Computational Chemistry and Molecular Biophysics Section, Intramural Research Program, National Institute on Drug Abuse, National Institutes of Health, Baltimore, MD, 21224, USA.
Department of Neurology, Memorial Sloan-Kettering Cancer Center, New York, NY, 10065, USA.
Neuropharmacology. 2023 Apr 1;227:109442. doi: 10.1016/j.neuropharm.2023.109442. Epub 2023 Jan 30.
Illicitly manufactured fentanyl is driving the current opioid crisis, and various fentanyl analogs are appearing in recreational drug markets worldwide. To assess the potential health risks posed by fentanyl analogs, it is necessary to understand structure-activity relationships for these compounds. Here we compared the pharmacology of two structurally related fentanyl analogs implicated in opioid overdose: cyclopropylfentanyl and valerylfentanyl. Cyclopropylfentanyl has a three-carbon ring attached to the carbonyl group on the fentanyl scaffold, whereas valerylfentanyl has a four-carbon chain at the same position. In vitro assays examining μ-opioid receptor (MOR) coupling to G proteins in CHO cells showed that cyclopropylfentanyl is a full agonist (EC = 8.6 nM, %Emax = 113%), with potency and efficacy similar to fentanyl (EC = 10.3 nM, %Emax = 113%). By contrast, valerylfentanyl is a partial agonist at MOR (EC = 179.8 nM, %Emax = 60%). Similar results were found in assays assessing MOR-mediated β-arrestin recruitment in HEK cells. In vivo studies in male CD-1 mice demonstrated that both fentanyl analogs induce naloxone-reversible antinociception and respiratory suppression, but cyclopropylfentanyl is 100-times more potent as an antinociceptive agent (ED = 0.04 mg/kg, s. c.) than valerylfentanyl (ED = 4.0 mg/kg, s. c.). Molecular simulation results revealed that the alkyl chain of valerylfentanyl cannot be well accommodated by the active state of MOR and may transition the receptor toward an inactive state, converting the fentanyl scaffold to a partial agonist. Taken together, our results suggest that cyclopropylfentanyl presents much greater risk of adverse effects when compared to valerylfentanyl. Moreover, the summed findings may provide clues to the design of therapeutic opioids with reduced adverse side effects.
非法制造的芬太尼是当前阿片类药物危机的罪魁祸首,各种芬太尼类似物也出现在全球娱乐性药物市场。为了评估芬太尼类似物带来的潜在健康风险,有必要了解这些化合物的结构-活性关系。在这里,我们比较了两种结构相关的芬太尼类似物的药理学,这两种类似物与阿片类药物过量有关:环丙基芬太尼和缬草芬太尼。环丙基芬太尼在芬太尼骨架的羰基上连接了一个三碳环,而缬草芬太尼在相同位置有一个四碳链。在体外测定中,研究了 CHO 细胞中 μ-阿片受体(MOR)与 G 蛋白的偶联,结果表明环丙基芬太尼是一种完全激动剂(EC = 8.6 nM,%Emax = 113%),其效力和功效与芬太尼相似(EC = 10.3 nM,%Emax = 113%)。相比之下,缬草芬太尼是 MOR 的部分激动剂(EC = 179.8 nM,%Emax = 60%)。在评估 MOR 介导的β-arrestin 在 HEK 细胞中募集的测定中也得到了类似的结果。在雄性 CD-1 小鼠的体内研究中,两种芬太尼类似物均诱导纳洛酮可逆转的镇痛和呼吸抑制,但环丙基芬太尼作为镇痛剂的效力比缬草芬太尼强 100 倍(ED = 0.04 mg/kg,s.c.)。分子模拟结果表明,缬草芬太尼的烷基链不能很好地适应 MOR 的活性状态,并且可能使受体向无活性状态转变,将芬太尼骨架转化为部分激动剂。总之,与缬草芬太尼相比,我们的结果表明环丙基芬太尼具有更大的不良影响风险。此外,综合研究结果可能为设计具有减少不良反应的治疗性阿片类药物提供线索。