Non-steroidal anti-inflammatory drugs (NSAIDs) are strongly bound to h
uman serum albumin (HSA), mainly to sites I and II. The aim of this st
udy was to characterize the binding site(s) of etodolac enantiomers un
der physiological conditions (580 mu M HSA) using equilibrium dialysis
. The protein binding of etodolac enantiomers, alone or in various rat
ios, was studied in order to evaluate the potential competition betwee
n them. Our results showed that (S)-etodolac was more strongly bound t
o HSA than (R)-etodolac. The displacement of one enantiomer by its ant
ipode was observed only at high concentrations of the competitor, and
was more pronounced for the (S)-form. Displacement studies of the enan
tiomers by specific probes of sites I and II of albumin, dansylamide,
and dansylsarcosine, respectively, showed that (R)-etodolac was slight
ly displaced by both these probes whereas the free concentration of (S
)-etodolac increased markedly in the presence of dansylsarcosine. More
over, the binding of ligands to sites I and II is usually affected by
alkaline pH, by chloride ions, and by fatty acids. For etodolac, the p
resence of 0.1 and 1 M chloride ions and increasing pH (5.5-9) decreas
ed the binding of both enantiomers. The same result was obtained with
addition of octanoic acid. Conversely, the addition of oleic, palmitic
, or stearic acid to the protein solution increased the binding of (R)
-etodolac, but decreased that of its antipode. All these findings sugg
est that (R)- and (S)-etodolac interact mainly with site II of HSA, an
d that the (R)-isomer is also bound to site I under physiological cond
itions. (C) 1996 Wiley-Liss, Inc.