August 2012
Communication to the Editor
Chem. Pharm. Bull. 60(8) 945–948 (2012)
945
hypothesis that in the active conformation of nalfurafine (Fig.
2), the C-ring would assume the boat form, thereby elevating
the amide side chain to bind the κ receptor.4,5,21,22) Based on
this hypothesis, we designed and synthesized KNT-63 with
an oxabicyclo[2.2.2]octane skeleton (Fig. 1), and confirmed
its high affinity for the κ receptor.5) We also proposed a new
three-dimensional pharmacophore model applicable to some
κ agonists with various chemotypes.21,22) Our new pharmaco-
phore model of κ agonists supported the proposed active con-
formation of nalfurafine and indicated that the binding modes
of κ agonists to the κ receptor could be classified into four
types. Nalfurafine belongs to binding mode type I, whereas
U-50,488H represents binding mode types II or III (Fig. 3). On
the basis of the model, we attempted to identify the essential
structural features of nalfurafine required for binding to the
κ receptor. From the view point of the message-address con-
cept,23–26) which is a useful guideline for designing selective
ligands for the opioid receptor types, the binding mode type
II seemed to resemble a binding pattern for the message part,
i.e., the μ antagonist naltrexone. So, we focused on the binding
mode type III and compared the conformations of nalfurafine
and U-50,488H (Fig. 3B) to identify two common structural
moieties: a basic nitrogen and an amide side chain. These ob-
servations prompted us to design simple decahydroisoquino-
line derivatives 1 (Fig. 4) which contain the same structures
as nalfurafine, but without the phenol ring moiety. Herein, we
report the synthesis of the designed decahydroisoquinoline
derivatives and the evaluation of their binding affinities for the
opioid receptor types.
Essential Structure of Opioid κ
Receptor Agonist Nalfurafine for
Binding to κ Receptor 1: Synthesis of
Decahydroisoquinoline Derivatives and
Their Pharmacologies
Hiroshi Nagase,* Satomi Imaide, Takaaki Yamada,
Shigeto Hirayama, Toru Nemoto, Noriyuki Yamaotsu,
Shuichi Hirono, and Hideaki Fujii
School of Pharmacy, Kitasato University; 5–9–1 Shirokane,
Minato-ku, Tokyo 108–8641, Japan.
Received April 13, 2012; accepted May 14, 2012
On the basis of the three-dimensional pharmacophore
model of opioid κ agonists, we simplified the structure of na-
lfurafine (selective κ agonist) to find the essential structural
moieties for binding the opioid receptors, especially κ recep-
tor type. As a result, we found that the trans-fused decahy-
droisoquinoline derivatives without a phenol ring bound the
opioid receptor in micromolar order and that both the amide
side chain and the nitrogen substituted by the cyclopropyl-
methyl group were indispensable moieties for eliciting the κ
selectivity. The simple decahydroisoquinoline without amide
side chain also bound the opioid receptor without receptor
type selectivity, suggesting that the message-address concept
would be applicable to even these simple derivatives. These
findings that the simple decahydroisoquinoline derivatives
showed the affinities for the opioid receptors, especially some
of the compounds showed κ selectivity, are the first example
in the opioid field.
The designed compound 1 (X=H) was prepared from
piperidone 2 (Chart 1). Piperidone 2 was converted to α,β-
unsaturated ketone 5 by condensation with dimethyl carbon-
ate and subsequent Robinson annulation.27,28) Birch reduction
of 5 afforded trans-fused decahydroisoquinolinone 6.28) The
target compounds 9 were obtained from 6 as a mixture of
Key words opioid; κ receptor; decahydroisoquinoline; nalfu-
rafine; three-dimensional pharmacophore model
Three types of opioid receptors (μ, δ, κ) are now well es- 6α- and 6β-amides via exchange of N-substituent, deac-
tablished not only by pharmacological studies but also by mo- etalyzation reductive amination, and following acylation. The
lecular biological studies.1) Narcotic addiction is believed to be corresponding N-methyl derivatives 10 (Fig. 5) were also
derived from the μ receptor type, and therefore δ and κ types synthesized by the same manner from 6. The synthesis of the
are promising drug targets for analgesics without addiction. designed compounds 1 with an angular hydroxy group (X=
To obtain ideal analgesics without addiction and other side OH) commenced with tetrahydroisoquinoline 11 prepared by
effects derived from the μ receptor, we have synthesized vari- the reported method29) (Chart 2). Enol ether 12 prepared from
ous kinds of naltrexone derivatives and have reported selective 11 by Birch reduction was acylated and hydrolyzed to give
ligands for κ2–9) and δ10–14) receptors. Quite recently, one of
our designed κ selective agonists, nalfurafine hydrochloride
(TRK-820,2,3,6,8,9) Fig. 1), was launched in Japan as an antipru-
ritic for patients undergoing dialysis.6,8,9)
Although many arylacetamide derivatives such as U-
50,488H15,16) (Fig. 1) and U-69,59317) were synthesized and
developed as κ agonists, all of these derivatives were elimi-
nated from clinical trials as not only analgesics but also as
antipruritics because of their serious side effects like psy-
chotomimetic and aversive reactions.18,19) In contrast, nalfu-
rafine has neither aversive nor addictive effects.20) Our interest
in the differences in the pharmacological effects between
nalfurafine and the arylacetamide derivatives led us to con-
duct a detailed structure activity relationship investigation of
nalfurafine derivatives. From these studies, we developed the
Fig. 1. Structures of Nalfurafine Hydrochloride, U-50,488H, and
The authors declare no conflict of interest.
KNT-63
*To whom correspondence should be addressed. e-mail: nagaseh@pharm.kitasato-u.ac.jp
© 2012 The Pharmaceutical Society of Japan