EPIBATIDINE The toxicology and prospective pharmacology of a toxin derived from Epipedobates anthoyi. By: Kriti Mishra, Aaron Marks, Bikal Wagle, & Carlos Garcia What is Epibatidine? • A toxic substance derived from the skin of the poison dart frog, Epipedobates anthoyi. • Ecuadorian natives use the toxin on their darts to kill big game. • It was discovered by John Daly in 1974. • It has stronger analgesic properties than morphine. Why Epibatidine? • Morphine is an opioid analgesic used in the medical field with a high potential for addiction, psychological dependence, and tolerance. • Epibatidine binds to a different receptor than morphine. • Epibatidine is a strong contender to take the place of morphine without being addictive. • On the other hand, the effective dose of epibatidine is very close to the lethal dose. Narrow safety margin! • Less lethal derivatives of epibatidine are being researched. What will you learn? • Mechanism of action • Past research • Implications of the research conducted • Future research Don’t even think about touching me. DATA: Where does Epibatidine Bind? • Epibatidine does not bind to opioid receptors like morphine. • Epibatidine has a Ki of 0.12 (high binding affinity) for nicotinic acetylcholine receptors (nAChr). • nACHr’s are specific receptors of skeletal muscle DATA: Where does Epibatidine Bind? • Naloxone is an antagonist of opioid receptors. • When mice were injected with BOTH naloxone and epibatidine, the mice were fully influenced by the effects of epibatidine. • KEY POINT: Epibatidine does not bind to opioid receptors. DATA: Straub Reaction Tests • In a Straub reaction test, the tail of an animal becomes rigid in an S-shaped curve in response to a neuronal effector. • The left column epibatidine requires a much smaller administered dose (mg/kg) to elicit Straub response compared to morphine. • The right column indicates that epibatidine has a very low affinity for opioid receptors. DATA: Hot Plate Analgesia Tests • Hot plate analgesia is a behavioral model of nociception. • Nociception is the perception of painful stimuli. • Behaviors such as jumping and hind paw-licking are elicited following placing a live sample with a noxious thermal stimulus. • Mice injected with epibatidine stay longer on the hot plates due to a greater analgesic effect than mice injected with morphine. • Epibatidine was reported to be a 200 times more potent analgesic than morphine. DATA: CNS and PNS Specificity • In vivo testing with mice models shows that epibatidine binds to the Central Nervous System (CNS) AND the Peripheral Nervous System (PNS). 1.CNS: Epibatidine binds to nAChr’s of the CNS tissue and elicits an analgesic effect. • This has been hypothesized that Epibatidine binding induces neurotransmitter release of dopamine and norepinephrine. 2.PNS: Epibatidine ALSO simultaneously binds to nAChr’s of the the neuromuscular junction of skeletal muscle causing muscular PARALYSIS (Sullivan et al. 1994). What are the Upsides? • Epibatidine has a much stronger analgesic effect than opioids like morphine and codeine. • Epibatidine binds nAChr’s in the central nervous system tissue causing analgesic effects. • It does not bind to opioid receptors. What are the Downsides? • Epibatidine is too toxic for clinical use. • Epibatidine binding to the peripheral nervous system, specifically skeletal muscle nAChr’s, causes paralysis. Implications: • Epibatidine medicinal research is still very promising! • The idea: Find the pharmacophore of the molecule, and modify it so that is safe for human consumption while still maintaining is powerful analgesic properties by targeting only the CNS. • Pharmacophore: the region of the molecule that has an active effect in binding with the receptor. • A new class of analgesic drugs can be developed that mitigate the negative side effects of opioid analgesics while having superior analgesic properties. The Future of Epibatidine: • A pharmacophore called ABT-594 was discovered by Abbott industries. • ABT-594 is also known as Tebanicline or Ebanicline. • It is a non-opioid drug and does not produce the negative side-effects of morphine: respiratory depression, tolerance, and addiction in a mouse model. • ABT-594 is effective against acute, chronic, and neuropathic pain. • It selectively inhibits afferent pain signal transmission without other sensory modalities such as touch. The Future of ABT-594: • ABT-594 seems to be a miracle replacement for morphine without the ill-effects of morphine. • Nicotine is very addictive and is similar in structure to ABT-594. • The presence of addictive effects of ABT-594 in human models are unknown. • Mouse physiology is certainly different from human; there have been accounts of promising drugs that fail in human trials. • Future research needs to be conducted to find the possible addictive effects of ABT-594 in humans. Summary: • WHAT? • Epibatidine • WHERE? • Found on the skin of a poison dart frog found in the Ecuadorian Forests • HOW? • Binds to nAChr’s and provides analgesic properties stronger than that of morphine without addictive effects References: • Badio, Barbara, and John Daly. "Epibatidine, a Potent Analgetic and Nicotinic Agonist." Molecular Pharmacology 45 (1994): 563-569. • Bannon, A.W., Decker, M.W., Holladay, M. W., Curzon, P>, Donnelly-Roberts, D.,Porsolt, R.D., Williams, M., Arneric, S.P. Broad-Spectrum, Non-Opioid Analgesic Activity by Selective Modulation of Neuronal Nicotinic Acetylcholine Receptors. Science 2 January 1998: vol. 279, No. 5347, pp. 77-80. • Bonhaus, D. W., Bley, K. R., Broka, C. A., Fontana, D. J., Leung, E., Lewis, R., ... & Wong, E. H. (1995). Characterization of the electrophysiological, biochemical and behavioral actions of epibatidine. Journal of Pharmacology and Experimental Therapeutics, 272(3), 1199-1203. • Spande, T. F., Garraffo, H. M., Edwards, M. W., Yeh, H. J., Pannell, L., & Daly, J. W. (1992). Epibatidine: a novel (chloropyridyl) azabicycloheptane with potent analgesic activity from an Ecuadoran poison frog. Journal of the American Chemical Society, 114(9), 3475-3478. • Strong, Suzanne. "Altering Chemistry: Epibatidine a Novel Alkaloid."Sjbr/strong/1998. 1 Jan. 1998. Web. 16 Apr. 2015. <http://wwwchem.csustan.edu/chem4400/sjbr/strong98.htm>. • Sullivan JP, Decker MW, Brioni JD, Roberts-Donnelly D, Anderson DJ, Bannon A, Gopalakrishnan M, Piattoni-Kaplan M, Adams P, Buckley MJ, Kang CH, Williams M, Arneric SP (1994) Pharmacological properties of (±)-epibatidine: A potent nicotinic acetylcholine receptor ligand. J Pharmacol Exp Ther 271:624–631 • Traynor, J. R. (1998). Epibatidine and pain. British journal of anaesthesia, 81(1), 69-76.