Discovery, Structure-Activity Relationship, and Mechanistic Studies of 1-((3 R,4 S)-3-((Dimethylamino)methyl)-4-hydroxy-4-(3-methoxyphenyl)piperidin-1-yl)-2-(2,4,5-trifluorophenyl)ethan-1-one as a Novel Potent Analgesic

J Med Chem. 2021 Jul 8;64(13):9458-9483. doi: 10.1021/acs.jmedchem.1c00722. Epub 2021 Jun 21.

Abstract

Management of moderate to severe pain relies heavily on opioid analgesics such as morphine, oxycodone, and fentanyl in clinics. However, their prolonged use was associated with undesirable side effects. Many new strategies to reduce side effects have been proposed, but not without disadvantages. Using a hot plate model as a phenotypic screening method, our studies identified (3R,4S)-9d with a new scaffold as a potent analgesic with ED50 values of 0.54 mg/kg and 0.021 mg/kg in hot plate and antiwrithing models, respectively. Mechanistic studies showed that it elicited its analgesic effect via the active metabolite (3R,4S)-10a. The mechanism of (3R,4S)-10a-induced activation of the μ opioid receptor (MOR) was proposed by means of molecular dynamics (MD) simulation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetic Acid
  • Analgesics, Opioid / administration & dosage
  • Analgesics, Opioid / chemistry
  • Analgesics, Opioid / pharmacology*
  • Animals
  • Dose-Response Relationship, Drug
  • Drug Discovery*
  • Female
  • Injections, Intraventricular
  • Male
  • Mice
  • Mice, Inbred Strains
  • Models, Molecular
  • Molecular Structure
  • Pain / chemically induced
  • Pain / drug therapy*
  • Receptors, Opioid, mu / metabolism*
  • Structure-Activity Relationship

Substances

  • Analgesics, Opioid
  • Receptors, Opioid, mu
  • Acetic Acid