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Published on: June 23, 2026
The effects of colchicine and hydroxychloroquine on the cyclo-oxygenases COX-1 and COX-2
Eldad Ben-Chetrit1, Ruth Fischel, Burkhard Hinz
1FMF Clinic, Department of Medicine, Hadassah University Hospital, POB 12000, Jerusalem, Israel. eldad@hadassah.org.il
Objective:
The aim of this study was to test whether colchicine and hydroxychloroquine have an inhibitory effect on cyclo-oxygenases (COX).
Methods:
Measurement of COX-1 and COX-2 activity was performed by using whole blood assay. Serum thromboxane (TXA) and plasma prostaglandin 2 (PGE2) levels were determined using a commercially available enzyme immunoassay kit. Celecoxib, etodolac, and nimesulide were also tested as controls. Since the study was intended to find a qualitative effect rather than a quantitative relationship between the drugs and the enzymes, we used higher concentrations than the therapeutic range.
Results:
Colchicine did not have an inhibitory effect on cyclo-oxygenases. Hydroxychloroquine had a mild inhibitory effect in a relatively high concentration. As expected, celecoxib, etodolac, and nimesulide did have an inhibitory effect on the cyclo-oxygenases.
Conclusions:
Neither colchicine nor hydroxychloroquine exert their anti-inhibitory effect through inhibition of cyclo-oxygenases.
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