Pharmacological Investigations of the Dissociative Legal Highs’ Diphenidine, Methoxphenidine and Analogues J A S O N W A L L A C H 1 , C O L E S T O C K 1 , H A M I L T O N B O R T O L O T T O 3 , L O D G E , L . , A D A M A D E B O Y E H E A T H E R G R A H A M K A N G , M O R R I S 1 L . , Z U N E R C O L L I N G R I D G E , H A L B E R S T A D T 6 A D E J A R E T R I S T A N , S I M O N D . A . D A V I D B R A N D T Introduction:What are Legal Highs? • 1,2-Diar yl et h yl am in es represent a structural class of organic m olecules • These com pounds com prise a wide range of pharm alogical ef f ects • This includes anticonvulsan ts, analgesics, antidepressa nts , etc • A num ber of these com pounds have appeared in online shops as legal highs • Created in order to circum vent governm ent bans Introduction:What are Legal Highs? • These drugs produce altered states • Ef f ects include hallucination s, euphoria, depersonali za tio ns , dissociation • Thought to be caused by NMDAR receptor antagonism • Overdoses and f atal interactions have occurred • Important to study the pharmacology of these compounds Study Area: Why? • Legal highs are legally grey area substances • They are m ade to im itate illegal or prescription drugs • Most of the com pounds are novel • The pharm acologica l ef f ects are relativel y unknown • These com pounds are com m on on the street Study Area: Why? • The N -methyl -D -a sp ar ta te (NMDA) ,dopam ine (DAT), norepineph rin e (NET) and serotonin (SERT) receptors play an im portant physiolo gic al role • This includes breathing, locom otion, m em ory, m ood, m em ory, appetite, etc. • These novel com pounds m ay produce prof ound pharm alogical ef f ects • Theref ore, having relevant m edical uses in the f uture • Or prof ound uses on the user’s health Methods • In vitro binding af f inities (Ki) of the target com pounds at the PCP site within the NMDAR channel • Radioligands and concentrati ons used f or additional 45 CNS receptor binding assays are listed as supporting inf orm ation • Monoam ine reuptake inhibition assays were perf orm ed via the NIMH PDSP as previousl y described • In Vitro Field Excitator y Postsyna pti c Potential ( f EPSP ) Experim ents were perf orm ed • In Vivo Pre -pulse Inhibition (PPI) Experim ents were perf orm ed • Also, acoustic startle apparatus and test sessions Methods Methods Results • All the target com pounds displaye d lower af f inities at all other CNS sites evaluated relative to NMDAR with the exception of 4 -MXP • The startle response is attenuated if the startle -ind uci ng stim ulus is preceded by a weak subthreshold prepulse • In all cases, the NMDAR -f EPSP declined slowly in the presence of both the DPH analogues and the established channel blocking NMDAR antagonists • Such slow in vitro kinetics are m ore rem iniscent of MK -801 than of ketam ine • Five 1,2 -diar yle th ylam i nes including the ‘legal highs’ DPH and 2 -MXP, were f ound to be relativel y selective NMDAR antagonists. Results • Place Relevant Graphs here Results • Place Relevant Graphs here Discussion • Taken together, the presented results are consistent with the dissociative ef f ects of these com pounds anecdotall y reported by hum an users. These results hold signif icance f or potential therapeutic use, governm ental regulation and harm reduction strategies • The study seem ed well perf orm ed Discussion • Taken together, the presented results are consistent with the dissociative ef f ects of these com pounds anecdotall y reported by hum an users. These results hold signif icance f or potential therapeutic use, governm ental regulation and harm reduction strategies • The study seem ed well perf orm ed References