Novel <i>N</i>-normetazocine Derivatives with Opioid Agonist/Sigma-1 Receptor Antagonist Profile as Potential Analgesics in Inflammatory Pain

Although opioids and nonsteroidal anti-inflammatory drugs (NSAIDs) are the most common drugs used in persistent pain treatment; they have shown many side effects. The development of new analgesics endowed with mu opioid receptor/delta opioid receptor (MOR/DOR) activity represents a promising alterna...

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Main Authors: Rita Turnaturi, Santina Chiechio, Lorella Pasquinucci, Salvatore Spoto, Giuliana Costanzo, Maria Dichiara, Silvia Piana, Margherita Grasso, Emanuele Amata, Agostino Marrazzo, Carmela Parenti
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Language:English
Published: MDPI AG 2022-08-01
Series:Molecules
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Online Access:https://www.mdpi.com/1420-3049/27/16/5135
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author Rita Turnaturi
Santina Chiechio
Lorella Pasquinucci
Salvatore Spoto
Giuliana Costanzo
Maria Dichiara
Silvia Piana
Margherita Grasso
Emanuele Amata
Agostino Marrazzo
Carmela Parenti
author_facet Rita Turnaturi
Santina Chiechio
Lorella Pasquinucci
Salvatore Spoto
Giuliana Costanzo
Maria Dichiara
Silvia Piana
Margherita Grasso
Emanuele Amata
Agostino Marrazzo
Carmela Parenti
author_sort Rita Turnaturi
collection DOAJ
description Although opioids and nonsteroidal anti-inflammatory drugs (NSAIDs) are the most common drugs used in persistent pain treatment; they have shown many side effects. The development of new analgesics endowed with mu opioid receptor/delta opioid receptor (MOR/DOR) activity represents a promising alternative to MOR-selective compounds. Moreover, new mechanisms, such as sigma-1 receptor (σ<sub>1</sub>R) antagonism, could be an opioid adjuvant strategy. The in vitro σ<sub>1</sub>R and σ<sub>2</sub>R profiles of previous synthesized MOR/DOR agonists (−)-2<i>R</i>/<i>S</i>-LP2 (<b>1</b>), (−)-2<i>R</i>-LP2 (<b>2</b>), and (−)-2<i>S</i>-LP2 (<b>3</b>) were assayed. To investigate the pivotal role of <i>N</i>-normetazocine stereochemistry, we also synthesized the (+)-2<i>R</i>/<i>S</i>-LP2 (<b>7</b>), (+)-2<i>R</i>-LP2 (<b>8</b>), and (+)-2<i>S</i>-LP2 (<b>9</b>) compounds. (−)-2<i>R</i>/<i>S</i>-LP2 (<b>1</b>), (−)-2<i>R</i>-LP2 (<b>2</b>), and (−)-2<i>S</i>-LP2 (<b>3</b>) compounds have Ki values for σ1R ranging between 112.72 and 182.81 nM, showing a multitarget opioid/σ1R profile. Instead, (+)-2<i>R</i>/<i>S</i>-LP2 (<b>7</b>), (+)-2<i>R</i>-LP2 (<b>8</b>), and (+)-2<i>S</i>-LP2 (<b>9</b>) isomers displayed a nanomolar affinity for σ1R, with significative selectivity vs. σ2R and opioid receptors. All isomers were evaluated using an in vivo formalin test. (−)-2<i>S</i>-LP2, at 0.7 mg/kg i.p., showed a significative and naloxone-reversed analgesic effect. The σ1R selective compound (+)-2<i>R</i>/<i>S</i>-LP2 (<b>7</b>), at 5.0 mg/kg i.p., decreased the second phase of the formalin test, showing an antagonist σ1R profile. The multitarget or single target profile of assayed <i>N</i>-normetazocine derivatives could represent a promising pharmacological strategy to enhance opioid potency and/or increase the safety margin.
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spelling doaj.art-fa89ceaf72aa4b489cc7b67a2f3fc9012023-11-30T22:04:30ZengMDPI AGMolecules1420-30492022-08-012716513510.3390/molecules27165135Novel <i>N</i>-normetazocine Derivatives with Opioid Agonist/Sigma-1 Receptor Antagonist Profile as Potential Analgesics in Inflammatory PainRita Turnaturi0Santina Chiechio1Lorella Pasquinucci2Salvatore Spoto3Giuliana Costanzo4Maria Dichiara5Silvia Piana6Margherita Grasso7Emanuele Amata8Agostino Marrazzo9Carmela Parenti10Department of Drug and Health Sciences, Medicinal Chemistry Section, University of Catania, Viale A. Doria 6, 95125 Catania, ItalyDepartment of Drug and Health Sciences, Section of Pharmacology and Toxicology, University of Catania, Viale A. Doria 6, 95125 Catania, ItalyDepartment of Drug and Health Sciences, Medicinal Chemistry Section, University of Catania, Viale A. Doria 6, 95125 Catania, ItalyDepartment of Drug and Health Sciences, Section of Pharmacology and Toxicology, University of Catania, Viale A. Doria 6, 95125 Catania, ItalyDepartment of Biomedical and Biotechnological Sciences, University of Catania, Via Santa Sofia, 97, 95123 Catania, ItalyDepartment of Drug and Health Sciences, Medicinal Chemistry Section, University of Catania, Viale A. Doria 6, 95125 Catania, ItalyDepartment of Drug and Health Sciences, Medicinal Chemistry Section, University of Catania, Viale A. Doria 6, 95125 Catania, ItalyOasi Research Institute—IRCCS, 94018 Troina, ItalyDepartment of Drug and Health Sciences, Medicinal Chemistry Section, University of Catania, Viale A. Doria 6, 95125 Catania, ItalyDepartment of Drug and Health Sciences, Medicinal Chemistry Section, University of Catania, Viale A. Doria 6, 95125 Catania, ItalyDepartment of Drug and Health Sciences, Section of Pharmacology and Toxicology, University of Catania, Viale A. Doria 6, 95125 Catania, ItalyAlthough opioids and nonsteroidal anti-inflammatory drugs (NSAIDs) are the most common drugs used in persistent pain treatment; they have shown many side effects. The development of new analgesics endowed with mu opioid receptor/delta opioid receptor (MOR/DOR) activity represents a promising alternative to MOR-selective compounds. Moreover, new mechanisms, such as sigma-1 receptor (σ<sub>1</sub>R) antagonism, could be an opioid adjuvant strategy. The in vitro σ<sub>1</sub>R and σ<sub>2</sub>R profiles of previous synthesized MOR/DOR agonists (−)-2<i>R</i>/<i>S</i>-LP2 (<b>1</b>), (−)-2<i>R</i>-LP2 (<b>2</b>), and (−)-2<i>S</i>-LP2 (<b>3</b>) were assayed. To investigate the pivotal role of <i>N</i>-normetazocine stereochemistry, we also synthesized the (+)-2<i>R</i>/<i>S</i>-LP2 (<b>7</b>), (+)-2<i>R</i>-LP2 (<b>8</b>), and (+)-2<i>S</i>-LP2 (<b>9</b>) compounds. (−)-2<i>R</i>/<i>S</i>-LP2 (<b>1</b>), (−)-2<i>R</i>-LP2 (<b>2</b>), and (−)-2<i>S</i>-LP2 (<b>3</b>) compounds have Ki values for σ1R ranging between 112.72 and 182.81 nM, showing a multitarget opioid/σ1R profile. Instead, (+)-2<i>R</i>/<i>S</i>-LP2 (<b>7</b>), (+)-2<i>R</i>-LP2 (<b>8</b>), and (+)-2<i>S</i>-LP2 (<b>9</b>) isomers displayed a nanomolar affinity for σ1R, with significative selectivity vs. σ2R and opioid receptors. All isomers were evaluated using an in vivo formalin test. (−)-2<i>S</i>-LP2, at 0.7 mg/kg i.p., showed a significative and naloxone-reversed analgesic effect. The σ1R selective compound (+)-2<i>R</i>/<i>S</i>-LP2 (<b>7</b>), at 5.0 mg/kg i.p., decreased the second phase of the formalin test, showing an antagonist σ1R profile. The multitarget or single target profile of assayed <i>N</i>-normetazocine derivatives could represent a promising pharmacological strategy to enhance opioid potency and/or increase the safety margin.https://www.mdpi.com/1420-3049/27/16/5135multitarget drugsMOR/DOR agonistsPRE-084formalin test
spellingShingle Rita Turnaturi
Santina Chiechio
Lorella Pasquinucci
Salvatore Spoto
Giuliana Costanzo
Maria Dichiara
Silvia Piana
Margherita Grasso
Emanuele Amata
Agostino Marrazzo
Carmela Parenti
Novel <i>N</i>-normetazocine Derivatives with Opioid Agonist/Sigma-1 Receptor Antagonist Profile as Potential Analgesics in Inflammatory Pain
Molecules
multitarget drugs
MOR/DOR agonists
PRE-084
formalin test
title Novel <i>N</i>-normetazocine Derivatives with Opioid Agonist/Sigma-1 Receptor Antagonist Profile as Potential Analgesics in Inflammatory Pain
title_full Novel <i>N</i>-normetazocine Derivatives with Opioid Agonist/Sigma-1 Receptor Antagonist Profile as Potential Analgesics in Inflammatory Pain
title_fullStr Novel <i>N</i>-normetazocine Derivatives with Opioid Agonist/Sigma-1 Receptor Antagonist Profile as Potential Analgesics in Inflammatory Pain
title_full_unstemmed Novel <i>N</i>-normetazocine Derivatives with Opioid Agonist/Sigma-1 Receptor Antagonist Profile as Potential Analgesics in Inflammatory Pain
title_short Novel <i>N</i>-normetazocine Derivatives with Opioid Agonist/Sigma-1 Receptor Antagonist Profile as Potential Analgesics in Inflammatory Pain
title_sort novel i n i normetazocine derivatives with opioid agonist sigma 1 receptor antagonist profile as potential analgesics in inflammatory pain
topic multitarget drugs
MOR/DOR agonists
PRE-084
formalin test
url https://www.mdpi.com/1420-3049/27/16/5135
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