An insight review on the neuropharmacological effects, mechanisms of action, pharmacokinetics and toxicity of mitragynine

Mitragynine is one of the main psychoactive alkaloids in Mitragyna speciosa Korth. (kratom). It has opium-like effects by acting on μ-, δ-, and κ-opioid receptors in the brain. The compound also interacts with other receptors, such as adrenergic and serotonergic receptors and neuronal Ca2+ channels...

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Main Authors: Nur Aisyah Khairul Annuar, Ummi Kalthum Azlan, Ahmed Mediani, Xiaohui Tong, Rongchun Han, Ebtesam Al-Olayan, Syarul Nataqain Baharum, Hamidun Bunawan, Murni Nazira Sarian, Hamizah Shahirah Hamezah, Ibrahim Jantan
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Biomedicine & Pharmacotherapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0753332224000155
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author Nur Aisyah Khairul Annuar
Ummi Kalthum Azlan
Ahmed Mediani
Xiaohui Tong
Rongchun Han
Ebtesam Al-Olayan
Syarul Nataqain Baharum
Hamidun Bunawan
Murni Nazira Sarian
Hamizah Shahirah Hamezah
Ibrahim Jantan
author_facet Nur Aisyah Khairul Annuar
Ummi Kalthum Azlan
Ahmed Mediani
Xiaohui Tong
Rongchun Han
Ebtesam Al-Olayan
Syarul Nataqain Baharum
Hamidun Bunawan
Murni Nazira Sarian
Hamizah Shahirah Hamezah
Ibrahim Jantan
author_sort Nur Aisyah Khairul Annuar
collection DOAJ
description Mitragynine is one of the main psychoactive alkaloids in Mitragyna speciosa Korth. (kratom). It has opium-like effects by acting on μ-, δ-, and κ-opioid receptors in the brain. The compound also interacts with other receptors, such as adrenergic and serotonergic receptors and neuronal Ca2+ channels in the central nervous system to have its neuropharmacological effects. Mitragynine has the potential to treat diseases related to neurodegeneration such as Alzheimer’s disease and Parkinson’s disease, as its modulation on the opioid receptors has been reported extensively. This review aimed to provide an up-to-date and critical overview on the neuropharmacological effects, mechanisms of action, pharmacokinetics and safety of mitragynine as a prospective psychotropic agent. Its multiple neuropharmacological effects on the brain include antinociceptive, anti-inflammatory, antidepressant, sedative, stimulant, cognitive, and anxiolytic activities. The potential of mitragynine to manage opioid withdrawal symptoms related to opioid dependence, its pharmacokinetics and toxic effects were also discussed. The interaction of mitragynine with various receptors in the brain produce diverse neuropharmacological effects, which have beneficial properties in neurological disorders. However, further studies need to be carried out on mitragynine to uncover its complex mechanisms of action, pharmacokinetics, pharmacodynamic profiles, addictive potential, and safe dosage to prevent harmful side effects.
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spelling doaj.art-65e54da3f36b4affb197ab5edeb11d9b2024-02-05T04:31:13ZengElsevierBiomedicine & Pharmacotherapy0753-33222024-02-01171116134An insight review on the neuropharmacological effects, mechanisms of action, pharmacokinetics and toxicity of mitragynineNur Aisyah Khairul Annuar0Ummi Kalthum Azlan1Ahmed Mediani2Xiaohui Tong3Rongchun Han4Ebtesam Al-Olayan5Syarul Nataqain Baharum6Hamidun Bunawan7Murni Nazira Sarian8Hamizah Shahirah Hamezah9Ibrahim Jantan10Institute of Systems Biology (INBIOSIS), Universiti Kebangsaan Malaysia, 43600 UKM Bangi, Selangor, MalaysiaInstitute of Systems Biology (INBIOSIS), Universiti Kebangsaan Malaysia, 43600 UKM Bangi, Selangor, MalaysiaInstitute of Systems Biology (INBIOSIS), Universiti Kebangsaan Malaysia, 43600 UKM Bangi, Selangor, MalaysiaSchool of Life Sciences, Anhui University of Chinese Medicine, Hefei, ChinaSchool of Pharmacy, Anhui University of Chinese Medicine, Hefei, ChinaDepartment of Zoology, College of Science, King Saud University, Riyadh, Saudi ArabiaInstitute of Systems Biology (INBIOSIS), Universiti Kebangsaan Malaysia, 43600 UKM Bangi, Selangor, MalaysiaInstitute of Systems Biology (INBIOSIS), Universiti Kebangsaan Malaysia, 43600 UKM Bangi, Selangor, MalaysiaInstitute of Systems Biology (INBIOSIS), Universiti Kebangsaan Malaysia, 43600 UKM Bangi, Selangor, MalaysiaInstitute of Systems Biology (INBIOSIS), Universiti Kebangsaan Malaysia, 43600 UKM Bangi, Selangor, Malaysia; Corresponding author.Institute of Systems Biology (INBIOSIS), Universiti Kebangsaan Malaysia, 43600 UKM Bangi, Selangor, MalaysiaMitragynine is one of the main psychoactive alkaloids in Mitragyna speciosa Korth. (kratom). It has opium-like effects by acting on μ-, δ-, and κ-opioid receptors in the brain. The compound also interacts with other receptors, such as adrenergic and serotonergic receptors and neuronal Ca2+ channels in the central nervous system to have its neuropharmacological effects. Mitragynine has the potential to treat diseases related to neurodegeneration such as Alzheimer’s disease and Parkinson’s disease, as its modulation on the opioid receptors has been reported extensively. This review aimed to provide an up-to-date and critical overview on the neuropharmacological effects, mechanisms of action, pharmacokinetics and safety of mitragynine as a prospective psychotropic agent. Its multiple neuropharmacological effects on the brain include antinociceptive, anti-inflammatory, antidepressant, sedative, stimulant, cognitive, and anxiolytic activities. The potential of mitragynine to manage opioid withdrawal symptoms related to opioid dependence, its pharmacokinetics and toxic effects were also discussed. The interaction of mitragynine with various receptors in the brain produce diverse neuropharmacological effects, which have beneficial properties in neurological disorders. However, further studies need to be carried out on mitragynine to uncover its complex mechanisms of action, pharmacokinetics, pharmacodynamic profiles, addictive potential, and safe dosage to prevent harmful side effects.http://www.sciencedirect.com/science/article/pii/S0753332224000155Mitragyna speciosaMitragyninePharmacological propertiesToxicityMolecular mechanisms
spellingShingle Nur Aisyah Khairul Annuar
Ummi Kalthum Azlan
Ahmed Mediani
Xiaohui Tong
Rongchun Han
Ebtesam Al-Olayan
Syarul Nataqain Baharum
Hamidun Bunawan
Murni Nazira Sarian
Hamizah Shahirah Hamezah
Ibrahim Jantan
An insight review on the neuropharmacological effects, mechanisms of action, pharmacokinetics and toxicity of mitragynine
Biomedicine & Pharmacotherapy
Mitragyna speciosa
Mitragynine
Pharmacological properties
Toxicity
Molecular mechanisms
title An insight review on the neuropharmacological effects, mechanisms of action, pharmacokinetics and toxicity of mitragynine
title_full An insight review on the neuropharmacological effects, mechanisms of action, pharmacokinetics and toxicity of mitragynine
title_fullStr An insight review on the neuropharmacological effects, mechanisms of action, pharmacokinetics and toxicity of mitragynine
title_full_unstemmed An insight review on the neuropharmacological effects, mechanisms of action, pharmacokinetics and toxicity of mitragynine
title_short An insight review on the neuropharmacological effects, mechanisms of action, pharmacokinetics and toxicity of mitragynine
title_sort insight review on the neuropharmacological effects mechanisms of action pharmacokinetics and toxicity of mitragynine
topic Mitragyna speciosa
Mitragynine
Pharmacological properties
Toxicity
Molecular mechanisms
url http://www.sciencedirect.com/science/article/pii/S0753332224000155
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