RB101-mediated protection of endogenous opioids: potential therapeutic utility?

CNS Drug Rev. 2007 Summer;13(2):192-205. doi: 10.1111/j.1527-3458.2007.00011.x.

Abstract

The endogenous opioids met- and leu-enkephalin are inactivated by peptidases preventing the activation of opioid receptors. Inhibition of enkephalin-degrading enzymes increases endogenous enkephalin levels and stimulates robust behavioral effects. RB101, an inhibitor of enkephalin-degrading enzymes, produces antinociceptive, antidepressant, and anxiolytic effects in rodents, without typical opioid-related negative side effects. Although enkephalins are not selective endogenous ligands, RB101 induces these behaviors through receptor-selective activity. The antinociceptive effects of RB101 are produced through either the mu-opioid receptor alone or through activation of both mu- and delta-opioid receptors; the antidepressant-like and anxiolytic effects of RB101 are mediated only through the delta-opioid receptor. Although little is known about the effects of RB101 on other physiologically and behaviorally relevant peptides, these findings suggest that RB101 and other inhibitors of enkephalin-degrading enzymes may have potential as novel therapeutic compounds for the treatment of pain, depression, and anxiety.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Aminopeptidases / drug effects
  • Animals
  • Cholecystokinin / drug effects
  • Cholecystokinin / metabolism*
  • Disulfides / pharmacology*
  • Enkephalin, Leucine / drug effects
  • Enkephalin, Leucine / metabolism*
  • Enkephalin, Methionine / drug effects
  • Enkephalin, Methionine / metabolism*
  • Enzyme Inhibitors / pharmacology*
  • Mice
  • Phenylalanine / analogs & derivatives*
  • Phenylalanine / pharmacology
  • Prodrugs
  • Rats

Substances

  • Disulfides
  • Enzyme Inhibitors
  • Prodrugs
  • RB 101
  • Phenylalanine
  • Enkephalin, Methionine
  • Enkephalin, Leucine
  • Cholecystokinin
  • Aminopeptidases
  • enkephalin degrading enzyme