Investigating the anti-cocaine, anti-nociceptive properties and side effects of MP1104, a novel mixed opioid receptor agonist

<p>Rationale: Drug addiction is a chronic, relapsing disease with great socioeconomic and morbidity costs. There are limited treatments, with no Food and Drug Administration approved pharmacotherapies available for psychostimulant addiction. In addition, the use of prescription opioid medications has reached epidemic proportions in the world. More than 40,000 deaths from prescription opioid overdose was reported in USA alone in the year 2017. There is an urgent need for the development of effective, non-addictive pain medications and addiction treatments. The opioid receptors play an important role in the modulation of pain and addiction. Mu opioid receptor (MOPr) agonists are widely used to treat pain, however, can also induce respiratory depression, tolerance and addiction. In contrast, drugs activating the kappa opioid receptor (KOPr) attenuate the rewarding properties of drugs, hence are promising non-addictive analgesics. However, side effects like aversion, sedation, anxiety and depression limit their clinical utility. Delta opioid receptor (DOPr) agonists have rewarding, anti-nociceptive and anti-depressive properties, but can also cause seizures. We hypothesise that development of mixed opioid receptor ligands may have therapeutic properties with reduced side effects. Therefore, this thesis evaluated MP1104, a potent mixed opioid receptor agonist, with full efficacy at all three receptors and 3- and 13-fold higher binding affinity for KOPr compared to MOPr and DOPr, respectively. MP1104 was evaluated for the ability to modulate cocaine-induced behaviours, the anti-nociceptive effects and side effects. Methods: Male Sprague-Dawley rats were used to investigate the effects of acute MP1104 treatment on cocaine self-administration and drug seeking behaviour. To determine the mechanism, the modulatory effect of MP1104 on dopamine transporter (DAT) function was assessed using rotating disk electrode voltammetry to measure dopamine uptake in rat dorsal striatum (dStr) and nucleus accumbens (NAc) tissue. Evaluation of side effects included sedation (spontaneous locomotor activity), anxiety (elevated plus maze (EPM)), aversion (conditioned place aversion (CPA)) and depression (forced swim tests (FST)) in rats. The anti-nociceptive effects were measured in the warm-water tail withdrawal assay in rats and male C57BL/6 mice. Acute and chronic administration of MP1104 were evaluated in the paclitaxel-induced neuropathic pain model in mice. Results: In rats trained to self-administer cocaine, acute MP1104 (0.3 and 1 mg/kg, i.p.) administration reduced cocaine-primed reinstatement of drug seeking behaviour and caused a significant downward shift in the cocaine dose-response curve. The anti-cocaine effects exerted by MP1104 are in part due to increased dopamine uptake by DAT in the NAc, which was KOPr-mediated. In the warm-water tail withdrawal assay in rats, acute administration of MP1104 (0.3 and 0.6 mg/kg, i.p.) was 4 times longer acting (8 h) than morphine (2 h). These effects were both KOPr and DOPr dependent. In the dose-response tail withdrawal assay, MP1104 was found to be potent in both rats (ED₅₀ = 0.58 mg/kg, s.c.) and mice (ED₅₀ = 0.35 mg/kg, s.c.). In the paclitaxel-induced neuropathic pain model, mice treated with MP1104 showed potent reductions in both mechanical (ED₅₀ = 0.449 mg/kg, s.c.) and cold (ED₅₀ = 0.479 mg/kg, s.c.) allodynia compared to morphine. Following chronic daily administration of the ED₈₀ dose, MP1104 (1.2 mg/kg, i.p.) was more potent than morphine in reducing mechanical and cold allodynia. Surprisingly, MP1104 reversed responding back to baseline (non-disease) levels. The most remarkable finding was that MP1104, unlike morphine did not produce tolerance when administered chronically. When the side effects of MP1104 were evaluated in rats, no significant anxiogenic effects were seen in the EPM, nor pro-depressive effects in the FST, nor aversion in CPA tests in rats. Furthermore, pre-treatment with a DOPr antagonist, led to MP1104 producing aversive effects. This data suggests that the DOPr agonist actions of MP1104 attenuate the KOPr-mediated aversive effects of MP1104. However, at higher doses, MP1104 (1 mg/kg, i.p.) was found to be sedative. Conclusions: MP1104 exerts potent anti-cocaine properties in self-administration tests. The reduced cocaine reward is at least in part due to the ability of MP1104 to modulate DAT function by increasing dopamine uptake in the NAc. MP1104 is also a potent and long-lasting anti-nociceptive agent in rats. Significantly, when evaluated in a chronic neuropathic pain model, MP1104 was potent with no tolerance to the anti-nociceptive effects observed. Moreover, MP1104 showed fewer side effects with reduced sedative effects and no observed anxiety, aversive, nor pro-depressive effects, unlike pure KOPr agonists. This data supports the therapeutic development of mixed opioid receptor agonists, particularly mixed KOPr/DOPr agonists as non-addictive pain medications and anti-cocaine pharmacotherapies with fewer side effects.</p>

Investigating the anti-cocaine, anti-nociceptive properties and side effects of MP1104, a novel mixed opioid receptor agonist

<p>Rationale: Drug addiction is a chronic, relapsing disease with great socioeconomic and morbidity costs. There are limited treatments, with no Food and Drug Administration approved pharmacotherapies available for psychostimulant addiction. In addition, the use of prescription opioid medications has reached epidemic proportions in the world. More than 40,000 deaths from prescription opioid overdose was reported in USA alone in the year 2017. There is an urgent need for the development of effective, non-addictive pain medications and addiction treatments. The opioid receptors play an important role in the modulation of pain and addiction. Mu opioid receptor (MOPr) agonists are widely used to treat pain, however, can also induce respiratory depression, tolerance and addiction. In contrast, drugs activating the kappa opioid receptor (KOPr) attenuate the rewarding properties of drugs, hence are promising non-addictive analgesics. However, side effects like aversion, sedation, anxiety and depression limit their clinical utility. Delta opioid receptor (DOPr) agonists have rewarding, anti-nociceptive and anti-depressive properties, but can also cause seizures. We hypothesise that development of mixed opioid receptor ligands may have therapeutic properties with reduced side effects. Therefore, this thesis evaluated MP1104, a potent mixed opioid receptor agonist, with full efficacy at all three receptors and 3- and 13-fold higher binding affinity for KOPr compared to MOPr and DOPr, respectively. MP1104 was evaluated for the ability to modulate cocaine-induced behaviours, the anti-nociceptive effects and side effects. Methods: Male Sprague-Dawley rats were used to investigate the effects of acute MP1104 treatment on cocaine self-administration and drug seeking behaviour. To determine the mechanism, the modulatory effect of MP1104 on dopamine transporter (DAT) function was assessed using rotating disk electrode voltammetry to measure dopamine uptake in rat dorsal striatum (dStr) and nucleus accumbens (NAc) tissue. Evaluation of side effects included sedation (spontaneous locomotor activity), anxiety (elevated plus maze (EPM)), aversion (conditioned place aversion (CPA)) and depression (forced swim tests (FST)) in rats. The anti-nociceptive effects were measured in the warm-water tail withdrawal assay in rats and male C57BL/6 mice. Acute and chronic administration of MP1104 were evaluated in the paclitaxel-induced neuropathic pain model in mice. Results: In rats trained to self-administer cocaine, acute MP1104 (0.3 and 1 mg/kg, i.p.) administration reduced cocaine-primed reinstatement of drug seeking behaviour and caused a significant downward shift in the cocaine dose-response curve. The anti-cocaine effects exerted by MP1104 are in part due to increased dopamine uptake by DAT in the NAc, which was KOPr-mediated. In the warm-water tail withdrawal assay in rats, acute administration of MP1104 (0.3 and 0.6 mg/kg, i.p.) was 4 times longer acting (8 h) than morphine (2 h). These effects were both KOPr and DOPr dependent. In the dose-response tail withdrawal assay, MP1104 was found to be potent in both rats (ED₅₀ = 0.58 mg/kg, s.c.) and mice (ED₅₀ = 0.35 mg/kg, s.c.). In the paclitaxel-induced neuropathic pain model, mice treated with MP1104 showed potent reductions in both mechanical (ED₅₀ = 0.449 mg/kg, s.c.) and cold (ED₅₀ = 0.479 mg/kg, s.c.) allodynia compared to morphine. Following chronic daily administration of the ED₈₀ dose, MP1104 (1.2 mg/kg, i.p.) was more potent than morphine in reducing mechanical and cold allodynia. Surprisingly, MP1104 reversed responding back to baseline (non-disease) levels. The most remarkable finding was that MP1104, unlike morphine did not produce tolerance when administered chronically. When the side effects of MP1104 were evaluated in rats, no significant anxiogenic effects were seen in the EPM, nor pro-depressive effects in the FST, nor aversion in CPA tests in rats. Furthermore, pre-treatment with a DOPr antagonist, led to MP1104 producing aversive effects. This data suggests that the DOPr agonist actions of MP1104 attenuate the KOPr-mediated aversive effects of MP1104. However, at higher doses, MP1104 (1 mg/kg, i.p.) was found to be sedative. Conclusions: MP1104 exerts potent anti-cocaine properties in self-administration tests. The reduced cocaine reward is at least in part due to the ability of MP1104 to modulate DAT function by increasing dopamine uptake in the NAc. MP1104 is also a potent and long-lasting anti-nociceptive agent in rats. Significantly, when evaluated in a chronic neuropathic pain model, MP1104 was potent with no tolerance to the anti-nociceptive effects observed. Moreover, MP1104 showed fewer side effects with reduced sedative effects and no observed anxiety, aversive, nor pro-depressive effects, unlike pure KOPr agonists. This data supports the therapeutic development of mixed opioid receptor agonists, particularly mixed KOPr/DOPr agonists as non-addictive pain medications and anti-cocaine pharmacotherapies with fewer side effects.</p>

Mutations of Human DopamineTransporter at Tyrosine88, Aspartic Acid206, and Histidine547 Influence Basal and HIV-1 Tat‐inhibited Dopamine Transport

HIV-1 transactivator of transcription (Tat) has a great impact on the development of HIV-1 associated neurocognitive disorders through disrupting dopamine transmission. This study determined the mutational effects of human dopamine transporter (hDAT) on basal and Tat-induced inhibition of dopamine transport. Compared to wild-type hDAT, the maximal velocity (Vmax) of [3H]dopamine uptake was decreased in D381L and Y88F/D206L/H547A, increased in D206L/H547A, and unaltered in D206L. Recombinant TatR1 − 86 inhibited dopamine uptake in wild-type hDAT, which was attenuated in either DAT mutants (D206L, D206L/H547A, and Y88F/D206L/H547A) or mutated TatR1 − 86 (K19A and C22G), demonstrating perturbed Tat-DAT interaction. Mutational effects of hDAT on the transporter conformation were evidenced by attenuation of zinc-induced increased [3H]WIN35,428 binding in D206L/H547A and Y88F/D206A/H547A and enhanced basal MPP+ efflux in D206L/H547A. H547A-induced outward-open transport conformational state was further validated by enhanced accessibility to MTSET ([2-(trimethylammonium)ethyl]-methanethiosulfonate) of an inserted cysteine (I159C) on a hDAT background.. Furthermore, H547A displayed an increase in palmitoylation inhibitor-induced inhibition of dopamine uptake relative to wide-type hDAT, indicating a change in basal palmitoylation in H547A. These results demonstrate that Y88F, D206L, and H547A attenuate Tat inhibition while preserving DA uptake, providing insights into identifying targets for improving DAT-mediated dopaminergic dysregulation. Graphical Abstract HIV-1 Tat inhibits dopamine uptake through human dopamine transporter (hDAT) on the presynaptic terminal through a direct allosteric interaction. Key hDAT residues D-H547, D-Y88, and D-D206 are predicted to be involved in the HIV-1 Tat-DAT binding. Mutating these residues attenuates this inhibitory effect by disrupting the Tat-hDAT interaction

β-synuclein promotes synaptic vesicle dopamine uptake and rescues dopaminergic neurons from MPTP-induced death

Background. Previous studies demonstrated that dopaminergic neurons in the substantia nigra pars compacta (SNpc) of mice with null mutations for genes encoding α-synuclein and/or γ-synuclein are resistant to 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) toxicity. An original straightforward interpretation of these results was that these proteins are directly involved in the mechanism of MPTP-induced degeneration and this view has become commonly accepted. Here we provide evidence that a plausible alternative explanation of this resistance is not the absence of these synucleins per se but their substitution on the membrane of synaptic vesicles by the third member of the family, β-synuclein. Methods. An effect of sub-chronic MPTP regimen on dopaminergic neurons of SNpc was studied in mice lacking members of the synuclein family in all possible combinations. Dopamine uptake was assessed in synaptic vesicles isolated from synuclein null mutant mice. Protein composition of synaptic vesicles was studied by mass spectrometry. Results. Dopaminergic neurons of mice lacking β-synuclein singularly or in combination with the loss of other synucleins, were sensitive to the toxic effect of MPTP. Dopamine uptake by synaptic vesicles isolated from the striatum of triple α/β/γ-synuclein deficient mice was significantly reduced, while reintroduction of β-synuclein either in vivo or in vitro reversed this effect. Proteomic analysis of complexes formed on the surface of synuclein-free synaptic vesicles after addition of recombinant β-synuclein identified multiple integral constituents of these vesicles as well as typically cytosolic proteins, including key enzymes involved in dopamine synthesis, tyrosine hydroxylase (TH) and aromatic L-amino acid decarboxylase (AADC). Conclusions. Of the three members of the synuclein family, only β-synuclein can play a scaffolding role for the assembly of molecular complexes that potentiate the ability of synaptic vesicles to uptake and sequester dopamine and other structurally similar molecules, including 1-methyl-4-phenylpyridinium (MPP+), a toxic metabolite of MPTP. The increased presence and activity of β-synuclein at the synaptic vesicles, and not the absence of other synucleins per se, explains the decreased sensitivity to MPTP toxicity of SNpc dopaminergic neurons in mice lacking α-synuclein and/or γ-synuclein.