BioEssays,
Journal Year:
2022,
Volume and Issue:
44(7)
Published: May 22, 2022
The
author
has
stock
and
works
closely
with
Atelerix
Life
Sciences,
a
company
that
aims
to
develop
D-Cysteine
Ethyl
Ester
into
drug
reverse
opioid
induced
respiratory
depression.
Data
sharing
not
applicable
this
article
as
no
datasets
were
generated
or
analyzed
during
the
current
study.
Journal of Pharmacology and Experimental Therapeutics,
Journal Year:
2023,
Volume and Issue:
385(2), P. 117 - 134
Published: Feb. 24, 2023
The
opioid
overdose
death
toll
in
the
United
States
is
an
ongoing
public
health
crisis.
We
characterized
magnitude
and
duration
of
respiratory
depression,
leading
cause
cases,
induced
by
heroin
or
fentanyl
development
tolerance
male
female
rats.
used
whole-body
plethysmography
to
first
establish
dose-response
curves
recording
breathing
for
60
minutes
post-intravenous
injection.
then
tested
acute
over
several
weeks
chronic
with
challenge.
Heroin
each
provoked
dose-dependent
depression.
caused
prolonged
(45–60
minute)
depression
rats,
decreased
frequency,
tidal
volume,
minute
ventilation
increased
inspiratory
time
apneic
pause.
Fentanyl
produced
similar
changes
a
shorter
(10–15
minutes).
High-dose
robust
that
was
slightly
more
severe
females
and,
when
given
intermittently
(acute
doses
2
3
apart),
did
not
lead
tolerance.
In
contrast,
delivered
osmotic
minipump
resulted
heroin,
This
effect
persisted
during
withdrawal
males
only.
Our
model
experimental
design
will
allow
investigation
neurobiology
opioid-induced
testing
potential
therapeutics
reverse
stimulate
breathing.
SIGNIFICANCE
STATEMENT
potent
had
producing
than
both
sexes,
whereas
rats
were
sensitive
heroin-induced
Tolerance/cross-tolerance
develops
administration
but
minimized
long
interadministration
intervals.
Frontiers in Pharmacology,
Journal Year:
2024,
Volume and Issue:
15
Published: April 18, 2024
Fentanyl
elicits
profound
disturbances
in
ventilatory
control
processes
humans
and
experimental
animals.
The
traditional
viewpoint
with
respect
to
fentanyl-induced
respiratory
depression
is
that
once
the
effects
on
frequency
of
breathing
(Freq),
tidal
volume
(TV),
minute
ventilation
(MV
=
Freq
×
TV)
are
resolved,
then
no
longer
a
concern.
results
present
study
challenge
this
concept
findings,
as
they
reveal
while
apparent
inhibitory
fentanyl
(75
μg/kg,
IV)
Freq,
TV,
MV
adult
male
rats
were
fully
resolved
within
15
min,
many
other
responses
full
effect,
including
opposing
timing
parameters.
For
example,
although
at
inspiratory
duration
(Ti)
end
pause
(EIP)
elevated,
whereas
expiratory
(Te)
(EEP)
diminished.
Since
TV
had
subsided
it
would
be
expected
administration
an
opioid
receptor
(OR)
antagonist
have
minimal
if
parameters
resolved.
We
now
report
intravenous
injection
1.0
mg/kg
dose
peripherally
restricted
OR
antagonist,
methyl-naloxone
(naloxone
methiodide,
NLXmi),
did
not
elicit
arousal
but
elicited
some
relatively
minor
changes
MV,
Te,
EEP
pronounced
Ti
EIP.
In
contrast,
2.5
NLXmi
dramatic
variables,
which
associated
increases
non-apneic
events
such
apneas.
two
compelling
conclusions
from
follows:
1)
blockade
central
ORs
produced
by
apparently
2)
induced
activation
systems
counter-balancing
TV:
one
being
system
non-OR
excitatory
system.
Biomedicine & Pharmacotherapy,
Journal Year:
2022,
Volume and Issue:
153, P. 113277 - 113277
Published: June 17, 2022
There
is
an
urgent
need
for
development
of
drugs
that
are
able
to
reverse
the
adverse
effects
opioids
on
breathing
and
arterial
blood-gas
(ABG)
chemistry
while
preserving
opioid
analgesia.
The
present
study
describes
bolus
injections
N-acetyl-L-cysteine
(L-NAC,
500
μmol/kg,
IV)
ventilatory
parameters,
ABG
chemistry,
Alveolar-arterial
(A-a)
gradient,
sedation
(righting
reflex)
analgesia
status
(tail-flick
latency
assay)
in
unanesthetized
adult
male
Sprague
Dawley
rats
receiving
a
continuous
infusion
fentanyl
(1
μg/kg/min,
IV).
Fentanyl
elicited
pronounced
disturbances
(1)
parameters
(e.g.,
decreases
frequency
breathing,
tidal
volume
minute
ventilation),
(2)
(decreases
pH,
pO
Frontiers in Pharmacology,
Journal Year:
2022,
Volume and Issue:
13
Published: Sept. 28, 2022
We
are
developing
a
series
of
thiolesters
that
produce
an
immediate
and
sustained
reversal
the
deleterious
effects
opioids,
such
as
morphine
fentanyl,
on
ventilation
without
diminishing
antinociceptive
these
opioids.
report
here
systemic
injections
L-cysteine
methyl
ester
(L-CYSme)
morphine-induced
changes
in
ventilatory
parameters,
arterial-blood
gas
(ABG)
chemistry
(pH,
pCO2,
pO2,
sO2),
Alveolar-arterial
(A-a)
gradient
(i.e.,
index
alveolar
gas-exchange
within
lungs),
antinociception
unanesthetized
Sprague
Dawley
rats.
The
administration
(10
mg/kg,
IV)
produced
including
decreases
tidal
volume,
minute
ventilation,
inspiratory
drive
peak
flow
were
accompanied
by
increase
end
pause.
A
single
injection
L-CYSme
(500
μmol/kg,
rapid
long-lasting
second
elicited
pronounced
increases
to
values
well
above
pre-morphine
levels.
(250
or
500
also
arterial
blood
pH,
sO2
A-a
gradient,
whereas
itself
was
inactive.
did
not
appear
modulate
sedative
measured
righting
reflex
times,
but
diminish
duration,
however,
magnitude
actions
(5
10
determined
tail-flick
latency
hindpaw-withdrawal
assays.
These
findings
provide
evidence
can
powerfully
overcome
breathing
rats
while
affecting
early
stage
opioid.
mechanisms
which
interferes
with
OR-induced
signaling
pathways
mediate
performance,
diminishes
late
action
remain
be
determined.
Frontiers in Pharmacology,
Journal Year:
2023,
Volume and Issue:
14
Published: Sept. 19, 2023
Introduction:
Despite
their
inclination
to
induce
tolerance,
addictive
states,
and
respiratory
depression,
synthetic
opioids
are
among
the
most
effective
clinically
administered
drugs
treat
severe
acute/chronic
pain
surgical
anesthesia.
Current
medical
interventions
for
opioid-induced
depression
(OIRD),
wooden
chest
syndrome,
opioid
use
disorder
(OUD)
show
limited
efficacy
marked
by
low
success
in
face
of
highly
potent
such
as
fentanyl.
D-Cysteine
ethylester
(D-CYSee)
prevents
OIRD
post-treatment
withdrawal
male/female
rats
mice
with
minimal
effect
on
analgesic
status.
However,
potential
aversive
or
rewarding
effects
D-CYSee
have
yet
be
fully
characterized
its
could
compromised
interactions
opioid-reward
pathology.
Methods:
Using
a
model
fentanyl-induced
conditioned
place
preference
(CPP),
this
study
evaluated
1)
dose
sex
dependent
fentanyl
2)
extent
which
alters
affective
state
acquisition
seeking
behaviors.
Results:
Fentanyl
reward-related
were
found
dependent.
Male
exhibited
range-bound
response
centered
at
5
µg/kg.
Female
CPP
only
50
This
was
25%
females
remaining
75%
showing
no
significant
any
dose.
Pretreatment
100
mg/kg,
but
not
10
prevented
males
while
both
doses
preventing
females.
Discussion:
These
findings
suggest
that
is
an
co-treatment
prescribed
reduce
development
OUD.
Frontiers in Pharmacology,
Journal Year:
2024,
Volume and Issue:
14
Published: April 5, 2024
We
examined
whether
co-injections
of
the
cell-permeant
D-cysteine
analogues,
ethyl
ester
(D-CYSee)
and
amide
(D-CYSea),
prevent
acquisition
physical
dependence
induced
by
twice-daily
injections
fentanyl,
reverse
acquired
to
these
in
freely-moving
male
Sprague
Dawley
rats.
Injection
opioid
receptor
antagonist,
naloxone
HCl
(NLX,
1.5
mg/kg,
IV),
elicited
a
series
withdrawal
phenomena
that
included
cardiorespiratory
behavioral
responses,
falls
body
weight
temperature,
rats
received
5
or
10
fentanyl
(125
μg/kg,
same
number
vehicle
co-injections.
Regarding
development
dependence,
NLX-precipitated
were
markedly
reduced
fentanyl-injected
had
D-CYSee
(250
μmol/kg,
IV)
D-CYSea
(100
but
not
IV).
reversal
established
was
starting
with
injection
6
fentanyl.
This
study
provides
evidence
The
lack
effect
suggests
enhanced
cell-penetrability
into
cells,
particularly
within
brain,
is
key
their
ability
interact
intracellular
signaling
events
involved
Frontiers in Pharmacology,
Journal Year:
2024,
Volume and Issue:
15
Published: June 24, 2024
Our
lab
is
investigating
the
efficacy
profiles
of
tropine
analogs
against
opioid-induced
respiratory
depression.
The
companion
manuscript
reports
that
cell-permeant
tropeine,
ester
(Ibutropin),
produces
a
rapid
and
sustained
reversal
deleterious
actions
fentanyl
on
breathing,
alveolar-arterial
(A-a)
gradient
(i.e.,
index
alveolar
gas
exchange),
arterial
blood-gas
(ABG)
chemistry
in
freely-moving
male
Sprague
Dawley
rats,
while
not
compromising
analgesia.
We
report
here
contrast
to
Ibutropin,
injection
parent
molecule,
(200
μmol/kg,
IV),
worsens
adverse
(75
μg/kg,
IV)
ventilatory
parameters
(e.g.,
frequency
tidal
volume,
minute
ventilation,
peak
inspiratory
expiratory
flows,
drives),
A-a
gradient,
ABG
pH,
pCO
2
,
pO
sO
),
sedation
righting
reflex),
affecting
antinociception
tail-flick
latency)
rats.
These
data
suggest
augments
opioid
receptor-induced
signaling
events
mediate
breathing
exchange.
opposite
effects
Ibutropin
may
result
from
ability
readily
enter
peripheral
central
cells.
Of
direct
relevance
tropine,
resulting
hydrolysis
would
combat
Ibutropin-induced
fentanyl.
Because
numerous
drug
classes,
such
as
cocaine,
atropine,
neuromuscular
blocking
drugs
contain
moiety,
it
possible
their
has
unexpected/unintended
consequences.
Indeed,
others
have
found
exerts
same
behavioral
profile
cocaine
upon
administration.
Together,
these
add
valuable
information
about
pharmacological
properties
tropine.