Effective and safe analgesics represent an unmet medical
need for
the treatment of acute and chronic pain. A series of N-cyclopropylmethyl-7α-phenyl-6,14-endoethanotetrahydronorthebaines
were designed, synthesized, and assayed, leading to the discovery
of a benzylamine derivative (compound 4, SLL-039) as
a highly selective and potent κ opioid agonist (κ, K
i = 0.47 nM, κ/μ = 682, κ/δ
= 283), which was confirmed by functional assays in vitro and antinociceptive assays in vivo. The in vivo effect could be blocked by pretreatment with the
selective κ antagonist nor-BNI. Moreover, this compound did
not induce sedation, a common dose limiting effect of κ opioid
receptor agonists, at its analgesic dose compared to U50,488H. The
dissociation of sedation/antinociception found in SLL-039 was assumed
to be correlated with the occupation of its benzamide motif in a unique
subsite involving V1182.63, W124EL1, and E209EL2.
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