Dual-acting kappa opioid receptor
(KOR) agonist and mu opioid receptor
(MOR) partial agonist ligands have been put forward as potential treatment
agents for cocaine and other psychostimulant abuse. Members of the
orvinol series of ligands are known for their high binding affinity
to both KOR and MOR, but efficacy at the individual receptors has
not been thoroughly evaluated. In this study, it is shown that a predictive
model for efficacy at KOR can be derived, with efficacy being controlled
by the length of the group attached to C20 and by the introduction
of branching into the side chain. In vivo evaluation of two ligands
with the desired in vitro profile confirms both display KOR, and to
a lesser extent MOR, activity in an analgesic assay suggesting that,
in this series, in vitro measures of efficacy using the [35S]GTPγS assay are predictive of the in vivo profile.
Emerging clinical and preclinical
evidence suggests that a compound
displaying high affinity for μ, κ, and δ opioid
(MOP, KOP, and DOP) receptors and antagonist activity at each, coupled
with moderate affinity and efficacy at nociceptin opioid peptide (NOP)
receptors will have utility as a relapse prevention agent for multiple
types of drug abuse. Members of the orvinol family of opioid ligands
have the desired affinity profile but have typically displayed substantial
efficacy at MOP and or KOP receptors. In this study it is shown that
a phenyl ring analogue (1d) of buprenorphine displays
the desired profile in vitro with high, nonselective affinity for
the MOP, KOP, and DOP receptors coupled with moderate affinity for
NOP receptors. In vivo, 1d lacked any opioid agonist
activity and was an antagonist of both the MOP receptor agonist morphine
and the KOP receptor agonist ethylketocyclazocine, confirming the
desired opioid receptor profile in vivo.
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