Skip to main content
Top
Published in: Forensic Toxicology 2/2018

Open Access 01-07-2018 | Original Article

Chemical synthesis, characterisation and in vitro and in vivo metabolism of the synthetic opioid MT-45 and its newly identified fluorinated analogue 2F-MT-45 with metabolite confirmation in urine samples from known drug users

Authors: Craig McKenzie, Oliver B. Sutcliffe, Kevin D. Read, Paul Scullion, Ola Epemolu, Daniel Fletcher, Anders Helander, Olof Beck, Alexia Rylski, Lysbeth H. Antonides, Jennifer Riley, Shannah A. Smith, Niamh Nic Daeid

Published in: Forensic Toxicology | Issue 2/2018

Login to get access

Abstract

Purpose

The detection of a novel psychoactive substance, 2F-MT-45, a fluorinated analogue of the synthetic opioid MT-45, was reported in a single seized tablet. MT-45, 2F-, 3F- and 4F-MT-45 were synthesised and reference analytical data were reported. The in vitro and in vivo metabolisms of MT-45 and 2F-MT-45 were investigated.

Method

The reference standards and seized sample were characterised using nuclear magnetic resonance spectroscopy, ultra-performance liquid chromatography–quadrupole time of flight mass spectrometry, gas chromatography–mass spectrometry, attenuated total reflectance-Fourier transform infrared spectroscopy and Raman spectroscopy. Presumptive tests were performed and physicochemical properties of the compounds determined. Metabolite identification studies using human liver microsomes, human hepatocytes, mouse hepatocytes and in vivo testing using mice were performed and identified MT-45 metabolites were confirmed in authentic human urine samples.

Results

Metabolic pathways identified for MT-45 and 2F-MT-45 were N-dealkylation, hydroxylation and subsequent glucuronidation. The major MT-45 metabolites identified in human in vitro studies and in authenticated human urine were phase I metabolites and should be incorporated as analytical targets to existing toxicological screening methods. Phase II glucuronidated metabolites were present in much lower proportions.

Conclusions

2F-MT-45 has been detected in a seized tablet for the first time. The metabolite identification data provide useful urinary metabolite targets for forensic and clinical testing for MT-45 and allows screening of urine for 2F-MT-45 and its major metabolites to determine its prevalence in case work.
Appendix
Available only for authorised users
Literature
4.
go back to reference Nakamura H, Shimizu M (1976) Comparative study of 1-(cyclohexyl-4-(1,2-diphenylethyl)- piperazine (MT-45) and its enantiomorphs on analgesic and other pharmacological activities in experimental animals. Arch Int Pharmacodyn Ther 221:105–121PubMed Nakamura H, Shimizu M (1976) Comparative study of 1-(cyclohexyl-4-(1,2-diphenylethyl)- piperazine (MT-45) and its enantiomorphs on analgesic and other pharmacological activities in experimental animals. Arch Int Pharmacodyn Ther 221:105–121PubMed
7.
go back to reference Matsuno K, Senda T, Kobayashi T, Murai M, Mita S (1998) Reduction of 4-cyclohexyl-1- [(1R)-1,2-diphenylethyl]-piperazine-induced memory impairment of passive avoidance performance by sigma1 receptor agonists in mice. Methods Find Exp Clin Pharmacol 20:575–580CrossRefPubMed Matsuno K, Senda T, Kobayashi T, Murai M, Mita S (1998) Reduction of 4-cyclohexyl-1- [(1R)-1,2-diphenylethyl]-piperazine-induced memory impairment of passive avoidance performance by sigma1 receptor agonists in mice. Methods Find Exp Clin Pharmacol 20:575–580CrossRefPubMed
8.
go back to reference Fujimura H, Tsurumi K, Nozaki M, Hori M, Imai E (1978) Analgesic activity and opiate receptor binding of 1-cyclohexyl-4-(1,2-diphenylethyl)piperazine. Jpn J Pharmacol 28:505–506CrossRefPubMed Fujimura H, Tsurumi K, Nozaki M, Hori M, Imai E (1978) Analgesic activity and opiate receptor binding of 1-cyclohexyl-4-(1,2-diphenylethyl)piperazine. Jpn J Pharmacol 28:505–506CrossRefPubMed
9.
go back to reference Nozaki M, Niwa M, Imai E, Hori M, Fujimura H (1983) (1,2-Diphenylethyl)piperazines as potent opiate-like analgesics: the unusual relationships between stereoselectivity and affinity to opioid receptor. Life Sci 33(Suppl 1):431–434CrossRefPubMed Nozaki M, Niwa M, Imai E, Hori M, Fujimura H (1983) (1,2-Diphenylethyl)piperazines as potent opiate-like analgesics: the unusual relationships between stereoselectivity and affinity to opioid receptor. Life Sci 33(Suppl 1):431–434CrossRefPubMed
10.
go back to reference Natsuka K, Nakamura H, Uno H, Umemoto S (1975) Studies on 1-substituted 4-(1,2-diphenylethyl)piperazine derivatives and their analgesic activities. J Med Chem 18:1240–1244CrossRefPubMed Natsuka K, Nakamura H, Uno H, Umemoto S (1975) Studies on 1-substituted 4-(1,2-diphenylethyl)piperazine derivatives and their analgesic activities. J Med Chem 18:1240–1244CrossRefPubMed
11.
go back to reference Natsuka K, Nakamura H, Nishikawa Y, Negoro T, Uno H, Nishimura H (1987) Synthesis and structure–activity relationships of 1-substituted 4-(1,2-diphenylethyl) piperazine derivatives having narcotic agonist and antagonist activity. J Med Chem 30:1779–1787CrossRefPubMed Natsuka K, Nakamura H, Nishikawa Y, Negoro T, Uno H, Nishimura H (1987) Synthesis and structure–activity relationships of 1-substituted 4-(1,2-diphenylethyl) piperazine derivatives having narcotic agonist and antagonist activity. J Med Chem 30:1779–1787CrossRefPubMed
12.
go back to reference Montesano C, Vannutelli G, Fanti F, Vincenti F, Gregori A, Togna AR, Canazza I, Marti M, Sergi M (2017) Identification of MT-45 metabolites: in silico prediction, in vitro incubation with rat hepatocytes and in vivo confirmation. J Anal Toxicol 41:688–697CrossRefPubMed Montesano C, Vannutelli G, Fanti F, Vincenti F, Gregori A, Togna AR, Canazza I, Marti M, Sergi M (2017) Identification of MT-45 metabolites: in silico prediction, in vitro incubation with rat hepatocytes and in vivo confirmation. J Anal Toxicol 41:688–697CrossRefPubMed
16.
go back to reference Uchiyama N, Matsuda S, Kawamura M, Kikura-Hanajiri R, Goda Y (2014) Identification of two new-type designer drugs, piperazine derivative MT-45 (I-C6) and synthetic peptide Noopept (GVS-111), with synthetic cannabinoid A-834735, cathinone derivative 4-methoxy-α-PVP, and phenethylamine derivative 4-methylbuphedrine from illegal products. Forensic Toxicol 32:9–18CrossRef Uchiyama N, Matsuda S, Kawamura M, Kikura-Hanajiri R, Goda Y (2014) Identification of two new-type designer drugs, piperazine derivative MT-45 (I-C6) and synthetic peptide Noopept (GVS-111), with synthetic cannabinoid A-834735, cathinone derivative 4-methoxy-α-PVP, and phenethylamine derivative 4-methylbuphedrine from illegal products. Forensic Toxicol 32:9–18CrossRef
17.
go back to reference Helander A, Backberg M, Beck O (2014) MT-45, a new psychoactive substance associated with hearing loss and unconsciousness. Clin Toxicol 52:901–904CrossRef Helander A, Backberg M, Beck O (2014) MT-45, a new psychoactive substance associated with hearing loss and unconsciousness. Clin Toxicol 52:901–904CrossRef
19.
go back to reference Helander A, Beck O, Hägerkvist R, Hultén P (2013) Identification of novel psychoactive drug use in Sweden based on laboratory analysis—initial experiences from the STRIDA project. Scand J Clin Lab Invest 73:400–406CrossRefPubMed Helander A, Beck O, Hägerkvist R, Hultén P (2013) Identification of novel psychoactive drug use in Sweden based on laboratory analysis—initial experiences from the STRIDA project. Scand J Clin Lab Invest 73:400–406CrossRefPubMed
20.
go back to reference Helander A, Bradley M, Hasselblad A, Norlén L, Vassilaki I, Bäckberg M, Lapins J (2017) Acute skin and hair symptoms followed by severe, delayed eye complications in subjects using the synthetic opioid MT-45. Br J Dermatol 176:1021–1027CrossRefPubMed Helander A, Bradley M, Hasselblad A, Norlén L, Vassilaki I, Bäckberg M, Lapins J (2017) Acute skin and hair symptoms followed by severe, delayed eye complications in subjects using the synthetic opioid MT-45. Br J Dermatol 176:1021–1027CrossRefPubMed
21.
go back to reference Papsun D, Krywanczyk A, Vose JC, Bundock EA, Logan BK (2016) Analysis of MT-45, a novel synthetic opioid, in human whole blood by LC–MS–MS and its identification in a drug-related death. J Anal Toxicol 40:313–317CrossRefPubMed Papsun D, Krywanczyk A, Vose JC, Bundock EA, Logan BK (2016) Analysis of MT-45, a novel synthetic opioid, in human whole blood by LC–MS–MS and its identification in a drug-related death. J Anal Toxicol 40:313–317CrossRefPubMed
23.
go back to reference Fels H, Krueger J, Sachs H, Musshoff F, Graw M, Roider G, Stoever A (2017) Two fatalities associated with synthetic opioids: AH-7921 and MT-45. Forensic Sci Int 277:e30–e35CrossRefPubMed Fels H, Krueger J, Sachs H, Musshoff F, Graw M, Roider G, Stoever A (2017) Two fatalities associated with synthetic opioids: AH-7921 and MT-45. Forensic Sci Int 277:e30–e35CrossRefPubMed
27.
go back to reference Siddiqi S, Verney C, Dargan P, Wood D (2015) Understanding the availability, prevalence of use, desired effects, acute toxicity and dependence potential of the novel opioid MT-45. Clin Toxicol 53:54–59CrossRef Siddiqi S, Verney C, Dargan P, Wood D (2015) Understanding the availability, prevalence of use, desired effects, acute toxicity and dependence potential of the novel opioid MT-45. Clin Toxicol 53:54–59CrossRef
30.
go back to reference Geyer PM, Hulme MC, Irving JPB, Thompson PD, Ashton RN, Lee RJ, Johnson L, Marron J, Banks CE, Sutcliffe OB (2016) Guilty by dissociation—development of gas chromatography mass spectrometry (GC-MS) and other rapid screening methods for the analysis of 13 diphenidine-derived new psychoactive substances (NPSs). Anal Bioanal Chem 408:8467–8481CrossRefPubMed Geyer PM, Hulme MC, Irving JPB, Thompson PD, Ashton RN, Lee RJ, Johnson L, Marron J, Banks CE, Sutcliffe OB (2016) Guilty by dissociation—development of gas chromatography mass spectrometry (GC-MS) and other rapid screening methods for the analysis of 13 diphenidine-derived new psychoactive substances (NPSs). Anal Bioanal Chem 408:8467–8481CrossRefPubMed
32.
33.
go back to reference Stephanson NN, Signell P, Helander A, Beck O (2017) Use of LC-HRMS in full scan-XIC mode for multi-analyte urine drug testing–a step towards a "black-box" solution? J Mass Spectrom 52:497–506CrossRefPubMed Stephanson NN, Signell P, Helander A, Beck O (2017) Use of LC-HRMS in full scan-XIC mode for multi-analyte urine drug testing–a step towards a "black-box" solution? J Mass Spectrom 52:497–506CrossRefPubMed
34.
go back to reference Li AP (2007) Human hepatocytes: isolation, cryopreservation and applications in drug development. Chem Biol Interact 168:16–29CrossRefPubMed Li AP (2007) Human hepatocytes: isolation, cryopreservation and applications in drug development. Chem Biol Interact 168:16–29CrossRefPubMed
35.
go back to reference Wohlfarth A, Vikingsson S, Roman M, Andersson M, Kugelberg FC, Green H, Kronstrand R (2017) Looking at flubromazolam metabolism from four diferent angles: metabolite profiling in human liver microsomes, human hepatocytes, mice and authentic human urine samples with liquid chromatography high-resolution mass spectrometry. Forensic Sci Int 274:55–63CrossRefPubMed Wohlfarth A, Vikingsson S, Roman M, Andersson M, Kugelberg FC, Green H, Kronstrand R (2017) Looking at flubromazolam metabolism from four diferent angles: metabolite profiling in human liver microsomes, human hepatocytes, mice and authentic human urine samples with liquid chromatography high-resolution mass spectrometry. Forensic Sci Int 274:55–63CrossRefPubMed
36.
go back to reference Richter LHJ, Flockerzi V, Maurer HH, Meyer MR (2017) Pooled human liver preparations, HepaRG, or HepG2 cell lines for metabolism studies of new psychoactive substances? A study using MDMA, MDBD, butylone, MDPPP, MDPV, MDPB, 5-MAPB, and 5-API as examples. J Pharm Biomed Anal 143:32–42CrossRefPubMed Richter LHJ, Flockerzi V, Maurer HH, Meyer MR (2017) Pooled human liver preparations, HepaRG, or HepG2 cell lines for metabolism studies of new psychoactive substances? A study using MDMA, MDBD, butylone, MDPPP, MDPV, MDPB, 5-MAPB, and 5-API as examples. J Pharm Biomed Anal 143:32–42CrossRefPubMed
37.
go back to reference Richter LHJ, Maurer HH, Meyer MR (2017) New psychoactive substances: studies on the metabolism of XLR-11, AB-PINACA, FUB-PB-22, 4-methoxy-α-PVP, 25-I-NBOMe, and meclonazepam using human liver preparations in comparison to primary human hepatocytes, and human urine. Toxicol Lett 280:142–150CrossRefPubMed Richter LHJ, Maurer HH, Meyer MR (2017) New psychoactive substances: studies on the metabolism of XLR-11, AB-PINACA, FUB-PB-22, 4-methoxy-α-PVP, 25-I-NBOMe, and meclonazepam using human liver preparations in comparison to primary human hepatocytes, and human urine. Toxicol Lett 280:142–150CrossRefPubMed
Metadata
Title
Chemical synthesis, characterisation and in vitro and in vivo metabolism of the synthetic opioid MT-45 and its newly identified fluorinated analogue 2F-MT-45 with metabolite confirmation in urine samples from known drug users
Authors
Craig McKenzie
Oliver B. Sutcliffe
Kevin D. Read
Paul Scullion
Ola Epemolu
Daniel Fletcher
Anders Helander
Olof Beck
Alexia Rylski
Lysbeth H. Antonides
Jennifer Riley
Shannah A. Smith
Niamh Nic Daeid
Publication date
01-07-2018
Publisher
Springer Japan
Published in
Forensic Toxicology / Issue 2/2018
Print ISSN: 1860-8965
Electronic ISSN: 1860-8973
DOI
https://doi.org/10.1007/s11419-018-0413-1

Other articles of this Issue 2/2018

Forensic Toxicology 2/2018 Go to the issue