fatty acid amide signaling molecule palmitoylethanolamide, in mice subjected to experimental colitis. Additionally, to clarify whether the protective action of adelmidrol is dependent on the activation of peroxisome proliferator-activated receptors (PPARs), we investigated the effects of a PPARγ antagonist, GW9662, on adelmidrol action. Adelmidrol (10 mg/kg daily, o.s.) was tested in a murine experimental model of colitis induced by intracolonic administration of dinitrobenzene sulfonic acid. Nuclear factor-κB translocation, cyclooxygenase-2, and phosphoextracellular signal-regulated kinase, as well as tumor necrosis factor-α and interleukin-1β, were significantly increased in colon tissues after dinitrobenzene sulfonic acid administration. Immunohistochemical staining for ICAM-1, P-selectin, nitrotyrosine, and poly(ADP)ribose showed a positive staining in the inflamed colon. Treatment with adelmidrol decreased diarrhea, body weight loss, and myeloperoxidase activity. Adelmidrol treatment, moreover, reduced nuclear factor-κB translocation, cyclooxygenase-2, and phosphoextracellular signal-regulated kinase expression; proinflammatory cytokine release; and the incidence of nitrotyrosine and poly(ADP)ribose in the colon. It also decreased the upregulation of ICAM-1 and P-selectin. Adelmidrol treatment produced a reduction of Bax and an intensification of Bcl-2 expression. This study clearly demonstrates that adelmidrol exerts important anti-inflammatory effects that are partly dependent on PPARγ, suggesting that this molecule may represent a new pharmacologic approach for inflammatory bowel disease treatment.

MeSH terms

  • Amides
  • Animals
  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use
  • Apoptosis / drug effects
  • Body Weight / drug effects
  • Colitis / drug therapy
  • Colitis / enzymology
  • Colitis / pathology
  • Cyclooxygenase 2 / metabolism
  • Cytokines / biosynthesis
  • Dicarboxylic Acids / pharmacology
  • Dicarboxylic Acids / therapeutic use*
  • Dinitrofluorobenzene / analogs & derivatives
  • Ethanolamines / chemistry*
  • Extracellular Signal-Regulated MAP Kinases / metabolism
  • Inflammatory Bowel Diseases / drug therapy*
  • Inflammatory Bowel Diseases / enzymology
  • Inflammatory Bowel Diseases / pathology
  • Intercellular Adhesion Molecule-1 / metabolism
  • Lipid Peroxidation / drug effects
  • Male
  • Mice
  • NF-kappa B / metabolism
  • P-Selectin / metabolism
  • PPAR alpha / metabolism
  • PPAR gamma / metabolism
  • Palmitic Acids / chemistry*
  • Palmitic Acids / pharmacology
  • Palmitic Acids / therapeutic use*
  • Peroxidase / metabolism
  • Phosphorylation / drug effects
  • Receptor, Cannabinoid, CB2 / metabolism
  • Signal Transduction / drug effects
  • Tyrosine / analogs & derivatives
  • Tyrosine / metabolism

Substances

  • Amides
  • Anti-Inflammatory Agents
  • Cytokines
  • Dicarboxylic Acids
  • Ethanolamines
  • NF-kappa B
  • P-Selectin
  • PPAR alpha
  • PPAR gamma
  • Palmitic Acids
  • Receptor, Cannabinoid, CB2
  • Intercellular Adhesion Molecule-1
  • 2,4-dinitrofluorobenzene sulfonic acid
  • adelmidrol
  • 3-nitrotyrosine
  • Tyrosine
  • palmidrol
  • Dinitrofluorobenzene
  • Peroxidase
  • Cyclooxygenase 2
  • Extracellular Signal-Regulated MAP Kinases