Affinity of ODA, ArDA and SyDA at FAAH-1
Several drugs are inhibitors of the most relevant enzymes since blocking these enzymes can kill a pathogen or correct a metabolic imbalance. To characterise an enzyme in the presence of inhibitors however, a good kinetic description of its activity is essential. Here, the ability of rat liver to hydrolyse ODA, SyDA and ArDA was assessed by Michaelis-Menten analysis (Fig 2). The resultant Michaelis-Menten constant (Km) and maximum velocity (Vmax) values obtained are summarized in Table 1. The substrate affinity of FAAH-1 increased in a rank order of ODA < ArDA < SyDA with resultant Vmax values in a rank order of ArDA > ODA > SyDA (Fig 1, Table 1). The kinetic values for FAAH-1 hydrolysis of ODA obtained are consistent with previous observations. Similar Km and Vmax values of 129 μM and 15 nmol.min-1.mg protein-1 from ODA hydrolysis by FAAH-1 in rat liver preparations and a Km value of 179 µM with FAAH-1 in rat brain were previously obtained compared with Km of 177.2 ± 15.5 μM and Vmax of 8.9 ± 1.1nmol.min-1.mg protein-1 obtained in our findings (Table 1) (Garle et al., 2005). An affinity of 104 µM and a Vmax of 5.7 nmol.min-1.mg protein-1 for rat liver FAAH-catalysed ODA hydrolysis has been reported (De Bank, Kendall, & Alexander, 2005). Additionally, an affinity of 37 ± 7 µM at pH 9 for rat recombinant FAAH-catalysed ODA hydrolysis has also been reported (Patricelli & Cravatt, 1999).
FAAH-1 has the ability to hydrolyse a wide range of unsaturated and, to a lesser extent, saturated PFAMs and other fatty acids e.g. OEA and PEA (Ueda, Yamanaka, Terasawa, & Yamamoto, 1999; Ueda, Yamanaka, & Yamamoto, 2001). In our findings, FAAH-1 capacity (Vmax) was 12 % higher for ArDA compared with ODA and 75 % higher than that for SyDA. This confirms the propensity of FAAH-1 to turn over polyunsaturated PFAMs particularly with cis double bonds at higher rates than monounsaturated and saturated PFAMs and is consistent with literature (Fig 2 and 6) (Boger et al., 2000; Wakamatsu, Masaki, Itoh, Kondo, & Sudo, 1990).
Data are mean ± SEM (Standard Error of the Mean) of four separate preparations (n = 4) conducted in triplicate.
Table 1: Km and Vmax values determined for rat liver FAAH-1 hydrolysis of three different fatty acid amides
Screening of NSAIDs as potential inhibitors of ODA, ArDA and SyDA hydrolase activity
Following pilot experiments that revealed indomethacin to have an IC50 ~500 µM, 16 selected NSAIDs were screened at 500 µM (Fig 2) for ability to inhibit FAAH-1 in order to assess pharmacological profiles of rat liver FAAH-catalysed hydrolysis of the three PFAMs assayed at a concentration ≥ Km value determined (Garle et al., 2005; Mana & Spohn, 2001). Meclofenamic acid exhibited complete inhibition of FAAH-1 activity when ODA was used as substrate. Sulindac, diclofenac, carprofen, ketorolac and diflunisal exhibited a higher degree of inhibition of rat liver FAAH-1 activity by inhibiting ODA hydrolysis to below 50 % of control (Fig 2). Ibuprofen, sulindac sulphone, indomethacin and dipyrone were moderate inhibitors of ODA hydrolysis and inhibited FAAH-1 activity to between 50 and 70 % of control. Tolmetin, salicyluric acid, salicylic acid (diluted in 0.2 M potassium phosphate buffer) evoked weak inhibitory ability of FAAH-1 activity to between 70 and 100 % of control. Acetaminophen and acetyl salicylic acid appeared to enhance enzyme activity.
Acetaminophen is reported to be metabolised to +AM404) via FAAH-1 (Zaitone, El-Wakeil, & Abou-El-Ela, 2012). AM404 then inhibits FAAH-1 activity and prevents AEA metabolism. Thus, FAAH-1 is active until concentrations of AM404 are high enough to inhibit its function. AEA accordingly activates platelets, however, the process is unaffected by acetyl salicylic acid, thus it is possible it did not affect rat liver FAAH-1 activity (Maccarrone, Bari, Menichelli, Del Principe, & Agro, 1999). The differences in reaction of FAAH-1 to specific compounds (e.g. ketorolac or ibuprofen) might be due to differences in structures, their sites of binding to FAAH-1 and how this affects substrate entry and binding at the catalytic sites (Bertolacci et al., 2013; Giang & Cravatt, 1997; Piomelli et al., 2006; Wei, Mikkelsen, McKinney, Lander, & Cravatt, 2006).
Effect of Vehicle controls on FAAH activity
As the NSAIDs are differently soluble in aqueous compared to organic solution, the effect of a range of concentrations of the vehicle ethanol was assessed using indomethacin as a reference compound. Indomethacin evoked a concentration-dependent inhibition of FAAH-1 activity in pIC50 values between 15, 20 or 25 % ethanol concentrations (Fig 3). Tukey’s multiple comparisons test with single pooled variance, p = 0.7250, p < 0.05 as significantly different, CI = 95 % indicated no significant difference between pIC50 values obtained (Table 2). This implies that, within the experimental limits, ethanol had no effect on the inhibitory function of indomethacin, albeit with a reduced capacity for basal ODA hydrolysis of 95 ± 1, 78 ± 1 and 76 ± 4 % of control for 15, 20 and 25 % assay ethanol respectively consistent with earlier reports that butanol reduced FAAH-1 activity by 30 to 50 % but did not affect the enzyme response to inhibitors (Fowler, Tiger, et al., 1997).
Table 2: Potency of indomethacin in the presence of different concentrations of ethanol
Concentration-dependence of rat liver FAAH-1 ODA hydrolase inhibition
NSAIDs selected on the basis of the greater levels of inhibition at 500 µM were examined over a range of concentrations, from 4.0 x 10-6 to 1.024 x 10-3 M (Fig 4). These exhibited concentration-dependent inhibition of FAAH-1 ODA hydrolase activities. The order of inhibitory potency against rat liver FAAH-1 hydrolysis of ODA was sulindac > carprofen > meclofenamic acid > sulindac sulphone > indomethacin > diflunisal > ibuprofen > valdecoxib > ketorolac > diclofenac > dipyrone (Table 3). The remaining NSAIDs assayed exhibited very similar potencies (pIC50 values) against activity of FAAH-1. The inhibition exhibited by the selected NSAIDs to FAAH-1 activity (Fig 4, Table 3) is consistent with earlier studies although under different conditions (Favia et al., 2012; Fowler et al., 2000; Fowler, Holt, & Tiger, 2003; Fowler, Stenstrom, et al., 1997). The rank order of potency displayed by NSAIDs screened at 500 µM was not exactly the same when the pIC50 values were examined. Earlier findings indicate that NSAID inhibition of FAAH-1 activity is pH dependent (Holt, Nilsson, Omeir, Tiger, & Fowler, 2001) with a pH optimum of ~9 (Bisogno et al., 1997; Hillard, Wilkison, Edgemond, & Campbell, 1995; Maurelli et al., 1995; Patricelli, Lashuel, Giang, Kelly, & Cravatt, 1998; Ueda, Kurahashi, Yamamoto, & Tokunaga, 1995; Ueda et al., 1999). The rank order of NSAIDs reported for potency against rat brain FAAH-1 activity at pH 7.4 was; indomethacin (pIC50 = 4.18) ≈ carprofen (pIC50 = 4.10) > ibuprofen (pIC50 = 3.1) and is similar to our findings however, indomethacin was less effective than carprofen and more potent than ibuprofen (Bertolacci et al., 2013). Other studies found apparently biphasic pH dependence of FAAH AEA metabolism using brain microsomes (Desarnaud, Cadas, & Piomelli, 1995).
Table 3: Potencies of NSAIDs as inhibitors of rat liver ODA hydrolase activity
Mode of inhibition of FAAH-1 metabolism by meclofenamic acid and indomethacin
To date, little has been reported on the mode of inhibition of NSAIDs on FAAH-catalysed hydrolysis of ECs and ECLs (Bertolacci et al., 2013; Fowler et al., 2000). Hence, meclofenamic acid and indomethacin were selected for further mechanistic investigation as the former evoked the greatest inhibition and the latter has previously been examined extensively in the literature (Fowler et al., 2000).
Michaelis-Menten analysis indicated no significant changes in substrate affinity (Km) values but with decreasing Vmax values (Fig 5, Table 4), thus indicative of non-competitive type inhibition of FAAH activity of by the two inhibitors (meclofenamic acid and indomethacin). This finding is consistent with similar findings that FAAH is allosteric and therefore will likely to exhibit non-competitive mode of inhibition (Dainese et al., 2020; Holt et al., 2001; Holt et al., 2007). Unlike aspirin which is an irreversible inhibitor of COX enzymes, most other NSAIDs are reversible competitive inhibitors of the COX enzymes (Scott, 2014). Previously scientists (Prusakiewicz et al., 2009) found that meclofenamic acid and ibuprofen are also potent inhibitors of COX-2 suggestive of the potential for the design of a dual targeting inhibitor possibly in combination with URB597 an uncompetitive FAAH inhibitor (Dongdem, Dawson, & Alexander, 2016), which may reduce the loading dose of NSAIDs with resultant fewer side effects.
Table 4: The mode of NSAID inhibition of rat liver FAAH-1 ODA
Therapeutic application of novel multi-target (FAAH/COX) analgesics
In vivo increases in the levels of AEA resulting from FAAH-1 inhibition potentiates actions of COX inhibitors (Fowler et al., 2009; Hermanson et al., 2013) suggesting that, compounds that inhibit both FAAH and COX enzymes can be as effective as NSAIDs but with a reduced COX inhibitor ‘load’, consequently with accompanying reduction in the adverse effects associated with NSAIDs (Fowler et al., 2009). There is evidence to support the controversy that dual-action FAAH-COX inhibitors may be more useful in this aspect. In vitro evidence suggests that the metabolism of AEA by COX-2 might be the most predominant degradation pathway after blocking the major FAAH metabolic pathway. Combinations of URB597 and diclofenac have demonstrated synergistic analgesic interactions (Lichtman, Naidu, Booker, Boger, & Cravatt, 2008; P. S. Naidu et al., 2009). Also, in vivo synergistic effect was achieved by administration of a combination of AEA and rofecoxib. Local injection of AEA with NSAID (ibuprofen or rofecoxib) generated higher amounts of fatty acid ethanolamides (Guindon, LoVerme, De Lean, Piomelli, & Beaulieu, 2006). Synergistic effects have also been reported after a systematic administration of URB597 and diclofenac in a mouse model of visceral pain (P.S. Naidu & Lichtman, 2007). Meclofenamic acid, carprofen and indomethacin are among the most potent inhibitors of the COX enzymes and at the same time FAAH-1 from our study (Blain et al., 2002; Mitchell, Akarasereenont, Thiemermann, Flower, & Vane, 1993; Rao & Knaus, 2008; Warner et al., 1999). Our in vitro results support the possibility of combined therapeutic agents being explored. This suggests that, a combination of FAAH inhibitors such as URB597 and the NSAIDs with dual inhibitory capability may have greater utility to treat pain with reduced NSAID load and may have enhanced efficacies and safety profiles.