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  4. Inhibition of urease-mediated ammonia production by 2-octynohydroxamic acid in hepatic encephalopathy
 
research article

Inhibition of urease-mediated ammonia production by 2-octynohydroxamic acid in hepatic encephalopathy

Evstafeva, Diana
•
Ilievski, Filip
•
Bao, Yinyin
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March 12, 2024
Nature Communications

Hepatic encephalopathy is a neuropsychiatric complication of liver disease which is partly associated with elevated ammonemia. Urea hydrolysis by urease-producing bacteria in the colon is often mentioned as one of the main routes of ammonia production in the body, yet research on treatments targeting bacterial ureases in hepatic encephalopathy is limited. Herein we report a hydroxamate-based urease inhibitor, 2-octynohydroxamic acid, exhibiting improved in vitro potency compared to hydroxamic acids that were previously investigated for hepatic encephalopathy. 2-octynohydroxamic acid shows low cytotoxic and mutagenic potential within a micromolar concentration range as well as reduces ammonemia in rodent models of liver disease. Furthermore, 2-octynohydroxamic acid treatment decreases cerebellar glutamine, a product of ammonia metabolism, in male bile duct ligated rats. A prototype colonic formulation enables reduced systemic exposure to 2-octynohydroxamic acid in male dogs. Overall, this work suggests that urease inhibitors delivered to the colon by means of colonic formulations represent a prospective approach for the treatment of hepatic encephalopathy.

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Type
research article
DOI
10.1038/s41467-024-46481-8
Web of Science ID

WOS:001185523200005

Author(s)
Evstafeva, Diana
Ilievski, Filip
Bao, Yinyin
Luo, Zhi
Abramovic, Boris
Kang, Sunghyun
Steuer, Christian
Montanari, Elita
Casalini, Tommaso
Simicic, Dunja  
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Date Issued

2024-03-12

Publisher

Nature Portfolio

Published in
Nature Communications
Volume

15

Issue

1

Article Number

2226

Subjects

Hydroxamic Acids

•

Antibacterial Activity

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Drug Absorption

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Mutagenicity

•

Rifaximin

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Brain

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Acetohydroxamate

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Rat

•

Hyperammonemia

•

Permeability

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
CIBM  
FunderGrant Number

Carigest SA

Available on Infoscience
April 17, 2024
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/207231
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