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The selective 5-HT2A receptor agonist 25CN-NBOH: structure-activity relationship, in vivo pharmacology, and in vitro and ex vivo binding characteristics of [3H]25CN-NBOH.

A. Jensen, A. Halberstadt, Emil Märcher-Rørsted, Anna U. Odland, M. Chatha, N. Speth, Gudrun Liebscher, Martin Hansen, H. Bräuner‐osborne, M. Palner, J. T. Andreasen, J. Kristensen

Biochemical Pharmacology April 13, 2020 Peer reviewed DOI: 10.1016/j.bcp.2020.113979 via Semantic Scholar

Summary

A series of novel analogs of the highly selective 5-HT2A receptor agonist 25CN-NBOH were synthesized and characterized. Modifications at the 2' and 3' positions of the molecule affected binding affinity, agonist potency, and efficacy; some analogs showed substantially lower activity, while others retained it. All six analogs exhibited partial agonism or antagonism at the 5-HT2A receptor. In mice, 25CN-NBOH and a close analog induced head-twitch responses and reduced marble burying, supporting potential benefits for cognitive rigidity. A tritiated version of 25CN-NBOH showed high binding affinity and selectivity, and specific binding to cortex in rat brain slices.

Study at a glance

Design experimental study
Population mice and rat brain slices
Key finding Modifications at the 2' and 3' positions of 25CN-NBOH critically determine its 5-HT2A receptor activity, and the compound and its analogs show potential as in vivo tools for studying this receptor.

Abstract

The remarkable effects exhibited by classical psychedelics in recent clinical trials have spawned considerable interest in 5-HT2A receptor (5-HT2AR) activation as a treatment strategy for several psychiatric/cognitive disorders. In this study we have continued our development of 25CN-NBOH, one of the most 5-HT2AR-selective agonists reported to date, as a pharmacological tool for exploration of 5-HT2AR expression and functions. The importance of the 2' and 3' positions in 25CN-NBOH as structural hotspots for its 5-HT2AR activity was investigated by synthesis and characterization of six novel analogs at 5-HT2AR and 5-HT2CR in binding and functional assays. While the 5-HT2AR activity of 25CN-NBOH was retained in 3'-methyl, 2',3'-chroman, 2',3'-dihydrofuran and 2',3'-furan analogs, the 3'-methoxy and 3'-ethyl analogs displayed substantially lower binding affinities and agonist potencies than 25CN-NBOH. Interestingly, the 2',3'-substitution pattern was also a key determinant of agonist efficacy, as all six analogs exhibited pronounced partial agonism or defacto antagonism at the 5-HT2AR in the functional assays. Systemic administration of 25CN-NBOH and its close structural analog 25CN-NBMD induced robust head-twitch response in mice, a well-established behavioural effect of 5-HT2AR activation in vivo, and 25CN-NBOH mediated robust reductions in the activity of mice in an anxiety-related marble burying assay, which supports the proposed beneficial effects of 5-HT2AR activation on disorders characterized by cognitive rigidity. Finally, tritiated 25CN-NBOH exhibited high 5-HT2AR binding affinity (KD ∼1 nM) and selectivity against 5-HT2BR and 5-HT2CR in equilibrium and kinetic binding studies of the recombinant receptors, and in concordance [3H]25CN-NBOH displayed substantial specific, ketanserin-sensitive binding to cortex and small levels of binding to choroid plexus in rat brain slices in autoradiography studies. In conclusion, this work delineates the subtle molecular determinants of 5-HT2AR activity in 25CN-NBOH, substantiates the potential in this compound and its analogs as tools for in vivo studies of 5-HT2AR, and introduces a novel selective agonist radioligand as another valuable tool for future explorations of this receptor.

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