Therapeutic and Prophylactic Vaccines to Counteract Fentanyl Use Disorders and Toxicity

The incidence of fatal overdoses has increased worldwide due to the widespread access to illicit fentanyl and its potent analogues. Vaccines offer a promising strategy to reduce the prevalence of opioid use disorders (OUDs) and to prevent toxicity from accidental and deliberate exposure to fentanyl...

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Veröffentlicht in:Journal of medicinal chemistry 2020-12, Vol.63 (23), p.14647-14667
Hauptverfasser: Robinson, Christine, Gradinati, Valeria, Hamid, Fatima, Baehr, Carly, Crouse, Bethany, Averick, Saadyah, Kovaliov, Marina, Harris, Danni, Runyon, Scott, Baruffaldi, Federico, LeSage, Mark, Comer, Sandra, Pravetoni, Marco
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container_end_page 14667
container_issue 23
container_start_page 14647
container_title Journal of medicinal chemistry
container_volume 63
creator Robinson, Christine
Gradinati, Valeria
Hamid, Fatima
Baehr, Carly
Crouse, Bethany
Averick, Saadyah
Kovaliov, Marina
Harris, Danni
Runyon, Scott
Baruffaldi, Federico
LeSage, Mark
Comer, Sandra
Pravetoni, Marco
description The incidence of fatal overdoses has increased worldwide due to the widespread access to illicit fentanyl and its potent analogues. Vaccines offer a promising strategy to reduce the prevalence of opioid use disorders (OUDs) and to prevent toxicity from accidental and deliberate exposure to fentanyl and its derivatives. This study describes the development and characterization of vaccine formulations consisting of novel fentanyl-based haptens conjugated to carrier proteins. Vaccine efficacy was tested against opioid-induced behavior and toxicity in mice and rats challenged with fentanyl and its analogues. Prophylactic vaccination reduced fentanyl- and sufentanil-induced antinociception, respiratory depression, and bradycardia in mice and rats. Therapeutic vaccination also reduced fentanyl intravenous self-administration in rats. Because of their selectivity, vaccines did not interfere with the pharmacological effects of commonly used anesthetics nor with methadone, naloxone, oxycodone, or heroin. These preclinical data support the translation of vaccines as a viable strategy to counteract fentanyl use disorders and toxicity.
doi_str_mv 10.1021/acs.jmedchem.0c01042
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Vaccines offer a promising strategy to reduce the prevalence of opioid use disorders (OUDs) and to prevent toxicity from accidental and deliberate exposure to fentanyl and its derivatives. This study describes the development and characterization of vaccine formulations consisting of novel fentanyl-based haptens conjugated to carrier proteins. Vaccine efficacy was tested against opioid-induced behavior and toxicity in mice and rats challenged with fentanyl and its analogues. Prophylactic vaccination reduced fentanyl- and sufentanil-induced antinociception, respiratory depression, and bradycardia in mice and rats. Therapeutic vaccination also reduced fentanyl intravenous self-administration in rats. Because of their selectivity, vaccines did not interfere with the pharmacological effects of commonly used anesthetics nor with methadone, naloxone, oxycodone, or heroin. 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Med. Chem</addtitle><description>The incidence of fatal overdoses has increased worldwide due to the widespread access to illicit fentanyl and its potent analogues. Vaccines offer a promising strategy to reduce the prevalence of opioid use disorders (OUDs) and to prevent toxicity from accidental and deliberate exposure to fentanyl and its derivatives. This study describes the development and characterization of vaccine formulations consisting of novel fentanyl-based haptens conjugated to carrier proteins. Vaccine efficacy was tested against opioid-induced behavior and toxicity in mice and rats challenged with fentanyl and its analogues. Prophylactic vaccination reduced fentanyl- and sufentanil-induced antinociception, respiratory depression, and bradycardia in mice and rats. Therapeutic vaccination also reduced fentanyl intravenous self-administration in rats. 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subjects Animals
Bacterial Proteins - chemistry
Bacterial Proteins - immunology
Cattle
Diphtheria Toxin - chemistry
Diphtheria Toxin - immunology
Female
Fentanyl - immunology
Haptens - chemistry
Haptens - immunology
Hemocyanins - chemistry
Hemocyanins - immunology
Male
Mice, Inbred BALB C
Opioid-Related Disorders - prevention & control
Opioid-Related Disorders - therapy
Piperidines - chemical synthesis
Piperidines - immunology
Proof of Concept Study
Rats, Sprague-Dawley
Serum Albumin, Bovine - chemistry
Serum Albumin, Bovine - immunology
Sufentanil - immunology
Vaccines - immunology
title Therapeutic and Prophylactic Vaccines to Counteract Fentanyl Use Disorders and Toxicity
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