Acetaminophen (AP) is a popularly
recommended over-the-counter
analgesic–antipyretic in clinical use. However, the drug is
handicapped by the occurrence of hepatotoxic insult following acute
ingestion. Consequently, AP-induced hepatotoxicity is often implicated
in accidental or suicidal overdose. In the current study, we investigated
the potential of bioisosteric replacement of amide in AP with 1,2,3-triazoles
in curbing AP-induced hepatotoxicity. The therapeutic utility of synthesized
bioisosteres was established by careful tailoring and optimization
of the synthetic methodology along with detailed toxicological testing
of pharmacologically potent acetaminophen–triazole derivatives
(APTDs). Along the same lines, we herein report a series of 17 novel
APTDs synthesized via aromatic substitution using sodium azide, l-proline, and copper iodide followed by click reaction with
substituted alkynes using copper sulfate and sodium ascorbate. Pharmacological
evaluation of synthesized APTDs revealed that, out of the series of
17 compounds, 5a and 5e were found to be
most efficacious in exerting anti-inflammatory, analgesic, and antipyretic
activity in an animal model. Further toxicity studies documented that,
in both acute and sub-acute toxicology, AP administration caused significant
hepatotoxicity, which was found to be a consequence of ROS-mediated
oxidative stress. Potent APTDs (5a and 5e), on the other hand, revealed no adverse event in both acute and
sub-toxicological analyses. Median lethal dose (LD50) and
no observed adverse effect level (NOAEL) values for 5a and 5e were found to be >1000 mg/kg and 2000 mg/kg,
respectively. The human equivalent dose, defining the maximum safe
concentration of a compound in a human’s physiology, was found
to be 27.68 mg/kg for the most potent APTDs (5a and 5e). Thus, it can be concluded that triazole incorporation
into AP nucleus produced conjugates devoid of hepatotoxic manifestations,
having the added advantage of anti-inflammatory efficacy along with
analgesic and antipyretic potency.