1982
DOI: 10.1111/j.1365-2125.1982.tb01997.x
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Azo reduction of sulphasalazine in healthy volunteers.

Abstract: 1 A comparison of total sulphapyridine saliva concentrations resulting from administration of sulphapyridine and sulphasalazine at equimolar doses has been carried out. It is concluded that the extent of azo reduction of sulphasalazine to release sulphapyridine is complete in healthy volunteers. 2 An ampicillin course of treatment alters the azo reduction of sulphasalazine. The extent of cleavage is reduced by one third on average. There is no change in the rate of absorption of the release sulphapyridine. 3 A… Show more

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Cited by 31 publications
(23 citation statements)
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“…Although the present study utilized DOX as an example for underlining the potential utility of SASP as a sensitizing agent in combination chemotherapy, it is likely that SASP can be used in combination with a multitude of cytotoxic agents whose actions are adversely affected by intracellular GSH content and MRP activity. While oral administration of SASP would lead to its degradation by intestinal bacteria to sulfapyridine and 5-aminosalicylic acid, and hence to loss of x c --inhibitory activity [16] , this problem could likely be reduced by oral administration of SASP in combination with antibiotics, reported to diminish bacterial cleavage of the drug [36] . The fact that SASP is a relatively nontoxic, inexpensive and FDA-approved drug should facilitate its clinical use as a new anticancer agent.…”
Section: Discussionmentioning
confidence: 99%
“…Although the present study utilized DOX as an example for underlining the potential utility of SASP as a sensitizing agent in combination chemotherapy, it is likely that SASP can be used in combination with a multitude of cytotoxic agents whose actions are adversely affected by intracellular GSH content and MRP activity. While oral administration of SASP would lead to its degradation by intestinal bacteria to sulfapyridine and 5-aminosalicylic acid, and hence to loss of x c --inhibitory activity [16] , this problem could likely be reduced by oral administration of SASP in combination with antibiotics, reported to diminish bacterial cleavage of the drug [36] . The fact that SASP is a relatively nontoxic, inexpensive and FDA-approved drug should facilitate its clinical use as a new anticancer agent.…”
Section: Discussionmentioning
confidence: 99%
“…For example, a specific intestinal bacteria Eggerthella lenta has the genetic machinery needed to inactivate the cardiac glycoside digoxin, so antibiotic administration increases serum digoxin concentrations (Lindenbaum et al, 1981;Saha et al, 1983). Bacteria in the colon cleave the prodrug sulfasalazine to 5-aminosalicylic acid (an anti-inflammatory drug) and sulfapyridine (an antibiotic), so ampicillin administration decreases the concentration of sulfapyridine in circulation (Houston et al, 1982). Hepatic phase-1 drug-metabolizing enzymes perform oxidation, reduction, and hydrolysis reactions of drugs, and phase-2 drug-metabolizing enzymes perform conjugation reactions.…”
Section: Introductionmentioning
confidence: 99%
“…However, following colonic delivery these prodrugs must also undergo bacterial azoreduction before releasing 5-ASA. Although this process is usually highly efficient it may be considerably impaired by both rapid transit (van Hees et al, 1979) and antibiotic exposure (Houston et al, 1982), and is therefore a further potential source of reduced bioavailability.…”
Section: Discussionmentioning
confidence: 99%