has been identified as a member of a novel class of 5-HT 3 serotonin receptor agonists. MD-354 is a 5-HT 3 receptor partial agonist that has been shown to behave as an agonist in some assays, and as an antagonist in others. MD-354 also binds at α-adrenoceptors (ARs) and displays an affinity for α 2B -ARs comparable to its affinity for 5-HT 3 receptors. Although devoid of antinociceptive actions following systemic administration alone, MD-354 markedly enhances the antinociceptive actions of clonidine in the mouse tail-flick assay without potentiating the sedative side effects of clonidine. Although studies with MD-354 are still in progress, some pharmacological findings are described here. MD-354-related agents may represent drug adjuvants for the relief of severe pain.
PHARMACOLOGY Pharmacological Uniqueness of MD-354MD-354 (meta-chlorophenylguanidine, mCPG; 1) (Fig. 1) is a mixed-function 5-HT 3 serotonin receptor/adrenoceptor ligand. It binds with high affinity at 5-HT 3 serotonin receptors (K i = 35 nM) (Dukat et al. 1996), and behaves as an agonist in several assays typical of 5-HT 3 receptor agonists (e.g., discriminative stimulus properties, von Bezold Jarisch assay, emesis assays in shrews) (Dukat et al. 1996(Dukat et al. , 2000, but at higher doses it is capable of antagonizing 5-HT 3 -mediated actions (e.g., antagonism of cisplatin-induced