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(+)-cis-3-methylfentanyl and its analogs bind pseudoirreversibly to the mu opioid binding site: evidence for

H Xu1, C H Kim, Y C Zhu

  • 1Laboratory of Medicinal Chemistry, NIDDK, NIH, Bethesda, MD 20892.

Neuropharmacology
|May 1, 1991
PubMed

Insights

(+)-cis-3-methylfentanyl causes a wash-resistant inhibition of mu opioid receptor binding through pseudoallosteric modulation. This unique property may explain the potent antinociceptive effects of this drug and its analogs.

Area of Science:

  • Pharmacology
  • Neuroscience
  • Medicinal Chemistry

Background:

  • Previous studies indicated that (+)-cis-3-methylfentanyl inhibits mu opioid receptor binding in a manner resistant to washing.
  • The precise mechanism underlying this persistent inhibition and its relationship to opioid potency were not fully understood.

Purpose of the Study:

  • To elucidate the mechanism by which (+)-cis-3-methylfentanyl induces wash-resistant inhibition of mu opioid receptor binding.
  • To conduct a structure-activity relationship (SAR) study, utilizing wash-resistant inhibition as the key endpoint for assessing opioid analogs.

Main Methods:

  • Rat brain membranes were pretreated with (+)-cis-3-methylfentanyl.
  • Mu opioid receptor binding assays were performed using radioligands ([3H]ohmefentanyl, [3H]6 beta-fluoro-6-desoxyoxymorphone).
  • Analysis included determination of binding affinity (Kd), maximum binding capacity (Bmax), and dissociation rates.

Main Results:

  • Pretreatment with (+)-cis-3-methylfentanyl increased the dissociation constant (Kd) for [3H]ohmefentanyl binding, indicating reduced affinity, without affecting the maximum binding capacity (Bmax).
  • This affinity reduction was partly due to residual drug but primarily linked to an increased dissociation rate, suggesting a change in the receptor-ligand interaction.
  • The rank order of potency for this wash-resistant inhibition was lofentanil > (+)-cis-3-methylfentanyl > ohmefentanyl > sufentanil; other tested opioids lacked this effect.

Conclusions:

  • The findings support a model of pseudoallosteric modulation, where (+)-cis-3-methylfentanyl and its analogs interact with mu opioid receptors in a way that lowers the affinity for other ligands.
  • This 'pseudoirreversible inhibition' property, though not directly correlating with antinociceptive ED50 values, is proposed as a potential contributor to the exceptional antinociceptive potency of (+)-cis-3-methylfentanyl and related compounds.

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