Natural Products for the Treatment of Pain: Chemistry and Pharmacology of Salvinorin A, Mitragynine, and Collybolide

Biochemistry. 2021 May 11;60(18):1381-1400. doi: 10.1021/acs.biochem.0c00629. Epub 2020 Sep 22.

Abstract

Pain remains a very pervasive problem throughout medicine. Classical pain management is achieved through the use of opiates belonging to the mu opioid receptor (MOR) class, which have significant side effects that hinder their utility. Pharmacologists have been trying to develop opioids devoid of side effects since the isolation of morphine from papaver somniferum, more commonly known as opium by Sertürner in 1804. The natural products salvinorin A, mitragynine, and collybolide represent three nonmorphinan natural product-based targets, which are potent selective agonists of opioid receptors, and emerging next-generation analgesics. In this work, we review the phytochemistry and medicinal chemistry efforts on these templates and their effects on affinity, selectivity, analgesic actions, and a myriad of other opioid-receptor-related behavioral effects.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Biological Products / chemistry
  • Biological Products / pharmacology*
  • Biological Products / therapeutic use
  • Diterpenes, Clerodane / chemistry
  • Diterpenes, Clerodane / pharmacology*
  • Diterpenes, Clerodane / therapeutic use
  • Humans
  • Pain / drug therapy*
  • Phytotherapy
  • Secologanin Tryptamine Alkaloids / chemistry
  • Secologanin Tryptamine Alkaloids / pharmacology*
  • Secologanin Tryptamine Alkaloids / therapeutic use

Substances

  • Biological Products
  • Diterpenes, Clerodane
  • Secologanin Tryptamine Alkaloids
  • mitragynine
  • salvinorin A