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硝氮䓬类阿片药物与心脏:非法硝氮䓬类阿片药物心脏离子通道靶点的鉴定

Nitazene opioids and the heart: Identification of a cardiac ion channel target for illicit nitazene opioids.

作者信息

Hancox Jules C, Wang Yibo, Copeland Caroline S, Zhang Henggui, Harmer Stephen C, Henderson Graeme

机构信息

School of Physiology, Pharmacology and Neuroscience, Biomedical Sciences Building, University Walk, Bristol BS8 1TD, UK.

Biological Physics Group, Department of Physics and Astronomy, The University of Manchester, M13 9PL, UK.

出版信息

J Mol Cell Cardiol Plus. 2024 Dec;10:100118. doi: 10.1016/j.jmccpl.2024.100118.

DOI:10.1016/j.jmccpl.2024.100118
PMID:39697247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11649529/
Abstract

The growing use of nitazene synthetic opioids heralds a new phase of the opioid crisis. However, limited information exists on the toxic effects of these drugs, aside from a propensity for respiratory depression. With restricted research availability of nitazenes, we used machine-learning-based tools to evaluate five nitazene compounds' interaction potential with the hERG potassium channel, a key drug antitarget in the heart. All nitazenes were predicted to inhibit hERG with low μM IC values. These findings indicate a potential for proarrhythmic hERG block by nitazene opioids, warranting detailed cardiac safety evaluations of these drugs.

摘要

氮杂环丁二烯合成阿片类药物的使用日益增加,预示着阿片类药物危机进入了一个新阶段。然而,除了有导致呼吸抑制的倾向外,关于这些药物的毒性作用的信息有限。由于氮杂环丁二烯的研究资源有限,我们使用基于机器学习的工具来评估五种氮杂环丁二烯化合物与hERG钾通道(心脏中一种关键的药物反靶点)的相互作用潜力。所有氮杂环丁二烯预计都能以低 microM IC 值抑制hERG。这些发现表明氮杂环丁二烯类阿片类药物有导致心律失常性hERG阻滞的可能性,因此有必要对这些药物进行详细的心脏安全性评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd4/11708360/3ec3eb274b86/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd4/11708360/671c1ef86dbd/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd4/11708360/968c1c12a258/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd4/11708360/3ec3eb274b86/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd4/11708360/671c1ef86dbd/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd4/11708360/968c1c12a258/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdd4/11708360/3ec3eb274b86/gr2.jpg

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本文引用的文献

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J Pharmacol Exp Ther. 2024 Apr 18;389(2):219-228. doi: 10.1124/jpet.123.002052.
2
Wastewater-based monitoring of the nitazene analogues: First detection of protonitazene in wastewater.基于污水的硝甲西泮类似物监测:首次在污水中检测到普罗硝西泮。
Sci Total Environ. 2024 Apr 10;920:170781. doi: 10.1016/j.scitotenv.2024.170781. Epub 2024 Feb 13.
3
Nitazenes-heralding a second wave for the UK drug-related death crisis?
硝氮烯——英国毒品相关死亡危机的第二波预警?
Lancet Public Health. 2024 Feb;9(2):e71-e72. doi: 10.1016/S2468-2667(24)00001-X. Epub 2024 Jan 12.
4
New synthetic cannabinoids and the potential for cardiac arrhythmia risk.新型合成大麻素与心律失常风险的可能性。
J Mol Cell Cardiol Plus. 2023 Dec;6:100049. doi: 10.1016/j.jmccpl.2023.100049.
5
Naloxone Use in Novel Potent Opioid and Fentanyl Overdoses in Emergency Department Patients.纳洛酮在急诊科新型强效阿片类药物和芬太尼过量中的应用。
JAMA Netw Open. 2023 Aug 1;6(8):e2331264. doi: 10.1001/jamanetworkopen.2023.31264.
6
Old Drugs and New Challenges: A Narrative Review of Nitazenes.老药与新挑战:硝氮烯类药物的叙述性综述
Cureus. 2023 Jun 21;15(6):e40736. doi: 10.7759/cureus.40736. eCollection 2023 Jun.
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Opioid Agents and Cardiac Arrhythmia: A Literature Review.阿片类药物与心律失常:文献综述
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New Synthetic Opioids: Clinical Considerations and Dangers.新型合成阿片类药物:临床考量与风险
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