General Information of This Drug
Drug ID DRG00039
Drug Name Morphine-6-glucuronide
Target(s) Mu-type opioid receptor (OPRM1)  Target Info 
Structure
Formula
C23H27NO9
#Ro5 Violations (Lipinski): 1 Molecular Weight (mw) 461.5
Lipid-water partition coefficient (xlogp) -2.9
Hydrogen Bond Donor Count (hbonddonor) 5
Hydrogen Bond Acceptor Count (hbondacc) 10
Rotatable Bond Count (rotbonds) 3
PubChem CID
58533559
Canonical smiles
CN1CCC23C4C1CC5=C2C(=C(C=C5)O)OC3C(C=C4)OC6C(C(C(C(O6)C(=O)O)O)O)O
InChI
InChI=1S/C23H27NO9/c1-24-7-6-23-10-3-5-13(31-22-17(28)15(26)16(27)19(33-22)21(29)30)20(23)32-18-12(25)4-2-9(14(18)23)8-11(10)24/h2-5,10-11,13,15-17,19-20,22,25-28H,6-8H2,1H3,(H,29,30)/t10?,11-,13+,15?,16?,17?,19?,20+,22?,23+/m1/s1
InChIKey
GNJCUHZOSOYIEC-AMYPAFSWSA-N
IUPAC Name
6-[[(4R,7S,7aR,12bS)-9-hydroxy-3-methyl-2,4,4a,7,7a,13-hexahydro-1H-4,12-methanobenzofuro[3,2-e]isoquinolin-7-yl]oxy]-3,4,5-trihydroxyoxane-2-carboxylic acid
The activity data of This Drug
Standard Type Value Administration times Administration dosage Vivo model Ref.
Maximal antinociceptive effect 40% Intravenous administration 30min 3 mg/kg Male CD1 mice. [1]
Maximal antinociceptive effect 68% Subcutaneous administration 60min 4.5 mg/kg Rat model. [1]
Maximal antinociceptive effect 87% Intravenous administration 45min 4.5 mg/kg Rat model. [1]
Each Peptide-drug Conjugate Related to This Drug
Full Information of The Activity Data of The PDC(s) Related to This Drug
An2-M6G [Preclinical]
Obtained from the Model Organism Data
Click To Hide/Show 5 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [1]
Indication Severe pain
Efficacy Data Maximal antinociceptive effect 34.90%
Evaluation Method Rat tail-flick test assay
Administration Time Intravenous administration 60 min
Administration Dosage 4 mg/kg
MOA of PDC
Given the high analgesic potency of M6G, without induction of the M3G metabolite that antagonizes the analgesic effect of morphine, M6G could be a promising drug to treat moderate to severe pain. The major issue of systemic use of M6G is its poor BBB permeability. In this study, we proposed to increase the BBB penetration of M6G and morphine by conjugation to the shuttle angiopep-2 peptide (An2). Morphine and M6G were first conjugated to An2, a 19-mer peptide that crosses the BBB by low-density lipoprotein receptor-related protein 1 (LRP1) receptor-mediated transcytosis.

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Description
Indeed, at an equimolar dose of 3 mg/kg of morphine (i.e., 12 mg/kg), An2-M6G produced a latency to tail withdrawal reaching the cutoff (i.e., 10 seconds) after 30 minutes, an effect lasting at least 3 hours. The %MPE calculated at 60 minutes after the intravenous injection of An2-M6G at 4, 8, and 12 mg/kg (equivalent to 1, 2, and 3 mg/kg of morphine and to 1.5, 3, and 4.5 mg/kg of M6G) was 34.9%, 66.2%, and 100%, respectively.

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In Vivo Model Rat model.
Experiment 2 Reporting the Activity Data of This PDC [1]
Indication Severe pain
Efficacy Data Maximal antinociceptive effect 66.20%
Evaluation Method Rat tail-flick test assay
Administration Time Intravenous administration 60 min
Administration Dosage 8 mg/kg
MOA of PDC
Given the high analgesic potency of M6G, without induction of the M3G metabolite that antagonizes the analgesic effect of morphine, M6G could be a promising drug to treat moderate to severe pain. The major issue of systemic use of M6G is its poor BBB permeability. In this study, we proposed to increase the BBB penetration of M6G and morphine by conjugation to the shuttle angiopep-2 peptide (An2). Morphine and M6G were first conjugated to An2, a 19-mer peptide that crosses the BBB by low-density lipoprotein receptor-related protein 1 (LRP1) receptor-mediated transcytosis.

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Description
Indeed, at an equimolar dose of 3 mg/kg of morphine (i.e., 12 mg/kg), An2-M6G produced a latency to tail withdrawal reaching the cutoff (i.e., 10 seconds) after 30 minutes, an effect lasting at least 3 hours. The %MPE calculated at 60 minutes after the intravenous injection of An2-M6G at 4, 8, and 12 mg/kg (equivalent to 1, 2, and 3 mg/kg of morphine and to 1.5, 3, and 4.5 mg/kg of M6G) was 34.9%, 66.2%, and 100%, respectively.

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In Vivo Model Rat model.
Experiment 3 Reporting the Activity Data of This PDC [1]
Indication Severe pain
Efficacy Data Maximal antinociceptive effect 74%
Evaluation Method Rat tail-flick test assay
Administration Time Subcutaneous administration 200 min
Administration Dosage 12 mg/kg
MOA of PDC
Given the high analgesic potency of M6G, without induction of the M3G metabolite that antagonizes the analgesic effect of morphine, M6G could be a promising drug to treat moderate to severe pain. The major issue of systemic use of M6G is its poor BBB permeability. In this study, we proposed to increase the BBB penetration of M6G and morphine by conjugation to the shuttle angiopep-2 peptide (An2). Morphine and M6G were first conjugated to An2, a 19-mer peptide that crosses the BBB by low-density lipoprotein receptor-related protein 1 (LRP1) receptor-mediated transcytosis.

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Description
We also measured the analgesic effect of An2-morphine and An2-M6G after subcutaneous injections. Despite similar MPE at the peak effect, subcutaneous injection of 20 mg/kg An2-morphine (equivalent to 5.5 mg/kg of morphine) produced an analgesic effect that was more prolonged over the time than what was observed with an equimolar dose of morphine.
In Vivo Model Rat model.
Experiment 4 Reporting the Activity Data of This PDC [1]
Indication Severe pain
Efficacy Data Maximal antinociceptive effect 100%
Evaluation Method Rat tail-flick test assay
Administration Time Intravenous administration 60 min
Administration Dosage 12 mg/kg
MOA of PDC
Given the high analgesic potency of M6G, without induction of the M3G metabolite that antagonizes the analgesic effect of morphine, M6G could be a promising drug to treat moderate to severe pain. The major issue of systemic use of M6G is its poor BBB permeability. In this study, we proposed to increase the BBB penetration of M6G and morphine by conjugation to the shuttle angiopep-2 peptide (An2). Morphine and M6G were first conjugated to An2, a 19-mer peptide that crosses the BBB by low-density lipoprotein receptor-related protein 1 (LRP1) receptor-mediated transcytosis.

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Description
Indeed, at an equimolar dose of 3 mg/kg of morphine (i.e., 12 mg/kg), An2-M6G produced a latency to tail withdrawal reaching the cutoff (i.e., 10 seconds) after 30 minutes, an effect lasting at least 3 hours. The %MPE calculated at 60 minutes after the intravenous injection of An2-M6G at 4, 8, and 12 mg/kg (equivalent to 1, 2, and 3 mg/kg of morphine and to 1.5, 3, and 4.5 mg/kg of M6G) was 34.9%, 66.2%, and 100%, respectively.

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In Vivo Model Rat model.
Experiment 5 Reporting the Activity Data of This PDC [1]
Indication Severe pain
Efficacy Data Maximal antinociceptive effect 100%
Evaluation Method Hot-plate test assay
Administration Time Intravenous administration 30 min
Administration Dosage 6 mg/kg
MOA of PDC
Given the high analgesic potency of M6G, without induction of the M3G metabolite that antagonizes the analgesic effect of morphine, M6G could be a promising drug to treat moderate to severe pain. The major issue of systemic use of M6G is its poor BBB permeability. In this study, we proposed to increase the BBB penetration of M6G and morphine by conjugation to the shuttle angiopep-2 peptide (An2). Morphine and M6G were first conjugated to An2, a 19-mer peptide that crosses the BBB by low-density lipoprotein receptor-related protein 1 (LRP1) receptor-mediated transcytosis.

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Description
Similar results were also obtained in the hot-plate test using male CD1 mice. Over a 2-hour period, both morphine and An2-morphine caused similar increases in hot-plate latencies. Likewise, mice receiving An2-M6G (6 mg/kg i.v.) also exhibited a sustained and superior analgesic effect compared with equimolar doses of either morphine or M6G.
In Vivo Model Male CD1 mice.
References
Ref 1 Use of a Noninvasive Brain-Penetrating Peptide-Drug Conjugate Strategy to Improve the Delivery of Opioid Pain Relief Medications to the Brain. J Pharmacol Exp Ther. 2020 Jul;374(1):52-61. doi: 10.1124/jpet.119.263566. Epub 2020 Apr 23.