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Preclinical, Journal: Effects of chronic fentanyl administration on behavioral characteristics of mice. (Pubmed Central) - Aug 23, 2020 Chronic fentanyl administration induces some behavioral changes in mice. Although further studies are needed to clarify the underlying mechanisms of the behavioral effects of chronic fentanyl administration, our findings suggest that fentanyl is safe under properly controlled conditions.
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[VIRTUAL] Flexible printed SERS sensors for the detection of small molecules (On Demand Oral) - Aug 20, 2020 - Abstract #ACSFall2020ACS-Fall_6272; SERS detection of a powerful opioid drug, fentanyl, will be highlighted in this presentation. We will discuss modification to the surface of gold nanostructure to improve the detection and compare the SERS detection limit to that of colorimetric test.
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[VIRTUAL] Discovery of a novel series of mOR ligands that can be titrated for optimal efficacy based on the indication (On Demand Oral) - Aug 20, 2020 - Abstract #ACSFall2020ACS-Fall_5594; CNS penetrant µ-opioid receptor (mOR) agonists and partial agonists like morphine, codeine, fentanyl, oxycodone and buprenorphine play a key role in acute and chronic pain management...These compounds range from full agonists like RM-1131, that binds the mOR receptor with high affinity (mOR [3H]-DAMGO competition IC50 = 1.8 nM), display full activation of the receptor in vitro in [35S]-GTPγS and cAMP assays and display strong analgesic effects in vivo, to antagonists like RM-1046 that also bind to the receptor with high affinity (mOR [3H]-DAMGO competition IC50 = 7.5 nM) and antagonize mOR agonists in vitro and in vivo. The correlation between in vitro activation of mOR and relative activity in models of analgesia and respiratory depression will be discussed.
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[VIRTUAL] Optimization of novel mOR ligands for enhanced CNS penetration (On Demand Poster) - Aug 20, 2020 - Abstract #ACSFall2020ACS-Fall_5498; A screen of a virtual library yielded potent and selective mOR ligands typified by the previously disclosed compound, PZM21In this report, we discuss the use of urea and phenol isosteres to optimize the CNS permeability of the PZM21 scaffold. Our efforts led to a novel series of carbamate derivatives typified by RM201006 (mOR cAMP EC50 (%Effic.) = 35 nM (80%) with significantly improved CNS permeability in rat (brain/plasma ratio = 3.2) and mouse (brain/plasma ratio = 4.1).
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[VIRTUAL] Control of the µ-opioid receptor efficacy in vitro and in vivo by novel conformationally restricted cyclopropane carboxamide-derived cis/trans isomers (On Demand Poster) - Aug 20, 2020 - Abstract #ACSFall2020ACS-Fall_5497; A significant part of the problem comes from the proclivity of mOR agonists that are currently prescribed to manage pain like morphine, codeine, fentanyl and oxycodone, to create tolerance and dependence resulting in respiratory depression that can lead to hypoxia and death...It was found that cyclopropane carboxamides with a trans configuration across the cyclopropane ring like RM296 (mOR 3H-DAMGO competition IC50 = 1.4 nM; mOR [35S]-GTPγS EC50 (%Effic.) = 2.1 nM (64)) are full agonists while analogs with syn configuration, typified by RM964 (mOR 3H-DAMGO competition IC50 = 80 nM; mOR DAMGO cAMP IC50 = 48 nM), are antagonists or low-efficacy partial agonists. The in vitro and in vivo activity of these compounds will be discussed.
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[VIRTUAL] Antagonists pharmacologically chaperone opioid receptors (On Demand Oral) - Aug 20, 2020 - Abstract #ACSFall2020ACS-Fall_2337; In contrast to these effects of antagonists, several opioid agonists (morphine, fentanyl, buprenorphine, and methadone) lacked detectable effects on ERES levels...Me-Ntx failed to significantly increase ERES levels, suggesting that antagonists must enter the cell to serve as pharmacological chaperones, consistent with our proposed inside-out pharmacology mechanism. The possibility that antagonists induce supersensitivity by pharmacologically chaperoning opioid receptors could suggest innovative approaches for opioid abuse disorder.
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[VIRTUAL] Ambient ionization mass spectrometry for rapid analysis of a variety of analytes including opioids, active pharmaceutical ingredients, mitragynine, and pesticides (On Demand Oral) - Aug 20, 2020 - Abstract #ACSFall2020ACS-Fall_1887; For instance, a transmission mode module works well for swabbing pesticides from the surface of produce, while a thermal desorption unit is imperative for safe analysis of acutely toxic compounds, such as fentanyl and fentanyl analogs, that might be encountered in the form of powders, liquids, or counterfeit pharmaceuticals in the field. The relative strengths and limitations of the DART-HR-MS and the DART-MS will be compared and contrasted, particularly in terms of sensitivity, ruggedness, speed of analysis, data processing, and ease of use.
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[VIRTUAL] Overdose in Trauma Patients: How do we address the Epidemic? () - Aug 20, 2020 - Abstract #AAST2020AAST_262; As overdose deaths continue to rise, identifying patients at risk for this important cause of mortality is increasingly important. Though the outcome in the community of interest was small, it represents significant mortality after trauma.
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Journal: Computational Systems Pharmacology-Target Mapping for Fentanyl-laced Cocaine Overdose. (Pubmed Central) - Aug 19, 2020 Finally, we looked into the detail of JWH133, an agonist of cannabinoid 2-receptor (CB2) with potential therapy for cocaine and fentanyl overdose. All these results provide insight into a better understanding of fentanyl and cocaine polydrug addiction and future drug abuse prevention.
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Journal: Biased signaling by endogenous opioid peptides. (Pubmed Central) - Aug 19, 2020 Opioids, such as morphine and fentanyl, are widely used for the treatment of severe pain; however, prolonged treatment with these drugs leads to the development of tolerance and can lead to opioid use disorder...Our data also challenge the dogma that shorter forms of β-endorphin do not exhibit receptor activity; we show that they exhibit robust signaling in cultured cells and in an acute brain slice preparation. Collectively, this information lays the groundwork for improved understanding of the endogenous opioid system that will help in developing more effective treatments for pain and addiction.
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Clinical, Journal: Low Barrier Tele-Buprenorphine in the Time of COVID-19: A Case Report. (Pubmed Central) - Aug 19, 2020 We describe 2 cases where telemedicine was combined with street outreach to connect patients experiencing homelessness with OUD to treatment. These cases highlight an important opportunity to provide access to life-saving OUD treatment for vulnerable patients in the setting of a pandemic that mandates reduced face-to-face clinical interactions.
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Clinical, Journal: Spinal anesthesia for cesarean section in a super morbidly obese parturient: A case report. (Pubmed Central) - Aug 18, 2020 There is no established strategy for selecting a method of anesthesia in patients with morbid obesity (body mass index 40 kg/m or more). For this reason and considering the amount of bupivacaine used for spinal anesthesia, we wanted to share our experience with spinal anesthesia for cesarean section in a super morbidly obese parturients.
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Clinical, Observational data, Journal: Mortality Predictors and Associated Factors in Patients in the Intensive Care Unit: A Cross-Sectional Study. (Pubmed Central) - Aug 18, 2020 There was no statistically significant difference (p=0.540) in survival between patients with and without delirium, based on the survival analysis and length of hospitalization. The prevalence of death was 21%, and age, electrolyte disturbance, glycemic index, tube feeding, mechanical ventilation, sedation with fentanyl, use of insulin, and higher Charlson score were associated with mortality.
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Journal: Determining spatial access to opioid use disorder treatment and emergency medical services in New Hampshire. (Pubmed Central) - Aug 15, 2020 When comparing the access results with data on the towns of residence for individuals who died from unintentional overdoses involving fentanyl during 2015 and 2016, estimates found that approximately 40% of the towns were not estimated to be in the highest class of access to treatment services at the time. This research provides information for local public health officials to support planning strategies to address opioid use disorder treatment access in high-risk regions.
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Clinical, Journal: Efficacy of ultrasound guided quadratus lumborum block as postoperative analgesia in renal transplantation recipients: A randomised double blind clinical study. (Pubmed Central) - Aug 15, 2020 Fentanyl consumption, numerical rating score, and sedation score were significantly less in group A when compared to group B at 1, 4, 8, 12, and 24 h (P < 0.001). Type-1 QLB significantly reduces fentanyl consumption and NRS pain score at 1,4,8,12, and 24 h in the postoperative period in renal transplant recipients.
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