Jensen, Anders A., Halberstadt, Adam L., Märcher-Rørsted, Emil, Odland, Anna U., Chatha, Muhammad, Speth, Nikolaj, Liebscher, Gudrun, Hansen, Martin, Bräuner-Osborne, Hans, Palner, Mikael, Andreasen, Jesper T., and Kristensen, Jesper L.
The remarkable effects exhibited by classical psychedelics in recent clinical trials have spawned considerable interest in 5-HT 2A receptor (5-HT 2A R) activation as a treatment strategy for several psychiatric/cognitive disorders. In this study we have continued our development of 25CN-NBOH, one of the most 5-HT 2A R-selective agonists reported to date, as a pharmacological tool for exploration of 5-HT 2A R expression and functions. The importance of the 2′ and 3′ positions in 25CN-NBOH as structural hotspots for its 5-HT 2A R activity was investigated by synthesis and pharmacological characterization of six novel analogs at 5-HT 2A R and 5-HT 2C R in binding and functional assays. While the 5-HT 2A R activity of 25CN-NBOH was retained in 3′-methyl, 2′,3′-chroman, 2′,3′-dihydrofuran and 2′,3′-furan analogs, the 3′-methoxy and 3′-ethyl analogs displayed substantially lower binding affinities and agonist potencies than 25CN-NBOH. Interestingly, the 2′,3′-substitution pattern was also a key determinant of agonist efficacy, as all six analogs exhibited low-efficacy partial agonism or de facto antagonism at the 5-HT 2A R in the functional assays. Systemic administration of 25CN-NBOH and its close structural analog 25CN-NBMD induced robust head-twitch response in mice, a well-established behavioural effect of 5-HT 2A R activation in vivo , and 25CN-NBOH mediated robust reductions in the activity of mice in an anxiety-related marble burying assay, which supports the proposed beneficial effects of 5-HT 2A R activation on disorders characterized by cognitive rigidity. Finally, tritiated 25CN-NBOH exhibited high 5-HT 2A R binding affinity (K D ~1 nM) and selectivity against 5-HT 2B R and 5-HT 2C R in equilibrium and kinetic binding studies of the recombinant receptors, and in concordance 3H]25CN-NBOH displayed substantial specific, ketanserin-sensitive binding to cortex and small levels of binding to choroid plexus in rat brain slices in autoradiography studies. In conclusion, this work delineates the subtle molecular determinants of the 5-HT 2A R activity in 25CN-NBOH, substantiates the potential in this compound and its analogs as tools for in vivo studies of the 5-HT 2A R, and introduces a novel selective agonist radioligand as another potentially valuable tool for future explorations of this receptor. [ABSTRACT FROM AUTHOR]