Ding Huiping, Czoty Paul W, Kiguchi Norikazu, Cami-Kobeci Gerta, Sukhtankar Devki D, Nader Michael A, Husbands Stephen M, Ko Mei-Chuan
Department of Physiology and Pharmacology, Wake Forest University School of Medicine, Winston-Salem, NC 27157;
Department of Pharmacy and Pharmacology, University of Bath, Bath BA2 7AY, United Kingdom.
Proc Natl Acad Sci U S A. 2016 Sep 13;113(37):E5511-8. doi: 10.1073/pnas.1605295113. Epub 2016 Aug 29.
Despite the critical need, no previous research has substantiated safe opioid analgesics without abuse liability in primates. Recent advances in medicinal chemistry have led to the development of ligands with mixed mu opioid peptide (MOP)/nociceptin-orphanin FQ peptide (NOP) receptor agonist activity to achieve this objective. BU08028 is a novel orvinol analog that displays a similar binding profile to buprenorphine with improved affinity and efficacy at NOP receptors. The aim of this preclinical study was to establish the functional profile of BU08028 in monkeys using clinically used MOP receptor agonists for side-by-side comparisons in various well-honed behavioral and physiological assays. Systemic BU08028 (0.001-0.01 mg/kg) produced potent long-lasting (i.e., >24 h) antinociceptive and antiallodynic effects, which were blocked by MOP or NOP receptor antagonists. More importantly, the reinforcing strength of BU08028 was significantly lower than that of cocaine, remifentanil, or buprenorphine in monkeys responding under a progressive-ratio schedule of drug self-administration. Unlike MOP receptor agonists, BU08028 at antinociceptive doses and ∼10- to 30-fold higher doses did not cause respiratory depression or cardiovascular adverse events as measured by telemetry devices. After repeated administration, the monkeys developed acute physical dependence on morphine, as manifested by precipitated withdrawal signs, such as increased respiratory rate, heart rate, and blood pressure. In contrast, monkeys did not show physical dependence on BU08028. These in vivo findings in primates not only document the efficacy and tolerability profile of bifunctional MOP/NOP receptor agonists, but also provide a means of translating such ligands into therapies as safe and potentially abuse-free opioid analgesics.
尽管存在迫切需求,但此前尚无研究证实在灵长类动物中存在无滥用倾向的安全阿片类镇痛药。药物化学的最新进展促使人们开发出具有混合μ阿片肽(MOP)/孤啡肽FQ肽(NOP)受体激动剂活性的配体,以实现这一目标。BU08028是一种新型的奥维诺类似物,其结合特征与丁丙诺啡相似,对NOP受体的亲和力和效力有所提高。这项临床前研究的目的是,在猴子身上建立BU08028的功能特征,并使用临床使用的MOP受体激动剂,在各种完善的行为和生理试验中进行并行比较。全身性给予BU08028(0.001 - 0.01毫克/千克)可产生强效持久(即>24小时)的抗伤害感受和抗痛觉过敏作用,这些作用可被MOP或NOP受体拮抗剂阻断。更重要的是,在按渐进比率给药方案进行药物自我给药的猴子中,BU08028的强化强度明显低于可卡因、瑞芬太尼或丁丙诺啡。与MOP受体激动剂不同,以抗伤害感受剂量和高约10至30倍的剂量给予BU08028时,通过遥测设备测量未引起呼吸抑制或心血管不良事件。反复给药后,猴子对吗啡产生了急性身体依赖性,表现为戒断症状,如呼吸频率、心率和血压升高。相比之下,猴子对BU08028未表现出身体依赖性。这些在灵长类动物中的体内研究结果不仅记录了双功能MOP/NOP受体激动剂的疗效和耐受性特征,还提供了一种将此类配体转化为安全且可能无滥用风险的阿片类镇痛药疗法的方法。