Abstract
The adverse side-effects associated with opioid administration restrain their use as analgesic drugs and call for new solutions to treat pain. Two kyotorphin derivatives, kyotorphin-amide (KTP–NH2) and ibuprofen–KTP–NH2 (IbKTP–NH2) are promising alternatives to opioids: they trigger analgesia via an indirect opioid mechanism and are highly effective in several pain models following systemic delivery. In vivo side-effects of KTP–NH2 and IbKTP–NH2 are, however, unknown and were evaluated in the present study using male adult Wistar rats. For comparison purposes, morphine and tramadol, two clinically relevant opioids, were also studied. Results showed that KTP-derivatives do not cause constipation after systemic administration, in contrast to morphine. Also, no alterations were observed in blood pressure or in food and water intake, which were only affected by tramadol. A reduction in micturition was detected after KTP–NH2 or tramadol administrations. A moderate locomotion decline was detected after IbKTP–NH2-treatment. The side-effect profile of KTP–NH2 and IbKTP–NH2 support the existence of opioid-based mechanisms in their analgesic actions. The conjugation of a strong analgesic activity with the absence of the major side-effects associated to opioids highlights the potential of both KTP–NH2 and IbKTP–NH2 as advantageous alternatives over current opioids.
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Abbreviations
- BBB:
-
Blood–brain barrier
- BP:
-
Blood pressure
- CNS:
-
Central nervous system
- DMSO:
-
Dimethyl sulfoxide
- i.p.:
-
Intraperitoneal
- KTP:
-
Kyotorphin (Tyr-Arg)
- KTP–NH2 :
-
Kyotorphin–amide
- IbKTP–NH2 :
-
KTP–NH2 linked to ibuprofen
- MCs:
-
Metabolic cages
- SBP:
-
Systolic blood pressure
- SEM:
-
Standard error of the mean
References
Apaydin S, Uyar M, Karabay NU, Erhan E, Yegul I, Tuglular I (2000) The antinociceptive effect of tramadol on a model of neuropathic pain in rats. Life Sci 66(17):1627–1637 [pii]:S0024320500004823
Belzung C (1999) Measuring exploratory behavior. In: Crusio WE, Gerlai RT (eds) Handbook of molecular genetic techniques for brain and behavior research (techniques in the behavioral and neural sciences), vol 13. Elsevier, Amsterdam, pp 739–749
Benyamin R, Trescot AM, Datta S, Buenaventura R, Adlaka R, Sehgal N, Glaser SE, Vallejo R (2008) Opioid complications and side effects. Pain Phys 11(2 Suppl):S105–S120
Benyhe S (1994) Morphine: new aspects in the study of an ancient compound. Life Sci 55(13):969–979
Bianchi M, Panerai AE (1998) Anti-hyperalgesic effects of tramadol in the rat. Brain Res 797(1):163–166 [pii]:S0006-8993(98)00388-6
Cole RS, Fry CH, Shuttleworth KE (1988) The action of the prostaglandins on isolated human ureteric smooth muscle. Br J Urol 61(1):19–26
Crawley JN (2007) What’s wrong with my mouse?: behavioral phenotyping of transgenic and knockout mice. 2nd edn. Wiley, Hoboken
Dworkin RH, O’Connor AB, Backonja M, Farrar JT, Finnerup NB, Jensen TS, Kalso EA, Loeser JD, Miaskowski C, Nurmikko TJ, Portenoy RK, Rice AS, Stacey BR, Treede RD, Turk DC, Wallace MS (2007) Pharmacologic management of neuropathic pain: evidence-based recommendations. Pain 132(3):237–251. doi:10.1016/j.pain.2007.08.033
Gentilucci L (2004) New trends in the development of opioid peptide analogues as advanced remedies for pain relief. Curr Top Med Chem 4(1):19–38
Gomes C, Svensson TH, Trolin G (1976) Effects of morphine on central catecholamine turnover, blood pressure and heart rate in the rat. Naunyn Schmiedebergs Arch Pharmacol 294(2):141–147
Gould TD, Dao DT, Kovacsics CE (2009) The open field test In: Gould TD (ed) Mood and anxiety related phenotypes in mice: characterization using behavioral tests. Neuromethods, vol 42, 1st edn. Humana Press, Totowa, pp 1–20. doi:10.1007/978-1-60761-303-9_1
Grond S, Sablotzki A (2004) Clinical pharmacology of tramadol. Clin Pharmacokinet 43(13):879–923. doi:43134
Jaffe JH, Martin WR (1990) Opioid analgesics and antagonists. In: Gilman AG, Rall TW, Nies AS, Taylor P (eds) Goodman and Gilman’s the pharmacological basis of therapeutics. 8th edn. Pergamon Press, New York, pp 485–521
Janecka A, Perlikowska R, Gach K, Wyrebska A, Fichna J (2010) Development of opioid peptide analogs for pain relief. Curr Pharm Des 16(9):1126–1135 [pii]:BSP/CPD/E-Pub/00001
Kolaeva SG, Semenova TP, Santalova IM, Moshkov DA, Anoshkina IA, Golozubova V (2000) Effects of l-thyrosyl–l-arginine (kyotorphin) on the behavior of rats and goldfish. Peptides 21(9):1331–1336 [pii]:S0196-9781(00)00275-8
Kolesnikov YA, Wilson RS, Pasternak GW (2003) The synergistic analgesic interactions between hydrocodone and ibuprofen. Anesth Analg 97(6):1721–1723
Malinovsky JM, Le Normand L, Lepage JY, Malinge M, Cozian A, Pinaud M, Buzelin JM (1998) The urodynamic effects of intravenous opioids and ketoprofen in humans. Anesth Analg 87(2):456–461
Mildh LH, Leino KA, Kirvela OA (1999) Effects of tramadol and meperidine on respiration, plasma catecholamine concentrations, and hemodynamics. J Clin Anesth 11(4):310–316 [pii]:S0952-8180(99)00047-1
Miranda HF, Pinardi G (1998) Antinociception, tolerance, and physical dependence comparison between morphine and tramadol. Pharmacol Biochem Behav 61(4):357–360 [pii]:S0091-3057(98)00123-3
Pandita RK, Pehrson R, Christoph T, Friderichs E, Andersson KE (2003) Actions of tramadol on micturition in awake, freely moving rats. Br J Pharmacol 139(4):741–748. doi:10.1038/sj.bjp.0705297
Raimundo JM, Sudo RT, Pontes LB, Antunes F, Trachez MM, Zapata-Sudo G (2006) In vitro and in vivo vasodilator activity of racemic tramadol and its enantiomers in Wistar rats. Eur J Pharmacol 530(1–2):117–123. doi:10.1016/j.ejphar.2005.11.028
Randich A, Thurston CL, Ludwig PS, Timmerman MR, Gebhart GF (1991) Antinociception and cardiovascular responses produced by intravenous morphine: the role of vagal afferents. Brain Res 543(2):256–270 [pii]:0006-8993(91)90036-U
Reimer K, Hopp M, Zenz M, Maier C, Holzer P, Mikus G, Bosse B, Smith K, Buschmann-Kramm C, Leyendecker P (2009) Meeting the challenges of opioid-induced constipation in chronic pain management—a novel approach. Pharmacology 83(1):10–17. doi:10.1159/000165778
Ribeiro MM, Pinto A, Pinto M, Heras M, Martins I, Correia A, Bardaji E, Tavares I, Castanho M (2011a) Inhibition of nociceptive responses after systemic administration of amidated kyotorphin. Br J Pharmacol 163(5):964–973. doi:10.1111/j.1476-5381.2011.01290.x
Ribeiro MM, Pinto AR, Domingues MM, Serrano I, Heras M, Bardaji ER, Tavares I, Castanho MA (2011b) Chemical conjugation of the neuropeptide kyotorphin and ibuprofen enhances brain targeting and analgesia. Mol Pharm 8(5):1929–1940. doi:10.1021/mp2003016
Ribeiro MMB, Serrano ID, Sá Santos S (2011c) Turning endogenous peptides into new analgesics: the example of Kyotorphin derivatives. In: Castanho M, Santos N (eds) Peptide drug discovery and development: translational research in academia and industry, 1st edn. Wiley, Weinheim, pp 171–188
Shiomi H, Ueda H, Takagi H (1981) Isolation and identification of an analgesic opioid dipeptide kyotorphin (Tyr–Arg) from bovine brain. Neuropharmacology 20(7):633–638
Stein C, Schafer M, Machelska H (2003) Attacking pain at its source: new perspectives on opioids. Nat Med 9(8):1003–1008. doi:10.1038/nm908nm908
Stohr T, Schulte Wermeling D, Weiner I, Feldon J (1998) Rat strain differences in open-field behavior and the locomotor stimulating and rewarding effects of amphetamine. Pharmacol Biochem Behav 59(4):813–818 [pii]:S0091-3057(97)00542-X
Stratton Hill C (1997) Guidelines for treatment of cancer patients. The Revised Pocket Edition of the Final Report of the Texas Cancer Council’s Workgroup on Pain Control in Cancer Patients, 2nd edn. Cancer Texas Council, Austin
Summy-Long JY, Bui V, Gestl S, Koehler-Stec E, Liu H, Terrell ML, Kadekaro M (1998) Effects of central injection of kyotorphin and l-arginine on oxytocin and vasopressin release and blood pressure in conscious rats. Brain Res Bull 45(4):395–403 [pii]:S0361-9230(97)00341-9
Takagi H, Shiomi H, Ueda H, Amano H (1979a) Morphine-like analgesia by a new dipeptide, l-tyrosyl–l-arginine (Kyotorphin) and its analogue. Eur J Pharmacol 55(1):109–111
Takagi H, Shiomi H, Ueda H, Amano H (1979b) A novel analgesic dipeptide from bovine brain is a possible Met-enkephalin releaser. Nature 282(5737):410–412
Tavares I, Almeida A, Albino-Teixeira A, Lima D (1997) Lesions of the caudal ventrolateral medulla block the hypertension-induced inhibition of noxious-evoked c-fos expression in the rat spinal cord. Eur J Pain 1(2):149–160 [pii]:S1090-3801(97)90073-2
Tuon L, Comim CM, Petronilho F, Barichello T, Izquierdo I, Quevedo J, Dal-Pizzol F (2008) Time-dependent behavioral recovery after sepsis in rats. Intensive Care Med 34(9):1724–1731. doi:10.1007/s00134-008-1129-1
Yeomans MR, Gray RW (2002) Opioid peptides and the control of human ingestive behaviour. Neurosci Biobehav Rev 26(6):713–728 [pii]:S0149-7634(02)00041-6
Acknowledgments
We thank Autonomic Nervous System Unit and Neurosciences Unit from Instituto de Medicina Molecular (Portugal), especially Prof. I. Rocha, Prof. A. Sebastião and Dr. L. Lopes for the support, helpful discussions and facilities provided. Manuel N. Melo is thanked for critical revision of the manuscript. Fundação para a Ciência e Tecnologia (Portugal) is acknowledged for funding: SFRH/BD/42158/2007 fellowship to M. Ribeiro and SFRH/BI/51213/2010 fellowship (for doctorate) to S. Sá Santos associated to Marie Curie IAPP. Marie Curie Industry-Academia Partnerships and Pathways (European Commission) is also acknowledged for funding (FP7-PEOPLE-2007-3-1-IAPP. Project 230654). The authors acknowledge and appreciate the financial support received from Faculdade de Medicina da Universidade de Lisboa and Fundação Amadeu Dias, Portugal (Project No. 2010029).
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Marta M. B. Ribeiro, Sónia Sá Santos contributed equally to this work.
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Ribeiro, M.M.B., Santos, S.S., Sousa, D.S.C. et al. Side-effects of analgesic kyotorphin derivatives: advantages over clinical opioid drugs. Amino Acids 45, 171–178 (2013). https://doi.org/10.1007/s00726-013-1484-2
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DOI: https://doi.org/10.1007/s00726-013-1484-2