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N-acetyl-5-Aminosalicylic acid is a metabolite of the anti-inflammatory agent 5-aminosalicylic acid (5-ASA; Item No. 70265) and its prodrug form, sulfasalazine (Item No. 15025).1,2 It is formed in the liver, intestinal lumen, and colonic epithelial cells via N-acetyltransferases.3 It reduces IFN-γ binding to colonic epithelial cells by 24% when used at a concentration of 10 mM.4 N-acetyl-5-Aminosalicylic acid (100 µM) scavenges 2,2-diphenyl-1-picrylhydrazyl (DPPH; Item No. 14805) radicals in a cell-free assay and inhibits base hydroxylation in DNA stimulated by hydroxy radicals.1,5 Unlike sulfasalazine, N-acetyl-5-aminosalicylic acid does not inhibit 15-hydroxy prostaglandin dehydrogenase (PGDH).2 Urinary levels of N-acetyl-5-aminosalicylic acid have been used as a marker of 5-ASA adherence in patients with inflammatory bowel disease.6
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1. Modulation of base hydroxylation by bile acids and salicylates in a model of human colonic mucosal DNA: Putative implications in colonic cancer. Dig. Dis. Sci. 44(4), 761-767 (1999).
2. Inhibition of prostaglandin 15-
3. Chemistry, pharmacology, pharmacokinetics, and clinical applications of mesalamine for the treatment of inflammatory bowel disease. Pharmacotherapy 14(4), 385-398 (1994).
4. Inhibition of binding of interferon-
5. Design and evaluation of 4-
6. Nonadherence in inflammatory bowel disease: Results of factor analysis. Inflamm. Bowel Dis. 13(10), 1244-1249 (2007).