학술논문

A non-hallucinogenic psychedelic analogue with therapeutic potential
Document Type
article
Source
Nature. 589(7842)
Subject
Biological Psychology
Pharmacology and Pharmaceutical Sciences
Biomedical and Clinical Sciences
Psychology
Brain Disorders
Neurosciences
Alcoholism
Alcohol Use and Health
Substance Misuse
Development of treatments and therapeutic interventions
5.1 Pharmaceuticals
Mental health
Good Health and Well Being
Alcoholism
Animals
Antidepressive Agents
Arrhythmias
Cardiac
Behavior
Addictive
Chemistry Techniques
Synthetic
Depression
Disease Models
Animal
Drug Design
Female
Hallucinogens
Heroin Dependence
Ibogaine
Male
Mice
Mice
Inbred C57BL
Neuronal Plasticity
Patient Safety
Receptor
Serotonin
5-HT2A
Serotonin 5-HT2 Receptor Agonists
Substance-Related Disorders
Swimming
Tabernaemontana
Estrogen
Prevention
Drug Abuse (NIDA only)
Vaccine Related
Behavior
Animal
Conditioning
Operant
Drug-Seeking Behavior
Estradiol
Extinction
Psychological
Heroin
Menstrual Cycle
Progesterone
Rats
Wistar
Sex Characteristics
General Science & Technology
Language
Abstract
The psychedelic alkaloid ibogaine has anti-addictive properties in both humans and animals1. Unlike most medications for the treatment of substance use disorders, anecdotal reports suggest that ibogaine has the potential to treat addiction to various substances, including opiates, alcohol and psychostimulants. The effects of ibogaine-like those of other psychedelic compounds-are long-lasting2, which has been attributed to its ability to modify addiction-related neural circuitry through the activation of neurotrophic factor signalling3,4. However, several safety concerns have hindered the clinical development of ibogaine, including its toxicity, hallucinogenic potential and tendency to induce cardiac arrhythmias. Here we apply the principles of function-oriented synthesis to identify the key structural elements of the potential therapeutic pharmacophore of ibogaine, and we use this information to engineer tabernanthalog-a water-soluble, non-hallucinogenic, non-toxic analogue of ibogaine that can be prepared in a single step. In rodents, tabernanthalog was found to promote structural neural plasticity, reduce alcohol- and heroin-seeking behaviour, and produce antidepressant-like effects. This work demonstrates that, through careful chemical design, it is possible to modify a psychedelic compound to produce a safer, non-hallucinogenic variant that has therapeutic potential.