N-Substituted cis-4a-(3-hydroxyphenyl)-8a-methyloctahydroisoquinolines (6a-g) were designed and synthesized as conformationally constrained analogues of the trans-3, 4-dimethyl-4-(3-hydroxyphenyl)piperidine (4) class of opioid receptor pure antagonists. The methyloctahydroisoquinolines 6a-g can exist in conformations where the 3-hydroxyphenyl substituent is either axial or equatorial similar to the (3-hydroxyphenyl)piperidines 4. The 3-hydroxyphenyl equatorial conformation is responsible for the antagonist activity observed in the (3-hydroxyphenyl)piperidine antagonists. Single crystal X-ray analysis of 6a shows that the 3-hydroxyphenyl equatorial conformation is favored in the solid state. Molecular modeling studies also suggest that the equatorial conformation has the lower potential energy relative to the axial conformation. Evaluation of compounds 6a-g in the [ 35 S]GTP-γ-S in vitro functional assay showed that they were opioid receptor pure antagonists. octahydroisoquinoline-6-yl]-3-(piperidin-1-yl)propionamide (6d) with a K e of 0.27 nM at the κ opioid receptor with 154-and 46-fold selectively relative to the μ and δ receptors, respectively, possessed the best combination of κ potency and selectivity.The opioid receptor system has been extensively studied, and thousands of compounds have been synthesized and evaluated by in vitro binding and functional assays as well as animal models. 1 An integral part of the effort to characterize the opioid receptor system has been the discovery of potent, pure antagonists. Naloxone (1a) and naltrexone (1b), both competitive antagonists at μ, δ, and κ opioid receptors, 1 have been extensively used as pharmacological tools to identify and characterize opioid systems. Additionally, naloxone (1a) is approved for treating heroin overdose and to reverse respiratory depression caused by morphine. 2 Naltrexone (1b) is used to treat heroin and alcohol abuse.Pioneering structure activity relationship (SAR) studies by Portoghese et al. based on the lead compound 1b lead to the discovery of the δ opioid receptor selective antagonist naltrindole (NTI, 2a) and the κ opioid receptor antagonists, norbinaltorphimine (3, norBNI) and guanidinenaltrindole (GNTI, 2b). [3][4][5][6]piperidines (4) are another interesting class of opioid receptor pure antagonist. Unlike other antagonists, including the oxymorphone class, antagonist activity was not
NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript dependent on the structure of the N-substituent. 1 All reported N-substituted analogues, including the N-methyl analogue 4a were antagonists. 1,7-12 A few of the more interesting analogues include alvimopan (4b), 13-15 which has reached the NDA stage for GI motility disorder, (3R,4R)-1-[(S)-3-hydroxy-3-cyclohexylpropyl)-4-(3-hydroxyphenyl)-3,4-dimethyl-1-piperidine (LY255,582 (4c)), 16,17 which was developed to treat obesity and (3R)-7-hydroxy-N-{(1S)-1-{[(3R,4R)-4-(3-hydroxyphenyl)-3,4-dimethyl-1-piperidinyl] methyl}-2-methylpropyl}-1,2,3,4-tetrahydro-3-isoquinoline...