Inhibition of aminopeptidase N and neutral endopeptidase-24.11, two zinc metallopeptidases involved in the inactivation of the opioid peptides enkephalins, produces potent physiological analgesic responses, without major sideeffects, in all animal models of pain in which morphine is active. Dual inhibitors of both enzymes could fill the gap between opioid analgesics and antalgics. Until now, attempts to find a compound with high affinity both for neutral endopeptidase and aminopeptidase N have failed. We report here the design of dual competitive inhibitors of both enzymes with K I values in the nanomolar range. These have been obtained by selecting R 1 , R 2, and R 3 determinants in aminophosphinic-containing inhibitors: NH 2 OCH(R 1 )P(O)O (OH)CH 2 OCH(R 2 )CONHOCH(R 3 )COOH, for optimal recognition of the two enkephalin inactivating enzymes, whose active site peculiarities, determined by site-directed mutagenesis, have been taken into account. The best inhibitors were 10؋ more potent than described dual inhibitors in alleviating acute and inf lammatory nociceptive stimuli in mice, thus providing a basis for the development of a family of analgesics devoid of opioid side effects.Acute and chronic pain are incapacitating diseases, and an improvement in their management is a high priority. Two classes of pain-alleviating substances currently are used in clinic. The first one is constituted by morphine and surrogates, which are the most potent and useful compounds to reduce severe pain, including pain associated with terminal issues. Antalgics including aspirin, paracetamol, and related substances provide the second group. These compounds inhibit the formation of hyperalgesic substances such as prostaglandins and are efficient in reducing inflammatory pain. However, there is a need for compounds capable of filling the gap between opioids and antalgics, which could be used for the treatment of postoperative, osteoarticular, and neuropathic pain as well as pain in children and in the elderly.One of the most promising avenues in the search for such compounds is to improve the potency of the physiological system of pain control (1), constituted by the endogenous opioid peptides, enkephalins which interact with two specific binding sites, the and the ␦ receptors, strategically located at various levels of nociceptive pathways (2). This can be realized by inhibition of the membrane-bound zinc metallopeptidases involved in the rapid inactivation of the enkephalins. One of these enzymes is neutral endopeptidase-24.11 (NEP, neprilysin, EC 3.4.24.11) and other one is an exopeptidase, aminopeptidase N (APN, EC 3.4.11.2). Biological studies performed on rat brain and spinal cord slices (3, 4) have shown that thiorphan, a selective NEP inhibitor, or bestatin, an APN inhibitor, did not significantly prevent [ 3 H]Met-enkephalin catabolism whereas their combination resulted in a clear reduction of the peptide degradation. This result has been confirmed in vivo. Thus, because of the complementary role of NEP and APN in e...