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Phenylbutazone

Drugs and Chemicals · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed9 referencesApproximately 3 min read

A butyl-diphenyl-pyrazolidinedione that has anti-inflammatory, antipyretic, and analgesic activities.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 3 complete abstracts (607 words), 9 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A butyl-diphenyl-pyrazolidinedione that has anti-inflammatory, antipyretic, and analgesic activities. It has been used in ankylosing spondylitis; rheumatoid arthritis; and reactive arthritis.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Diphenylbutazone; Butacote; Butazolidin; Butadione; Butadion; Butapyrazole; Butapirazol; Fenilbutazon.

Where it fits in the MeSH classification

Broader topics
Pyrazolones
Narrower topics
Feprazone; Oxyphenbutazone; Sulfinpyrazone

Related concepts

  • Ankylosing Spondylitis
  • Rheumatoid Arthritis
  • Reactive Arthritis

Research landscape

PubMed indexes 8,001 records tagged with the MeSH heading “Phenylbutazone” (counts retrieved 2026-10-31). 53 of them (0.7%) were published from 2020 onward, and the busiest period so far is through 1999 with 7,659 records.

Reviews account for 401 records (5.0%) and meta-analyses for 3. Randomized controlled trials number 187 (2.3%) as a share of all records on the topic.

PubMed records by publication periodthrough 1999: 7,659 records; 2000-2009: 184 records; 2010-2019: 105 records; 2020 onward: 53 records7,659through 19991842000-20091052010-2019532020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19997,659
2000-2009184
2010-2019105
2020 onward53
Share of records by publication typeReviews: 5.0 percent; Meta-analyses: 0.0 percent; Randomized controlled trials: 2.3 percentReviews5.0% (401)Meta-analyses0.0% (3)Randomized controlled trials2.3% (187)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 8,001 PubMed records
TypeRecordsShare
Reviews4015.0%
Meta-analyses30.0%
Randomized controlled trials1872.3%

Method: PubMed query "Phenylbutazone"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in drugs and chemicals

Studies of a chemical or drug can answer very different questions: what it is and how it behaves in cells and animals, how the body handles it, and whether it changes outcomes in people. Laboratory and animal findings often do not carry over to patients, and observational studies of exposures are confounded by who uses a substance and why. Nothing on this page is a recommendation to use, avoid, start or stop any substance or medicine; talk to a qualified clinician or pharmacist about your own situation. Check the dose, the species, the comparison group and whether a patient-relevant outcome was measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Vinblastine and sulfinpyrazone export by the multidrug resistance protein MRP2 is associated with glutathione export
Evers R, de Haas M, Sparidans R, Beijnen J, Wielinga PR, Lankelma J, et al.
2000Research article
Design not recorded in structured metadata
158cc by
PMID 10917554 · DOI · PMC2374564
Human Serum Albumin Aggregation/Fibrillation and its Abilities to Drugs Binding
Maciążek-Jurczyk M, Janas K, Pożycka J, Szkudlarek A, Rogóż W, Owczarzy A, et al.
2020Research article
Design not recorded in structured metadata
52cc by
PMID 32023900 · DOI · PMC7038104
Phenylbutazone induces expression of MBNL1 and suppresses formation of MBNL1-CUG RNA foci in a mouse model of myotonic dystrophy
Chen G, Masuda A, Konishi H, Ohkawara B, Ito M, Kinoshita M, et al.
2016Research article
Design not recorded in structured metadata
39cc by
PMID 27126921 · DOI · PMC4850456

Vinblastine and sulfinpyrazone export by the multidrug resistance protein MRP2 is associated with glutathione export [1]

Research article Evers R, de Haas M, Sparidans R, Beijnen J, Wielinga PR, Lankelma J, et al. · · 2000 · cited 158 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The multidrug resistance proteins MRP1 and MRP2 are members of the same subfamily of ATP-binding cassette transporters.
Closing excerpt
Models of MRP action are discussed that could explain these results.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (207 words)

The multidrug resistance proteins MRP1 and MRP2 are members of the same subfamily of ATP-binding cassette transporters. Besides organic molecules conjugated to negatively charged ligands, these proteins also transport cytotoxic drugs for which no negatively charged conjugates are known to exist. In polarized MDCKII cells, MRP1 routes to the lateral plasma membrane, and MRP2 to the apical plasma membrane. In these cells MRP1 transports daunorubicin, and MRP2 vinblastine; both transporters export reduced glutathione (GSH) into the medium. We demonstrate that glutathione transport in MDCKII-MRP1 cells is inhibited by the inhibitors of organic anion transporters sulfinpyrazone, indomethacin, probenecid and benzbromarone. In MDCKII-MRP2 cells, GSH export is stimulated by low concentrations of sulfinpyrazone or indomethacin, whereas export is inhibited down to control levels at high concentrations. We find that unmodified sulfinpyrazone is a substrate for MRP2, also at concentrations where GSH export is inhibited. We also show that GSH export in MDCKII-MRP2 cells increases in the presence of vinblastine, and that the stoichiometry between drug and GSH exported is between two and three. Our data indicate that transport of sulfinpyrazone and vinblastine is associated with GSH export. However, at high sulfinpyrazone concentrations this compound is transported without GSH. Models of MRP action are discussed that could explain these results.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 10917554 · DOI · PMC2374564

Human Serum Albumin Aggregation/Fibrillation and its Abilities to Drugs Binding [2]

Research article Maciążek-Jurczyk M, Janas K, Pożycka J, Szkudlarek A, Rogóż W, Owczarzy A, et al. · · 2020 · cited 52 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Human serum albumin (HSA) is a protein that transports neutral and acid ligands in the organism.
Closing excerpt
Whereas, using fluorescence spectroscopy, the association constants differing for fresh and incubated HSA solutions in the presence of dansyl-amino acids and markers for binding sites were calculated and allowed observation of the conformational changes in HSA molecule.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (201 words)

Human serum albumin (HSA) is a protein that transports neutral and acid ligands in the organism. Depending on the environment's pH conditions, HSA can take one of the five isomeric forms that change its conformation. HSA can form aggregates resembling those in vitro formed from amyloid at physiological pH (neutral and acidic). Not surprisingly, the main goal of the research was aggregation/fibrillation of HSA, the study of the physicochemical properties of formed amyloid fibrils using thioflavin T (ThT) and the analysis of ligand binding to aggregated/fibrillated albumin in the presence of dansyl-l-glutamine (dGlu), dansyl-l-proline (dPro), phenylbutazone (Phb) and ketoprofen (Ket). Solutions of human serum albumin, both non-modified and modified, were examined with the use of fluorescence, absorption and circular dichroism (CD) spectroscopy. The experiments conducted allowed observation of changes in the structure of incubated HSA (HSAINC) in relation to nonmodified HSA (HSAFR). The formed aggregates/fibrillation differed in structure from HSA monomers and dimers. Based on CD spectroscopy, previously absent βstructural constructs have been registered. Whereas, using fluorescence spectroscopy, the association constants differing for fresh and incubated HSA solutions in the presence of dansyl-amino acids and markers for binding sites were calculated and allowed observation of the conformational changes in HSA molecule.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 32023900 · DOI · PMC7038104

Phenylbutazone induces expression of MBNL1 and suppresses formation of MBNL1-CUG RNA foci in a mouse model of myotonic dystrophy [3]

Research article Chen G, Masuda A, Konishi H, Ohkawara B, Ito M, Kinoshita M, et al. · · 2016 · cited 39 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Myotonic dystrophy type 1 (DM1) is caused by abnormal expansion of CTG repeats in the 3' untranslated region of the DMPK gene.
Closing excerpt
Our studies suggest that PBZ is a potent therapeutic agent for DM1 that upregulates availability of MBNL1.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (199 words)

Myotonic dystrophy type 1 (DM1) is caused by abnormal expansion of CTG repeats in the 3' untranslated region of the DMPK gene. Expanded CTG repeats are transcribed into RNA and make an aggregate with a splicing regulator, MBNL1, in the nucleus, which is called the nuclear foci. The nuclear foci sequestrates and downregulates availability of MBNL1. Symptomatic treatments are available for DM1, but no rational therapy is available. In this study, we found that a nonsteroidal anti-inflammatory drug (NSAID), phenylbutazone (PBZ), upregulated the expression of MBNL1 in C2C12 myoblasts as well as in the HSA(LR) mouse model for DM1. In the DM1 mice model, PBZ ameliorated aberrant splicing of Clcn1, Nfix, and Rpn2. PBZ increased expression of skeletal muscle chloride channel, decreased abnormal central nuclei of muscle fibers, and improved wheel-running activity in HSA(LR) mice. We found that the effect of PBZ was conferred by two distinct mechanisms. First, PBZ suppressed methylation of an enhancer region in Mbnl1 intron 1, and enhanced transcription of Mbnl1 mRNA. Second, PBZ attenuated binding of MBNL1 to abnormally expanded CUG repeats in cellulo and in vitro. Our studies suggest that PBZ is a potent therapeutic agent for DM1 that upregulates availability of MBNL1.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 27126921 · DOI · PMC4850456

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Ornithine transcarbamylase deficiency: a urea cycle defect [4]
    Gordon N · Eur J Paediatr Neurol · 2003 · cited 65 times (Europe PMC)
  • Research article Phenylbutazone in the horse: a review [5]
    Tobin T, Chay S, Kamerling S, Woods WE, Weckman TJ, Blake JW, et al. · J Vet Pharmacol Ther · 1986 · cited 58 times (Europe PMC)
  • Research article PAGET'S DISEASE OF BONE: CLINICAL AND METABOLIC OBSERVATIONS [6]
    DE DEUXCHAISNES CN, KRANE SM · Medicine (Baltimore) · 1964 · cited 56 times (Europe PMC)
  • Research article Does platelet antiaggregant therapy lessen the severity of stroke? [7]
    Grotta JC, Lemak NA, Gary H, Fields WS, Vital D · Neurology · 1985 · cited 54 times (Europe PMC)
  • Research article Role of blood platelets in coronary artery disease [8]
    Haft JI · Am J Cardiol · 1979 · cited 49 times (Europe PMC)
  • Research article Pharmacokinetics, pharmacodynamics, metabolism, toxicology and residues of phenylbutazone in humans and horses [9]
    Lees P, Toutain PL · Vet J · 2013 · cited 42 times (Europe PMC)

References

  1. Evers R, de Haas M, Sparidans R, Beijnen J, Wielinga PR, Lankelma J, et al.. Vinblastine and sulfinpyrazone export by the multidrug resistance protein MRP2 is associated with glutathione export. . 2000. PMID 10917554 · DOI · PMC2374564
  2. Maciążek-Jurczyk M, Janas K, Pożycka J, Szkudlarek A, Rogóż W, Owczarzy A, et al.. Human Serum Albumin Aggregation/Fibrillation and its Abilities to Drugs Binding. . 2020. PMID 32023900 · DOI · PMC7038104
  3. Chen G, Masuda A, Konishi H, Ohkawara B, Ito M, Kinoshita M, et al.. Phenylbutazone induces expression of MBNL1 and suppresses formation of MBNL1-CUG RNA foci in a mouse model of myotonic dystrophy. . 2016. PMID 27126921 · DOI · PMC4850456
  4. Gordon N. Ornithine transcarbamylase deficiency: a urea cycle defect. Eur J Paediatr Neurol. 2003. PMID 12788037 · DOI
  5. Tobin T, Chay S, Kamerling S, Woods WE, Weckman TJ, Blake JW, et al.. Phenylbutazone in the horse: a review. J Vet Pharmacol Ther. 1986. PMID 3517382 · DOI
  6. DE DEUXCHAISNES CN, KRANE SM. PAGET'S DISEASE OF BONE: CLINICAL AND METABOLIC OBSERVATIONS. Medicine (Baltimore). 1964. PMID 14170787
  7. Grotta JC, Lemak NA, Gary H, Fields WS, Vital D. Does platelet antiaggregant therapy lessen the severity of stroke?. Neurology. 1985. PMID 3887210 · DOI
  8. Haft JI. Role of blood platelets in coronary artery disease. Am J Cardiol. 1979. PMID 35967 · DOI
  9. Lees P, Toutain PL. Pharmacokinetics, pharmacodynamics, metabolism, toxicology and residues of phenylbutazone in humans and horses. Vet J. 2013. PMID 23721873 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

8,001
PubMed records on this heading
1%
published since 2020
401
review articles
187
randomized trials
9
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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