Cebranopadol: A Novel Potent Analgesic Nociceptin/Orphanin FQ Peptide and Opioid Receptor Agonist

Cebranopadol (trans-6′-fluoro-4′,9′-dihydro-N,N-dimethyl-4-phenyl-spiro[cyclohexane-1,1′(3′H)-pyrano[3,4-b]indol]-4-amine) is a novel analgesic nociceptin/orphanin FQ peptide (NOP) and opioid receptor agonist [Ki (nM)/EC50 (nM)/relative efficacy (%): human NOP receptor 0.9/13.0/89; human mu-opioid p...

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Veröffentlicht in:The Journal of pharmacology and experimental therapeutics 2014-06, Vol.349 (3), p.535-548
Hauptverfasser: Linz, Klaus, Christoph, Thomas, Tzschentke, Thomas M., Koch, Thomas, Schiene, Klaus, Gautrois, Michael, Schröder, Wolfgang, Kögel, Babette Y., Beier, Horst, Englberger, Werner, Schunk, Stefan, De Vry, Jean, Jahnel, Ulrich, Frosch, Stefanie
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container_issue 3
container_start_page 535
container_title The Journal of pharmacology and experimental therapeutics
container_volume 349
creator Linz, Klaus
Christoph, Thomas
Tzschentke, Thomas M.
Koch, Thomas
Schiene, Klaus
Gautrois, Michael
Schröder, Wolfgang
Kögel, Babette Y.
Beier, Horst
Englberger, Werner
Schunk, Stefan
De Vry, Jean
Jahnel, Ulrich
Frosch, Stefanie
description Cebranopadol (trans-6′-fluoro-4′,9′-dihydro-N,N-dimethyl-4-phenyl-spiro[cyclohexane-1,1′(3′H)-pyrano[3,4-b]indol]-4-amine) is a novel analgesic nociceptin/orphanin FQ peptide (NOP) and opioid receptor agonist [Ki (nM)/EC50 (nM)/relative efficacy (%): human NOP receptor 0.9/13.0/89; human mu-opioid peptide (MOP) receptor 0.7/1.2/104; human kappa-opioid peptide receptor 2.6/17/67; human delta-opioid peptide receptor 18/110/105]. Cebranopadol exhibits highly potent and efficacious antinociceptive and antihypersensitive effects in several rat models of acute and chronic pain (tail-flick, rheumatoid arthritis, bone cancer, spinal nerve ligation, diabetic neuropathy) with ED50 values of 0.5−5.6 µg/kg after intravenous and 25.1 µg/kg after oral administration. In comparison with selective MOP receptor agonists, cebranopadol was more potent in models of chronic neuropathic than acute nociceptive pain. Cebranopadol’s duration of action is long (up to 7 hours after intravenous 12 µg/kg; >9 hours after oral 55 µg/kg in the rat tail-flick test). The antihypersensitive activity of cebranopadol in the spinal nerve ligation model was partially reversed by pretreatment with the selective NOP receptor antagonist J-113397[1-[(3R,4R)-1-cyclooctylmethyl-3-hydroxymethyl-4-piperidyl]-3-ethyl-1,3-dihydro-2H-benzimidazol-2-one] or the opioid receptor antagonist naloxone, indicating that both NOP and opioid receptor agonism are involved in this activity. Development of analgesic tolerance in the chronic constriction injury model was clearly delayed compared with that from an equianalgesic dose of morphine (complete tolerance on day 26 versus day 11, respectively). Unlike morphine, cebranopadol did not disrupt motor coordination and respiration at doses within and exceeding the analgesic dose range. Cebranopadol, by its combination of agonism at NOP and opioid receptors, affords highly potent and efficacious analgesia in various pain models with a favorable side effect profile.
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Cebranopadol exhibits highly potent and efficacious antinociceptive and antihypersensitive effects in several rat models of acute and chronic pain (tail-flick, rheumatoid arthritis, bone cancer, spinal nerve ligation, diabetic neuropathy) with ED50 values of 0.5−5.6 µg/kg after intravenous and 25.1 µg/kg after oral administration. In comparison with selective MOP receptor agonists, cebranopadol was more potent in models of chronic neuropathic than acute nociceptive pain. Cebranopadol’s duration of action is long (up to 7 hours after intravenous 12 µg/kg; &gt;9 hours after oral 55 µg/kg in the rat tail-flick test). The antihypersensitive activity of cebranopadol in the spinal nerve ligation model was partially reversed by pretreatment with the selective NOP receptor antagonist J-113397[1-[(3R,4R)-1-cyclooctylmethyl-3-hydroxymethyl-4-piperidyl]-3-ethyl-1,3-dihydro-2H-benzimidazol-2-one] or the opioid receptor antagonist naloxone, indicating that both NOP and opioid receptor agonism are involved in this activity. Development of analgesic tolerance in the chronic constriction injury model was clearly delayed compared with that from an equianalgesic dose of morphine (complete tolerance on day 26 versus day 11, respectively). Unlike morphine, cebranopadol did not disrupt motor coordination and respiration at doses within and exceeding the analgesic dose range. 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Cebranopadol exhibits highly potent and efficacious antinociceptive and antihypersensitive effects in several rat models of acute and chronic pain (tail-flick, rheumatoid arthritis, bone cancer, spinal nerve ligation, diabetic neuropathy) with ED50 values of 0.5−5.6 µg/kg after intravenous and 25.1 µg/kg after oral administration. In comparison with selective MOP receptor agonists, cebranopadol was more potent in models of chronic neuropathic than acute nociceptive pain. Cebranopadol’s duration of action is long (up to 7 hours after intravenous 12 µg/kg; &gt;9 hours after oral 55 µg/kg in the rat tail-flick test). The antihypersensitive activity of cebranopadol in the spinal nerve ligation model was partially reversed by pretreatment with the selective NOP receptor antagonist J-113397[1-[(3R,4R)-1-cyclooctylmethyl-3-hydroxymethyl-4-piperidyl]-3-ethyl-1,3-dihydro-2H-benzimidazol-2-one] or the opioid receptor antagonist naloxone, indicating that both NOP and opioid receptor agonism are involved in this activity. Development of analgesic tolerance in the chronic constriction injury model was clearly delayed compared with that from an equianalgesic dose of morphine (complete tolerance on day 26 versus day 11, respectively). Unlike morphine, cebranopadol did not disrupt motor coordination and respiration at doses within and exceeding the analgesic dose range. 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dosage</subject><subject>Indoles - adverse effects</subject><subject>Indoles - pharmacology</subject><subject>Indoles - therapeutic use</subject><subject>Male</subject><subject>Nociceptin</subject><subject>Opioid Peptides - agonists</subject><subject>Pain - drug therapy</subject><subject>Pain - etiology</subject><subject>Pain - metabolism</subject><subject>Polyneuropathies - complications</subject><subject>Polyneuropathies - drug therapy</subject><subject>Polyneuropathies - metabolism</subject><subject>Protein Binding</subject><subject>Radioligand Assay</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>Rats, Wistar</subject><subject>Receptors, Opioid - agonists</subject><subject>Rotarod Performance Test</subject><subject>Spiro Compounds - administration &amp; dosage</subject><subject>Spiro Compounds - adverse effects</subject><subject>Spiro Compounds - pharmacology</subject><subject>Spiro Compounds - therapeutic use</subject><issn>0022-3565</issn><issn>1521-0103</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kF9LwzAUxYMobk6ffZN8gW751y71rQynwnBT9Llkye3M6JKS1MG-vS1V33y6h8PvHC4HoVtKppQyMds30HZKTBnlWS7O0JimjCaEEn6OxoQwlvA0S0foKsY9IVSIjF-iERNzyqkgY6QWsA3K-UYZX9_jAr_4I9R441twLS6cqncQre5sbTU0rXWzdWg-lbMOL1_xprcMYOUMXjfWW4PfoOd8wMXOOxvba3RRqTrCzc-doI_lw_viKVmtH58XxSrRnMg2UbyqtDYSSFVJAiankmVsTgFSqioFLFdMZgA84_mWzVWuADKVSpCSE8oMn6DZ0KuDjzFAVTbBHlQ4lZSU_VhlP1anRDmM1SXuhkTztT2A-eN_1-mAfACg-_toIZRRW3AajA2g29J4-2_5N6G4efY</recordid><startdate>201406</startdate><enddate>201406</enddate><creator>Linz, Klaus</creator><creator>Christoph, Thomas</creator><creator>Tzschentke, Thomas M.</creator><creator>Koch, Thomas</creator><creator>Schiene, Klaus</creator><creator>Gautrois, Michael</creator><creator>Schröder, Wolfgang</creator><creator>Kögel, Babette Y.</creator><creator>Beier, Horst</creator><creator>Englberger, Werner</creator><creator>Schunk, Stefan</creator><creator>De Vry, Jean</creator><creator>Jahnel, Ulrich</creator><creator>Frosch, Stefanie</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>201406</creationdate><title>Cebranopadol: A Novel Potent Analgesic Nociceptin/Orphanin FQ Peptide and Opioid Receptor Agonist</title><author>Linz, Klaus ; Christoph, Thomas ; Tzschentke, Thomas M. ; Koch, Thomas ; Schiene, Klaus ; Gautrois, Michael ; Schröder, Wolfgang ; Kögel, Babette Y. ; Beier, Horst ; Englberger, Werner ; Schunk, Stefan ; De Vry, Jean ; Jahnel, Ulrich ; Frosch, Stefanie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c308t-a3ffccd8e0ff80ed91826271ee51afae29a286ee3639b27a9aee6a58e883012d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Analgesics, Opioid - administration &amp; dosage</topic><topic>Analgesics, Opioid - adverse effects</topic><topic>Analgesics, Opioid - pharmacology</topic><topic>Analgesics, Opioid - therapeutic use</topic><topic>Animals</topic><topic>Arthritis, Experimental - complications</topic><topic>Arthritis, Experimental - drug therapy</topic><topic>Arthritis, Experimental - metabolism</topic><topic>Behavior, Animal - drug effects</topic><topic>Bone Neoplasms - complications</topic><topic>Bone Neoplasms - drug therapy</topic><topic>Bone Neoplasms - metabolism</topic><topic>Cell Membrane - drug effects</topic><topic>Cell Membrane - metabolism</topic><topic>CHO Cells</topic><topic>Cricetinae</topic><topic>Cricetulus</topic><topic>Female</topic><topic>Indoles - administration &amp; 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human mu-opioid peptide (MOP) receptor 0.7/1.2/104; human kappa-opioid peptide receptor 2.6/17/67; human delta-opioid peptide receptor 18/110/105]. Cebranopadol exhibits highly potent and efficacious antinociceptive and antihypersensitive effects in several rat models of acute and chronic pain (tail-flick, rheumatoid arthritis, bone cancer, spinal nerve ligation, diabetic neuropathy) with ED50 values of 0.5−5.6 µg/kg after intravenous and 25.1 µg/kg after oral administration. In comparison with selective MOP receptor agonists, cebranopadol was more potent in models of chronic neuropathic than acute nociceptive pain. Cebranopadol’s duration of action is long (up to 7 hours after intravenous 12 µg/kg; &gt;9 hours after oral 55 µg/kg in the rat tail-flick test). The antihypersensitive activity of cebranopadol in the spinal nerve ligation model was partially reversed by pretreatment with the selective NOP receptor antagonist J-113397[1-[(3R,4R)-1-cyclooctylmethyl-3-hydroxymethyl-4-piperidyl]-3-ethyl-1,3-dihydro-2H-benzimidazol-2-one] or the opioid receptor antagonist naloxone, indicating that both NOP and opioid receptor agonism are involved in this activity. Development of analgesic tolerance in the chronic constriction injury model was clearly delayed compared with that from an equianalgesic dose of morphine (complete tolerance on day 26 versus day 11, respectively). Unlike morphine, cebranopadol did not disrupt motor coordination and respiration at doses within and exceeding the analgesic dose range. Cebranopadol, by its combination of agonism at NOP and opioid receptors, affords highly potent and efficacious analgesia in various pain models with a favorable side effect profile.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24713140</pmid><doi>10.1124/jpet.114.213694</doi><tpages>14</tpages></addata></record>
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subjects Analgesics, Opioid - administration & dosage
Analgesics, Opioid - adverse effects
Analgesics, Opioid - pharmacology
Analgesics, Opioid - therapeutic use
Animals
Arthritis, Experimental - complications
Arthritis, Experimental - drug therapy
Arthritis, Experimental - metabolism
Behavior, Animal - drug effects
Bone Neoplasms - complications
Bone Neoplasms - drug therapy
Bone Neoplasms - metabolism
Cell Membrane - drug effects
Cell Membrane - metabolism
CHO Cells
Cricetinae
Cricetulus
Female
Indoles - administration & dosage
Indoles - adverse effects
Indoles - pharmacology
Indoles - therapeutic use
Male
Nociceptin
Opioid Peptides - agonists
Pain - drug therapy
Pain - etiology
Pain - metabolism
Polyneuropathies - complications
Polyneuropathies - drug therapy
Polyneuropathies - metabolism
Protein Binding
Radioligand Assay
Rats
Rats, Sprague-Dawley
Rats, Wistar
Receptors, Opioid - agonists
Rotarod Performance Test
Spiro Compounds - administration & dosage
Spiro Compounds - adverse effects
Spiro Compounds - pharmacology
Spiro Compounds - therapeutic use
title Cebranopadol: A Novel Potent Analgesic Nociceptin/Orphanin FQ Peptide and Opioid Receptor Agonist
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