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Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
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Antipsychotic drugs are classified into first-generation (typical) drugs including phenothiazines; and second-generation (atypical) drugs. Chlorpromazine hydrochloride (Thorazine), a phenothiazine derivative, broadly impacts the central, autonomic, and endocrine systems. This drug, along with typical agents like haloperidol (Haldol), primarily works by antagonizing D2 receptors, thus reducing dopaminergic neurotransmission. However, typical antipsychotics can cause side effects such as sedation...
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Indazole partial agonists targeting peripheral cannabinoid receptors.

George Amato1, Lucas Laudermilk1, Vineetha Vasukuttan1

  • 1Discovery Sciences, RTI International, 3040 Cornwallis Rd., Durham, NC 27713, USA.

Bioorganic & Medicinal Chemistry
|July 27, 2025
PubMed
Summary

Researchers developed novel partial agonists for cannabinoid receptors (CBRs), offering potential for prolonged efficacy and reduced side effects in treating inflammatory diseases and pain. Compound 45 shows promising peripheral selectivity and oral absorption.

Keywords:
AgonistCB1CB2CannabinoidPartialPeripheral

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Area of Science:

  • Medicinal Chemistry
  • Pharmacology
  • Neuroscience

Background:

  • Limited research exists on partial agonists of cannabinoid receptors (CBRs) and their structure-activity relationships (SAR).
  • Partial CBR agonists may offer prolonged efficacy, reduced tolerance, and fewer psychiatric effects compared to full agonists.

Purpose of the Study:

  • To investigate the SAR for converting indazole full agonists into peripheral partial agonists.
  • To identify novel partial CBR agonists with potential therapeutic applications.

Main Methods:

  • Structure-activity relationship (SAR) studies were conducted.
  • Pharmacological profiling of synthesized compounds, including EC50 and Emax determination.
  • Pharmacokinetic (PK) studies in mice to assess oral absorption, half-life, and brain penetrance.

Main Results:

  • Compound 45 identified as a partial CBR agonist with specific EC50 and Emax values at human CB1 and CB2 receptors.
  • Compound 45 demonstrated peripheral selectivity.
  • Mouse PK studies showed oral absorption, a plasma half-life of approximately 7.3 hours, and less than 10% brain penetrance.

Conclusions:

  • The study successfully developed partial CBR agonists with peripheral selectivity.
  • Compound 45 represents a promising candidate for therapeutic applications in inflammatory diseases, GI disorders, and pain management.
  • The findings contribute to understanding SAR for partial CBR agonists and their potential clinical benefits.