General Information of This Peptide-drug Conjugate (PDC)
PDC ID
PDC_00060
PDC Name
An2-M6G
PDC Status
Preclinical
Indication
In total 1 Indication(s)
Severe pain
Structure
Peptide Name
Angiopep-2
 Peptide Info 
Receptor Name
Prolow-density lipoprotein receptor-related protein 1; Low-density lipoprotein receptor-related protein 2 (LRP1; LRP2)
 Receptor Info 
Drug Name
Morphine-6-glucuronide
 Drug Info 
Therapeutic Target
Mu-type opioid receptor (OPRM1)
 Target Info 
Linker Name
SPDP
 Linker Info 
Formula
C188H251N35O58S6
#Ro5 Violations (Lipinski): 5 Molecular Weight 4121.665
Lipid-water partition coefficient (xlogp) -11.4905
Hydrogen Bond Donor Count (hbonddonor) 50
Hydrogen Bond Acceptor Count (hbondacc) 66
Rotatable Bond Count (rotbonds) 114
Full List of Activity Data of This Peptide-drug Conjugate
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%
Administration Time Intravenous administration 60 min
Administration Dosage 4 mg/kg
Evaluation Method Rat tail-flick test assay
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%
Administration Time Intravenous administration 60 min
Administration Dosage 8 mg/kg
Evaluation Method Rat tail-flick test assay
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%
Administration Time Subcutaneous administration 200 min
Administration Dosage 12 mg/kg
Evaluation Method Rat tail-flick test assay
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%
Administration Time Intravenous administration 60 min
Administration Dosage 12 mg/kg
Evaluation Method Rat tail-flick test assay
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.

   Click to Show/Hide
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%
Administration Time Intravenous administration 30 min
Administration Dosage 6 mg/kg
Evaluation Method Hot-plate test assay
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.