Characterization of recent non-fentanyl synthetic opioids via three different in vitro µ-opioid receptor activation assays

Marthe M Vandeputte; Mattias Persson; Donna Walther; Svante Vikingsson; Robert Kronstrand; Michael H Baumann; Henrik Gréen; Christophe P Stove

doi:10.1007/s00204-021-03207-9

Characterization of recent non-fentanyl synthetic opioids via three different in vitro µ-opioid receptor activation assays

Arch Toxicol. 2022 Mar;96(3):877-897. doi: 10.1007/s00204-021-03207-9. Epub 2022 Jan 24.

Authors

Marthe M Vandeputte¹, Mattias Persson², Donna Walther³, Svante Vikingsson^{2

4

5}, Robert Kronstrand^{2

4}, Michael H Baumann³, Henrik Gréen^{2

4}, Christophe P Stove⁶

Affiliations

¹ Laboratory of Toxicology, Department of Bioanalysis, Faculty of Pharmaceutical Sciences, Ghent University, Ghent, Belgium.
² Department of Forensic Genetics and Forensic Toxicology, National Board of Forensic Medicine, Linköping, Sweden.
³ Designer Drug Research Unit, Intramural Research Program, National Institute on Drug Abuse, National Institutes of Health, Baltimore, MD, 21224, USA.
⁴ Division of Clinical Chemistry and Pharmacology, Department of Biomedical and Clinical Sciences, Faculty of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
⁵ RTI International, Research Triangle Park, NC, 27709, USA.
⁶ Laboratory of Toxicology, Department of Bioanalysis, Faculty of Pharmaceutical Sciences, Ghent University, Ghent, Belgium. Christophe.Stove@UGent.be.

PMID: 35072756
DOI: 10.1007/s00204-021-03207-9

Abstract

New synthetic opioids (NSOs) are one of the fastest growing groups of new psychoactive substances. Amid this dynamic landscape, insight into the pharmacology of NSOs is important to estimate the harm potential of newly emerging drugs. In this work, we determined the µ-opioid receptor (MOR) affinity and activation potential of seven poorly characterized non-fentanyl NSOs (N-ethyl-U-47700, 3,4-difluoro-U-47700, U-47931E/bromadoline, 2,4-difluoro-U-48800, U-62066/spiradoline, 2F-viminol, ketobemidone) and a panel of nine reference opioids. MOR affinity was determined via [³H]-DAMGO binding in rat brain tissue homogenates, and was found to correlate well with different functional parameters. MOR activation potential was studied at different levels of receptor signaling using three distinct assays (NanoBiT^® MOR-β-arrestin2/mini-G_αi and AequoScreen^®). The most active compounds were ketobemidone (EC₅₀ 32.8-528 nM; E_max 105-271%, relative to hydromorphone) and N-ethyl-U-47700 (EC₅₀ 241-767 nM; E_max 139-247%). The same opioids showed the strongest MOR affinity. As most of the other NSOs only weakly activated MOR in the three assays (EC₅₀ values in the high nM-µM range), they likely do not pose a high overdose risk. 2F-viminol (EC₅₀ 2.2-4.5 µM; E_max 21.2-61.5%) and U-47931E/bromadoline (EC₅₀ 0.55-2.9 µM; E_max 52.8-85.9%) were partial agonists compared to hydromorphone, and maximum receptor activation was not reached for 2,4-difluoro-U-48800 (EC₅₀ > 22 µM). We further highlight the importance of considering specific assay characteristics upon interpretation of potencies, efficacies and biased agonism. As absolute values may greatly differ between assays with varying experimental set-ups, a comparison of functional parameters to those of well-characterized reference agonists is considered the most informative.

Keywords: AequoScreen®; NanoBiT®; New psychoactive substances; New synthetic opioids; Non-fentanyl opioids; µ-Opioid receptor.

Publication types

Comparative Study

MeSH terms

Analgesics, Opioid / pharmacology*
Animals
HEK293 Cells
Humans
Hydromorphone / pharmacology
Male
Rats
Rats, Sprague-Dawley
Receptors, Opioid, mu / agonists*

Substances

Analgesics, Opioid
Receptors, Opioid, mu
Hydromorphone