The present work represents the in vitro (potency, affinity, efficacy) and in vivo (antinociception, constipation) opioid pharmacology of the novel compound 14-methoxycodeine-6-O-sulfate (14-OMeC6SU), compared to the reference compounds codeine-6-O-sulfate (C6SU), codeine and morphine. Based on in vitro tests (mouse and rat vas deferens, receptor binding and [35S]GTPγS activation assays), 14-OMeC6SU has µ-opioid receptor-mediated activity, displaying higher affinity, potency and efficacy than the parent compounds. In rats, 14-OMeC6SU showed stronger antinociceptive effect in the tail-flick assay than codeine and was equipotent to morphine, whereas C6SU was less efficacious after subcutaneous (s.c.) administration. Following intracerebroventricular injection, 14-OMeC6SU was more potent than morphine. In the Complete Freund’s Adjuvant-induced inflammatory hyperalgesia, 14-OMeC6SU and C6SU in s.c. doses up to 6.1 and 13.2 µmol/kg, respectively, showed peripheral antihyperalgesic effect, because co-administered naloxone methiodide, a peripherally acting opioid receptor antagonist antagonized the measured antihyperalgesia. In addition, s.c. C6SU showed less pronounced inhibitory effect on the gastrointestinal transit than 14-OMeC6SU, codeine and morphine. This study provides first evidence that 14-OMeC6SU is more effective than codeine or C6SU in vitro and in vivo. Furthermore, despite C6SU peripheral antihyperalgesic effects with less gastrointestinal side effects the superiority of 14-OMeC6SU was obvious throughout the present study.
这项研究代表了新型化合物14-甲氧基可待因-6-O-硫酸酯(14-OMeC6SU)的体外(效力、亲和力、功效)和体内(镇痛、便秘)阿片类药理学,与参考化合物可待因-6-O-硫酸酯(C6SU)、可待因和吗啡进行比较。根据体外实验(小鼠和大鼠输精管、受体结合和[35S]GTPγS激活实验),14-OMeC6SU具有µ-阿片受体介导的活性,显示出比母体化合物更高的亲和力、效力和功效。在大鼠中,14-OMeC6SU在尾巴反射实验中显示出比可待因更强的镇痛效果,并且与吗啡具有相同的效力,而C6SU在皮下给药后的效力较低。经脑室内注射后,14-OMeC6SU比吗啡更有效。在完全弗氏佐剂诱导的炎症性高敏感性实验中,14-OMeC6SU和C6SU在皮下剂量分别为6.1和13.2 µmol/kg时显示出外周抗高敏感性效果,因为共同给予的外周作用阿片受体拮抗剂纳洛酮甲碘化物拮抗了测得的抗高敏感性。此外,皮下给药的C6SU对胃肠道传递的抑制作用较14-OMeC6SU、可待因和吗啡为轻。这项研究首次证明了14-OMeC6SU在体内和体外比可待因或C6SU更有效。此外,尽管C6SU具有外周抗高敏感性作用且胃肠道副作用较轻,但在整个研究中14-OMeC6SU的优越性是显而易见的。