TY - JOUR KW - Animals KW - Mice KW - Mice, Inbred C57BL KW - Mice, Knockout KW - Oxidation-Reduction KW - Receptors, Opioid, mu KW - Secologanin Tryptamine Alkaloids/pharmacology AU - S. Chakraborty AU - R. Uprety AU - S. T. Slocum AU - T. Irie AU - V. Le Rouzic AU - X. Li AU - L. L. Wilson AU - B. Scouller AU - A. F. Alder AU - A. C. Kruegel AU - M. Ansonoff AU - A. Varadi AU - S. O. Eans AU - A. Hunkele AU - A. Allaoa AU - S. Kalra AU - J. Xu AU - Y. X. Pan AU - J. Pintar AU - B. M. Kivell AU - G. W. Pasternak AU - M. D. Cameron AU - J. P. McLaughlin AU - D. Sames AU - S. Majumdar A1 - AB - The leaves of Mitragyna speciosa (kratom), a plant native to Southeast Asia, are increasingly used as a pain reliever and for attenuation of opioid withdrawal symptoms. Using the tools of natural products chemistry, chemical synthesis, and pharmacology, we provide a detailed in vitro and in vivo pharmacological characterization of the alkaloids in kratom. We report that metabolism of kratom's major alkaloid, mitragynine, in mice leads to formation of (a) a potent mu opioid receptor agonist antinociceptive agent, 7-hydroxymitragynine, through a CYP3A-mediated pathway, which exhibits reinforcing properties, inhibition of gastrointestinal (GI) transit and reduced hyperlocomotion, (b) a multifunctional mu agonist/delta-kappa antagonist, mitragynine pseudoindoxyl, through a CYP3A-mediated skeletal rearrangement, displaying reduced hyperlocomotion, inhibition of GI transit and reinforcing properties, and (c) a potentially toxic metabolite, 3-dehydromitragynine, through a non-CYP oxidation pathway. Our results indicate that the oxidative metabolism of the mitragynine template beyond 7-hydroxymitragynine may have implications in its overall pharmacology in vivo. AD - Center for Clinical Pharmacology, University of Health Sciences & Pharmacy and Washington University School of Medicine, St. Louis, Missouri 63110, United States.; Department of Neurology and Molecular Pharmacology, Memorial Sloan Kettering Cancer Center, New York 10065, United States.; Department of Pharmacology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, United States.; Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York 10065, United States.; Department of Neurology and Molecular Pharmacology, Memorial Sloan Kettering Cancer Center, New York 10065, United States.; Department of Molecular Therapeutics, Scripps Research Institute, Jupiter, Florida 33458, United States.; Department of Pharmacodynamics, University of Florida, Gainesville, Florida 32610, United States.; Centre for Biodiscovery, School of Biological Science, Victoria University of Wellington, Wellington 6012, New Zealand.; Centre for Biodiscovery, School of Biological Science, Victoria University of Wellington, Wellington 6012, New Zealand.; Department of Chemistry, Columbia University, New York 10027, United States.; Department of Neuroscience and Cell Biology, Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey 08854-8021, United States.; Department of Neurology and Molecular Pharmacology, Memorial Sloan Kettering Cancer Center, New York 10065, United States.; Department of Pharmacodynamics, University of Florida, Gainesville, Florida 32610, United States.; Department of Neurology and Molecular Pharmacology, Memorial Sloan Kettering Cancer Center, New York 10065, United States.; Department of Neurology and Molecular Pharmacology, Memorial Sloan Kettering Cancer Center, New York 10065, United States.; Department of Neurology and Molecular Pharmacology, Memorial Sloan Kettering Cancer Center, New York 10065, United States.; Department of Neurology and Molecular Pharmacology, Memorial Slo(TRUNCATED) BT - Journal of medicinal chemistry C5 - Opioids & Substance Use CP - 22 DO - 10.1021/acs.jmedchem.1c01111 IS - 22 JF - Journal of medicinal chemistry LA - eng M1 - Journal Article N2 - The leaves of Mitragyna speciosa (kratom), a plant native to Southeast Asia, are increasingly used as a pain reliever and for attenuation of opioid withdrawal symptoms. Using the tools of natural products chemistry, chemical synthesis, and pharmacology, we provide a detailed in vitro and in vivo pharmacological characterization of the alkaloids in kratom. We report that metabolism of kratom's major alkaloid, mitragynine, in mice leads to formation of (a) a potent mu opioid receptor agonist antinociceptive agent, 7-hydroxymitragynine, through a CYP3A-mediated pathway, which exhibits reinforcing properties, inhibition of gastrointestinal (GI) transit and reduced hyperlocomotion, (b) a multifunctional mu agonist/delta-kappa antagonist, mitragynine pseudoindoxyl, through a CYP3A-mediated skeletal rearrangement, displaying reduced hyperlocomotion, inhibition of GI transit and reinforcing properties, and (c) a potentially toxic metabolite, 3-dehydromitragynine, through a non-CYP oxidation pathway. Our results indicate that the oxidative metabolism of the mitragynine template beyond 7-hydroxymitragynine may have implications in its overall pharmacology in vivo. PY - 2021 SN - 1520-4804; 0022-2623; 0022-2623 SP - 16553 EP - 16572 EP - T1 - Oxidative Metabolism as a Modulator of Kratom's Biological Actions T2 - Journal of medicinal chemistry TI - Oxidative Metabolism as a Modulator of Kratom's Biological Actions U1 - Opioids & Substance Use U2 - 34783240 U3 - 10.1021/acs.jmedchem.1c01111 VL - 64 VO - 1520-4804; 0022-2623; 0022-2623 Y1 - 2021 Y2 - Nov 25 ER -