Recently, it has been reported that morphine, a representative m-opioid receptor (MOR) agonist, showed an analgesic activity in the periphery in mice.1) Additionally it has been recognized that tolerance to the peripheral analgesia was not developed after the repeated administration of morphine in mice.2) Furthermore, it has been reported that the MORs were increased around the inflammatory tissues in animals and humans.3,4) These reports indicate that the MOR agonists are useful analgesics in the periphery, especially against the inflammatory tissues.On the other hand, there are nonsteroidal antiinflammatory drugs (NSAIDs) as peripheral analgesics but they do not have an analgesic efficacy toward some serious peripheral inflammations.5) Therefore, we think that in the serious inflammation cases such as severe burns and grazes, MOR agonists can be effective medicines.As MOR agonists not having the morphinane structures, fentanyl, 6) loperamide 7) and diphenoxylate 8,9) are known. As for fentanyl, to improve the quality of life for cancer patients with pain, the plaster, 10) which has an analgesic activity that lasts for far seventy-two hours, has been developed so the patients do not need to go frequently to the hospital. Although loperamide and diphenoxylate are MOR agonists, they do not easily pass through the blood-brain barrier (BBB). Therefore, they are mainly used as antidiarrheals now.Recently, it has also been reported that when loperamide was administered to a burn on a rat as a peripheral percutaneous cream, it was effective and could not easily pass through the BBB so the manifestation of tolerance did not occur.
11)Therefore, our final objective is the synthesis of MOR agonists having peripheral analgesic activity, and as the first step, we intended to synthesize compounds having more potent activities than loperamide in the two in vitro tests mentioned in the above summary. The three compounds mentioned above have a piperidine moiety in their structures. Currently there is no compound having a piperazine moiety in the structure as a MOR agonist on the market. Therefore, we started to synthesize compounds having a piperazine moiety in their structures. In this paper, we describe the synthesis of the compounds and their affinities to the human MOR and dand k-opioid receptors (DOR and KOR) expressed in CHO cells and their agonist activities on MOR in guinea-pig ileum.
ChemistryTo develop our new MOR agonists instead of the already known MOR agonists not having morphinane structures, we thought that our compounds had to have a structural feature. Therefore, based on the knowledge already known, we designed the piperazine (nϭ1) or homopiperazine (nϭ2) derivatives, which have side chains of fentanyl, diphenoxylate and loperamide on a nitrogen with another nitrogen directly connected to various aromatic rings including the heteroaromatic rings.Considering the novelty of our compounds, we first selected the heteroaryl groups as aryl groups. It has been well known that a halogen located in the a-or g-positio...