Exploring the addictive potential of alpha-methylfentanyl and
acetyl-alpha-methylfentanyl in animal models
Abstract
Background: Alpha-methylfentanyl and acetyl-alpha-methylfentanyl are two
extremely hazardous fentanyl analogues for which addiction data have not
been reported. Methods: In this study, we assessed its abuse potential
through conditioned position preference (CPP), drug self-administration,
and drug discrimination and compared it with fentanyl. Naloxone was also
tried in self-administration to suppress relapse behavior. Results: From
the CPP results, both fentanyl and alpha-methylfentanyl produced
conditioned place preference behavior at a dose of 30 μg/kg, while
acetyl-alpha-methylfentanyl produced conditioned place preference
behavior at a dose of 900 μg/kg. In self-administration, all three drugs
produced a maximum number of infusions at 0.5 μg/kg/infusion, But the
number of infusions of acetyl-alpha-methylfentanyl and
alpha-methylfentanyl at the peak dose was higher than that of fentanyl.
In addition, a single injection of naloxone was also effective in
suppressing relapsing behavior in rats. In the drug discrimination
experiments, the ED50 of fentanyl, alpha-methylfentanyl and
acetyl-alpha-methylfentanyl were 11.06, 12.65 and 128.3 μg/kg,
respectively. Discussion and conclusions: By comparing the experimental
outcomes, we observed an intriguing phenomenon: the introduction of an
alpha-positioned methyl group had a negligible impact on the CPP reward
effect and the subjective effect, but significantly reduced
reinforcement effect in self-administration experiment. Moreover, the
length of the acyl side chain can markedly alter the addiction potential
of the drug. Additionally, we tested that a single injection of naloxone
can inhibit relapse behavior in rats. In conclusion, evaluation of their
structure-addiction relationships can help predict the mechanisms of
human drug addiction and identify potential treatment targets.