Synthesis and Structure-Activity Relationships of 5'-Aryl-14-alkoxypyridomorphinans: Identification of a μ Opioid Receptor Agonist/δ Opioid Receptor Antagonist Ligand with Systemic Antinociceptive Activity and Diminished Opioid Side Effects

5'-芳基-14-烷氧基吡啶并吗啡烷的合成和构效关系:具有全身抗伤害活性和减少阿片类药物副作用的 μ 阿片受体激动剂/δ 阿片受体拮抗剂配体的鉴定

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作者:Rakesh H Vekariya, Wei Lei, Abhisek Ray, Surendra K Saini, Sixue Zhang, Gabriella Molnar, Deborah Barlow, Kelly L Karlage, Edward J Bilsky, Karen L Houseknecht, Tally M Largent-Milnes, John M Streicher, Subramaniam Ananthan

Abstract

We previously identified a pyridomorphinan (6, SRI-22138) possessing a 4-chlorophenyl substituent at the 5'-position on the pyridine and a 3-phenylpropoxy at the 14-position of the morphinan as a mixed μ opioid receptor (MOR) agonist and δ/κ opioid receptor (DOR/KOR) antagonist with potent antinociceptive activity and diminished tolerance and dependence in rodents. Structural variations at the 5'- and 14-positions of this molecule gave insights into the structure-activity relationships for binding and functional activity. Subtle structural changes exerted significant influence, particularly on the ability of the compounds to function as agonists at the MOR. In vivo evaluation identified compound 20 (SRI-39067) as a MOR agonist/DOR antagonist that produced systemically active potent antinociceptive activity in tail-flick assay in mice, with diminished tolerance, dependence/withdrawal, reward liability, and respiratory depression versus morphine. These results support the hypothesis that mixed MOR agonist/DOR antagonist ligands may emerge as novel opioid analgesics with reduced side effects.

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