Department of Forensic Sciences, Oslo University Hospital, 0456 Oslo, Norway.
Department of Pharmacology, Oslo University Hospital, 0372 Oslo, Norway.
Int J Mol Sci. 2021 Nov 5;22(21):12002. doi: 10.3390/ijms222112002.
Methiopropamine is a novel psychoactive substance (NPS) that is associated with several cases of clinical toxicity, yet little information is available regarding its neuropharmacological properties. Here, we employed in vitro and in vivo methods to compare the pharmacokinetics and neurobiological effects of methiopropamine and its structural analog methamphetamine. Methiopropamine was rapidly distributed to the blood and brain after injection in C57BL/6 mice, with a pharmacokinetic profile similar to that of methamphetamine. Methiopropamine induced psychomotor activity, but higher doses were needed (E 12.5 mg/kg; i.p.) compared to methamphetamine (E 3.75 mg/kg; i.p.). A steep increase in locomotor activity was seen after a modest increase in the methiopropamine dose from 10 to 12.5 mg/kg, suggesting that a small increase in dosage may engender unexpectedly strong effects and heighten the risk of unintended overdose in NPS users. In vitro studies revealed that methiopropamine mediates its effects through inhibition of norepinephrine and dopamine uptake into presynaptic nerve terminals (IC = 0.47 and 0.74 µM, respectively), while the plasmalemmal serotonin uptake and vesicular uptake are affected only at high concentrations (IC > 25 µM). In summary, methiopropamine closely resembles methamphetamine with regard to its pharmacokinetics, pharmacodynamic effects and mechanism of action, with a potency that is approximately five times lower than that of methamphetamine.
甲硫苯丙胺是一种新型精神活性物质(NPS),与几例临床毒性病例有关,但关于其神经药理学特性的信息很少。在这里,我们采用体外和体内方法比较了甲硫苯丙胺及其结构类似物甲基苯丙胺的药代动力学和神经生物学效应。甲硫苯丙胺在注射到 C57BL/6 小鼠后迅速分布到血液和大脑中,其药代动力学特征与甲基苯丙胺相似。甲硫苯丙胺诱导精神运动活性,但需要更高的剂量(E 12.5 mg/kg;ip),而不是甲基苯丙胺(E 3.75 mg/kg;ip)。甲硫苯丙胺剂量从 10 毫克/千克增加到 12.5 毫克/千克时,运动活性急剧增加,这表明剂量的微小增加可能会产生意想不到的强烈作用,并增加 NPS 用户意外过量的风险。体外研究表明,甲硫苯丙胺通过抑制去甲肾上腺素和多巴胺进入突触前神经末梢的摄取来发挥其作用(IC 分别为 0.47 和 0.74 µM),而质膜 5-羟色胺摄取和囊泡摄取仅在高浓度时受到影响(IC > 25 µM)。总之,甲硫苯丙胺在药代动力学、药效学效应和作用机制方面与甲基苯丙胺非常相似,其效力约为甲基苯丙胺的五分之一。