Literature DB >> 27510489

Enkephalin-Fentanyl Multifunctional Opioids as Potential Neuroprotectants for Ischemic Stroke Treatment.

Mohammad Rashedul Islam, Li Yang, Yeon Sun Lee, Victor J Hruby, Vardan T Karamyan, Thomas J Abbruscato1.   

Abstract

BACKGROUND: Ischemic stroke is one of the leading causes of mortality and morbidity in the world and effective neuroprotectants are yet to be developed. Recent studies have demonstrated excellent neuroprotective effects of a bivalent enkephalin opioid agonist, biphalin in multiple stroke models.
METHODS: The purpose of this study is to evaluate novel multifunctional enkephalin-fentanyl opioid agonists, LYS436, LYS739 and LYS416 for their neuroprotective potential using in vitro and in vivo ischemic stroke models and to compare the effect to that of biphalin.
RESULTS: In general, all non-selective opioid agonists significantly decreased neuronal cell death and levels of reactive oxygen species in primary neurons subjescted to hypoxia-aglycemia/re-oxygenation or NMDA neurotoxicity. Fluorinated enkephalin-fentanyl conjugate, LYS739 showed enhanced neuroprotection in both in vitro models compared to biphalin. Based on further in vitro screening and comparative studies to biphalin, LYS739 was selected as a lead for in vivo experimentation. A mouse middle cerebral artery occlusion (MCAO) stroke model was utilized to study biphalin and the lead analog, LYS739. Both agonists significantly decreased brain infarct and edema ratios compared to saline treated group. Neurological impairment after stroke was statistically significantly improved in terms of neurological score and locomotor activities with LYS739 and biphalin treatment. Importantly, LYS739 and biphalin demonstrated better neuroprotection compared to fentanyl, and this effect was reversed by non-selective opioid antagonist naltrexone.
CONCLUSION: In summary, the results of this study suggest that the multifunctional fluorinated enkephalin analog, LYS739 can be considered as a potential lead for ischemic stroke research and may provide advantages given the multimeric peptide-opiate structure. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

Entities:  

Keywords:  Biphalin; Enkephalin-fentanyl conjugates; Ischemic stroke; Neuroprotection; multifunctional opioids

Mesh:

Substances:

Year:  2016        PMID: 27510489     DOI: 10.2174/1381612822666160720170124

Source DB:  PubMed          Journal:  Curr Pharm Des        ISSN: 1381-6128            Impact factor:   3.116


  8 in total

1.  Nicotine and electronic cigarette (E-Cig) exposure decreases brain glucose utilization in ischemic stroke.

Authors:  Ali E Sifat; Bhuvaneshwar Vaidya; Mohammad A Kaisar; Luca Cucullo; Thomas J Abbruscato
Journal:  J Neurochem       Date:  2018-10-18       Impact factor: 5.372

2.  Plasma Pro-Enkephalin A and Ischemic Stroke Risk: The Reasons for Geographic and Racial Differences in Stroke Cohort.

Authors:  Samuel Ap Short; Katherine Wilkinson; D Leann Long; Suzanne Judd; Janin Schulte; Brett M Kissela; George Howard; Mary Cushman
Journal:  J Stroke Cerebrovasc Dis       Date:  2021-12-09       Impact factor: 2.136

3.  The safety and efficacy of dexmedetomidine versus propofol for patients undergoing endovascular therapy for acute stroke: A prospective randomized control trial.

Authors:  Bin Wu; Hongping Hu; Ailan Cai; Chunguang Ren; Shengjie Liu
Journal:  Medicine (Baltimore)       Date:  2019-05       Impact factor: 1.817

Review 4.  Blood-Brain Barrier Transporters: Opportunities for Therapeutic Development in Ischemic Stroke.

Authors:  Kelsy L Nilles; Erica I Williams; Robert D Betterton; Thomas P Davis; Patrick T Ronaldson
Journal:  Int J Mol Sci       Date:  2022-02-08       Impact factor: 5.923

Review 5.  Transport Mechanisms at the Blood-Brain Barrier and in Cellular Compartments of the Neurovascular Unit: Focus on CNS Delivery of Small Molecule Drugs.

Authors:  Patrick T Ronaldson; Thomas P Davis
Journal:  Pharmaceutics       Date:  2022-07-20       Impact factor: 6.525

6.  Multifunctional Enkephalin Analogs with a New Biological Profile: MOR/DOR Agonism and KOR Antagonism.

Authors:  Yeon Sun Lee; Michael Remesic; Cyf Ramos-Colon; Zhijun Wu; Justin LaVigne; Gabriella Molnar; Dagmara Tymecka; Aleksandra Misicka; John M Streicher; Victor J Hruby; Frank Porreca
Journal:  Biomedicines       Date:  2021-05-31

Review 7.  Modulation of Opioid Transport at the Blood-Brain Barrier by Altered ATP-Binding Cassette (ABC) Transporter Expression and Activity.

Authors:  Junzhi Yang; Bianca G Reilly; Thomas P Davis; Patrick T Ronaldson
Journal:  Pharmaceutics       Date:  2018-10-18       Impact factor: 6.321

8.  Brain Delivery of a Potent Opioid Receptor Agonist, Biphalin during Ischemic Stroke: Role of Organic Anion Transporting Polypeptide (OATP).

Authors:  Thamer H Albekairi; Bhuvaneshwar Vaidya; Ronak Patel; Saeideh Nozohouri; Heidi Villalba; Yong Zhang; Yeon Sun Lee; Abraham Al-Ahmad; Thomas J Abbruscato
Journal:  Pharmaceutics       Date:  2019-09-10       Impact factor: 6.321

  8 in total

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