Structure-Activity Relationship (SAR) of the Phenethylamines: A ...
Structure-Activity Relationship (SAR) of the Phenethylamines: A ...
Structure-Activity Relationship (SAR) of the Phenethylamines: A ...
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<strong>Structure</strong>-<strong>Activity</strong> <strong>Relationship</strong><br />
(<strong>SAR</strong>) <strong>of</strong> <strong>the</strong> <strong>Phenethylamines</strong>:<br />
A Focus on <strong>the</strong> Basics<br />
Rob Palmer<br />
Toxicology Associates, PLLC<br />
Rocky Mountain Poison & Drug Center<br />
University <strong>of</strong> Colorado School <strong>of</strong> Medicine<br />
Disclaimer<br />
• This is not a complete compendium <strong>of</strong> all<br />
substituted amphetamine derivatives and<br />
not all <strong>SAR</strong> twists and turns are covered<br />
• I hope to distill <strong>the</strong> essence <strong>of</strong> <strong>SAR</strong> studies<br />
into an understandable block<br />
• The goal is to provide some useful <strong>SAR</strong><br />
tools for predicting biological activity <strong>of</strong> a<br />
phenethylamine molecule<br />
• Many references are combined for a given<br />
concept<br />
What is <strong>SAR</strong><br />
• The relationship between <strong>the</strong> threedimensional<br />
structure <strong>of</strong> a molecule and<br />
its biological action.<br />
• What happens to <strong>the</strong> pharmacology <strong>of</strong> a<br />
molecule when we add to, subtract from<br />
or tweak its substituents and geometry<br />
1
Just Nine Little Carbons…<br />
2-Carbon<br />
Bridge<br />
Amine<br />
(Basic N)<br />
Aromatic<br />
Ring<br />
Phenethylamine Description<br />
• Alpha-methylphenethylamine<br />
• Amphetamine<br />
• Alpha-methylphenethylamine<br />
• 1-phenyl-2-aminopropane<br />
• Phenylisopropylamine<br />
Initial <strong>SAR</strong><br />
β <br />
α <br />
2-Phenethylamine<br />
Amphetamine<br />
• 2-Phenethylamine largely lacks CNS<br />
effects with systemic administration<br />
• Little difference in lipophilicity between <strong>the</strong><br />
two compounds<br />
• Both are capable <strong>of</strong> CNS penetration<br />
2
Initial <strong>SAR</strong><br />
2-Phenethylamine<br />
• No α-CH 3 group<br />
• Lacks central effects on<br />
systemic administration<br />
• Rapidly degraded by<br />
MAO<br />
Amphetamine<br />
• α-methyl group yields<br />
amphetamine<br />
• Has central effects<br />
• Poor MAO substrate<br />
• Stereocenter in <strong>the</strong><br />
side chain<br />
Basic Flavors <strong>of</strong> Amphetamines<br />
• Catecholamine Releasers<br />
• Serotonin Releasers<br />
• Hallucinogenic Compounds<br />
Stereochemistry Reminder<br />
• How does this work, again<br />
• R / S = D / L<br />
• Absolute Configuration<br />
• Determined by structure<br />
• d / l = + / -<br />
• Optical <strong>Activity</strong><br />
• Experimentally determined)<br />
• Absolute configuration DOES NOT predict<br />
optical activity!!!!!<br />
3
Stereochemistry <strong>of</strong> <strong>the</strong> α-Carbon<br />
• S–(+)-amphetamine is more potent<br />
“amphetamine-like” enantiomer<br />
• More on what this means in a bit<br />
• There is a 4 – 10 fold stereoselective<br />
preference depending on assay used<br />
Catecholamine Releasers:<br />
Ring Substitution<br />
ortho- meta- para-<br />
• Rats trained to distinguish 1 mg/kg<br />
(+)-AMP from saline<br />
• ED 50 for (+)-AMP = 0.42 mg/kg<br />
• ED 50 for ortho-CH 3 -AMP = 4.1 mg/kg<br />
• meta- and para- require MUCH higher<br />
doses<br />
• Recall that ortho- is <strong>the</strong> 2-position, meta- is<br />
3 and para- is 4.<br />
Catecholamine Releasers:<br />
N-Substitution<br />
R 1 R 2 Potency (%)<br />
H H 100<br />
H CH 3 200<br />
H CH 2 CH 3 50<br />
H CH 2 CH 2 CH 3 50<br />
CH 3 CH 3 20<br />
• N-Et and N-OH give nearly complete<br />
substitution in (+)-AMP trained rats<br />
• Tertiary amines are dealkylated to more<br />
potent secondary amines in vivo<br />
• Monoamine transport systems can<br />
accommodate ei<strong>the</strong>r primary or N-methyl<br />
substituted amines<br />
4
Catecholamine Releasers:<br />
Benzylic Carbon Oxidation<br />
S-(+)-Amphetamine Cathinone<br />
• Generally good retention <strong>of</strong> activity<br />
• ED 50 values are about equal for cathinone<br />
and amphetamine<br />
• Rats trained on saline vs (+)-AMP showed<br />
(+/-)-cathinone to be equipotent to (+)-AMP<br />
• More potent congeners have S- absolute<br />
configuration at <strong>the</strong> α-carbon<br />
• In (+)-AMP trained rats, S- is about<br />
double racemic potency and R- is ~30%<br />
Catecholamine Releasers:<br />
Diethylpropion<br />
Diethylpropion<br />
Ethcathione<br />
• Diethylpropion has low monoamine<br />
transporter affinity<br />
• Prodrug for ethcathinone<br />
• Ethcathinone has weak 5-HT & DA activity<br />
• NE effects are 10 – 20 fold greater<br />
• Selective NE releasing agent<br />
Catecholamine Releasers:<br />
Benzylic Carbon Oxidation<br />
Cathinone Ephedrine Norepinephrine<br />
• Adding a second stereocenter creates<br />
diastereomers<br />
Pseudoephedrine Ephedrine<br />
• R-absolute configuration has greatest<br />
affinity at adrenergic receptors<br />
5
Catecholamine Releasers:<br />
Morpholines<br />
Phenmetrazine<br />
Phendimetrazine<br />
• Reduction <strong>of</strong> benzylic ketone and<br />
cyclization into morpholine ring<br />
• Phenmetrazine and phendimetrazine<br />
• Certainly are CNS stimulants, but<br />
structurally not phenethylamines<br />
• Not fur<strong>the</strong>r addressed today<br />
Catecholamine Releasers:<br />
Side-Chain Modification<br />
α-Ethylamphetamine α-Ethylmethamphetamine<br />
• Simple methyl to ethyl change attenuates<br />
amphetamine activity<br />
• (+)-α-Ethyl homolog <strong>of</strong> AMP does not<br />
produce full substitution in (+)-AMP trained<br />
rats<br />
• Racemic α-Ethyl METH homolog gives full<br />
substitution but had only 10% <strong>of</strong> <strong>the</strong><br />
potency <strong>of</strong> AMP<br />
Catecholamine Releasers:<br />
Rigid Side Chain Compounds<br />
Aminoindan Aminotetralin Cycloheptane<br />
• 2-Aminoindan (ED 50 2.1 mg/kg) fully<br />
substitutes for (+)-AMP (0.42 mg/kg) in rats<br />
• Different investigator saw only 75% <strong>of</strong><br />
AMP response at triple <strong>the</strong> dose<br />
• Variability in tetralin reports, but is only<br />
about 12 – 30% potency <strong>of</strong> AMP<br />
• Cycloheptane derivative does not give an<br />
AMP-appropriate response<br />
6
Catecholamine Releasers:<br />
Mechanism <strong>of</strong> Action<br />
• An abbreviated (possible) mechanism<br />
• AMP (a weak base) reduces intracellular<br />
pH gradient <strong>of</strong> synaptic vesicles<br />
• Once buffering capacity is exceeded, <strong>the</strong><br />
lack <strong>of</strong> a proton gradient reduces<br />
transmitter uptake driving force<br />
• Deprotonated catecholamine may<br />
diffuse from vesicle along conc gradient<br />
• Elevated cytosolic monoamine may be<br />
released from cell by reversal <strong>of</strong> uptake<br />
pump<br />
Catecholamine Releasers:<br />
<strong>SAR</strong> Summary<br />
Amphetamine Methamphetamine<br />
• Using AMP as <strong>the</strong> model, very little<br />
structural alteration is allowed<br />
• N-CH 3 (METH) increases potency ~2-fold<br />
• S-configuration at α-carbon is preferred<br />
• Assume <strong>the</strong> primary effect <strong>of</strong> interest is<br />
drug-induced efflux <strong>of</strong> neuronal<br />
catecholamines (mostly DA)<br />
• The optimal structure is probably AMP or<br />
METH without aromatic ring substituents<br />
Serotonin Releasers<br />
• Amphetamine is a relatively weak<br />
serotonin releaser<br />
p-Chloroamphetamine<br />
• para-Substitution dramatically increases<br />
neuronal serotonin release<br />
• para-Chloroamphetamine (PCA) is <strong>the</strong><br />
classic example<br />
• para-Chloromethamphetamine received<br />
some clinical attention in <strong>the</strong> early 1970’s<br />
as an antidepressant<br />
7
Serotonin Releasers:<br />
PCA as a 5-HT Neurotoxin<br />
• PCA is a potent releaser <strong>of</strong> 5-HT from<br />
neuron terminals, but…<br />
• Small doses also cause pr<strong>of</strong>ound and<br />
long-lasting central 5-HT depletion<br />
• Loss <strong>of</strong> 5-HT neuronal markers (e.g.<br />
tryptophan hydroxylase)<br />
• Decrease in B max for 5-HT uptake site<br />
• Loss <strong>of</strong> 5-HT immunoreactivity<br />
• Used in some animal models as a 5-HT<br />
neurotoxin<br />
• Mechanism has not been fully elucidated<br />
Serotonin Releasers:<br />
Fenfluramine and PMA<br />
Fenfluramine p-Methoxyamphetamine<br />
• Fenfluramine has some similarities to<br />
PCA, but may only deplete 5-HT acutely<br />
• p-Methoxyamphetamine (PMA) has<br />
significant indirect adrenergic effects<br />
• Also an (indirect) 5-HT releaser<br />
• Isomers similar in potency in releasing<br />
labeled 5-HT from rat brain synaptosomes<br />
• Legally, PMA is usually classified as an<br />
“hallucinogenic amphetamine”<br />
Serotonin Releasers:<br />
MDA<br />
MDA<br />
• Chemical progenitor to MDMA<br />
• Clinical effects <strong>of</strong> MDA described in 1959<br />
• Racemic MDA has effects similar to<br />
hallucinogenic amphetamines<br />
• MDA use produced a need to be with and<br />
talk to o<strong>the</strong>r people as well as a feeling <strong>of</strong><br />
emotional closeness<br />
• In contrast to o<strong>the</strong>r amphetamines<br />
• In a dog model, MDA had both<br />
“amphetamine-like” and “LSD-like” effects<br />
• O<strong>the</strong>r substituted amphetamines just<br />
gave “LSD-like” effects<br />
8
Serotonin Releasers:<br />
MDA – Optical Isomers<br />
S-(+)-MDA<br />
• Behavioral scoring in mice showed LSDlike<br />
effect <strong>of</strong> racemic MDA are due totally<br />
to <strong>the</strong> R-(-) isomer<br />
• The S-(+) isomer possesses amphetamine<br />
like activity<br />
• In cats, <strong>the</strong> S-(+) isomer produces a<br />
significant pressor response blocked by<br />
• Pretreatment with reserpine (depleted<br />
endogenous NE stores)<br />
• Pretreatment with phenoxybenzamine<br />
(α-adrenergic antagonist)<br />
Serotonin Releasers:<br />
MDA – Optical Isomers<br />
S-(+)-MDA<br />
• Indirect adrenergic and 5-HT releasing<br />
actions are stereoselective for S-<br />
• In synaptosomes:<br />
• Potent releaser <strong>of</strong> 5-HT<br />
• Moderately potent 5-HT uptake inhibitor<br />
• Very potent inhibitor <strong>of</strong> NE uptake<br />
• Modest effect on inhibition <strong>of</strong> DA uptake<br />
• 2 – 3 fold S- over R- stereoselectivity<br />
• S-(+)-MDA has some amphetamine-like<br />
activity but <strong>the</strong> primary discriminative cue<br />
appears to be serotonergic<br />
Serotonin Releasers:<br />
N-Substitution<br />
R-(-)-MDMA<br />
• MDMA first syn<strong>the</strong>sized in 1912<br />
• In vitro, pharmacology is similar to MDA<br />
• R-MDMA has higher affinity at 5-HT 2<br />
• In vivo, S-MDMA is more potent<br />
• Discriminative cue (MDMA) is not blocked<br />
by ketanserin (5-HT 2 antagonist)<br />
• In drug discrimination studies, R-(-)-MDA<br />
substitutes for hallucinogenic training<br />
drugs, but R-(-)-MDMA does not<br />
• N-Methylation <strong>of</strong> MDA abolishes R-<br />
(hallucinogenic) activity, but has little effect<br />
on <strong>the</strong> S- (5-HT and catecholamine) activity<br />
9
Serotonin Releasers:<br />
N-Substitution<br />
MDEA<br />
• N-methylation has little effect on 5-HT and<br />
catecholamine effects<br />
• Range <strong>of</strong> allowable substitutions is limited<br />
• MDEA is similar to MDMA for 5-HT, NE<br />
and DA in vitro<br />
• DA effects <strong>of</strong> MDEA weaker than MDMA<br />
• N-Cyclopropyl-PCA has similar<br />
pharmacology to PCA<br />
• Probably due to N-dealkylation<br />
• N,N-Dialkylation leads to inactive<br />
compounds in vivo (N,N-Dimethyl-MDA)<br />
MBDB<br />
CAB<br />
Serotonin Releasers:<br />
Side Chain Modification<br />
• 2-Carbon “bridge” optimal for 5-HT release<br />
• Demonstrated in PCA analog studies<br />
• MDA and MDMA analogs with two α-CH 3<br />
groups are inactive in humans<br />
• A single α-Ethyl may be tolerated<br />
• MBDB & CAB (α-Ethyl MDMA & PCA)<br />
• Longer chains are inactive<br />
• An α-Et markedly attenuates DA release<br />
• Improves 5-HT selectivity, though still<br />
somewhat weaker than α-CH 3 compounds<br />
Serotonin Releasers:<br />
Aromatic Ring Substituents<br />
• Single substituent at 3- (e.g. CF3 in<br />
fenfluramine) or 4- (e.g. PCA and PMA)<br />
or at 3,4- (e.g. MDA, MDMA) gives potent<br />
5-HT releasers<br />
A B<br />
• 3-Methoxy-4-methylamphetamine (A) is a<br />
potent indirect-acting 5-HT releaser<br />
• Addition <strong>of</strong> ortho-OCH 3 (B) eliminates all<br />
effects on 5-HT, NE and DA transporters<br />
10
Serotonin Releasers:<br />
Mechanism <strong>of</strong> Action<br />
• Not just 5-HT uptake inhibitors<br />
• They also actively cause release <strong>of</strong><br />
endogenous 5-HT<br />
• Likely involves 5-HT transporter protein<br />
• Indirect action with amine transporters<br />
(e.g. MDMA-5-HT exchange) is probably<br />
also involved<br />
• Passive diffusion into vesicles and<br />
transport out <strong>of</strong> <strong>the</strong> neuron by reverse<br />
action <strong>of</strong> <strong>the</strong> uptake pump<br />
Serotonin Releasers:<br />
<strong>SAR</strong> Summary<br />
• Monosubstitution at <strong>the</strong> 4-position gives<br />
significant 5-HT activity<br />
• Halogens and OCH 3 have appreciable<br />
catecholamine releasing actions<br />
• A 3-CF 3 group (e.g. fenfluramine) gives<br />
relatively 5-HT selective agent<br />
• A 3,4-dioxole disubstitution gives agents<br />
with 5-HT and catecholamine activity (MDA)<br />
• Primary amine is most potent<br />
• Extension <strong>of</strong> α-CH 3 to α-Et improves 5-HT<br />
action by attenuating catecholamine effects<br />
• Longer chains are not allowable<br />
Hallucinogens<br />
• Called by various names –<br />
psychotomimetics, hallucinogens,<br />
psychedelics<br />
• Jaffe argued that ‘psychedelic’ was <strong>the</strong><br />
most appropriate moniker<br />
• “The feature that distinguishes <strong>the</strong><br />
psychedelic agents from o<strong>the</strong>r classes <strong>of</strong><br />
drugs is <strong>the</strong>ir capacity to induce states <strong>of</strong><br />
altered perception, thought and feeling that<br />
are not experienced o<strong>the</strong>rwise except in<br />
dreams or at times <strong>of</strong> religious exaltation.”<br />
11
Hallucinogenic <strong>Phenethylamines</strong><br />
Mescaline 3,4,5-Trimethoxyamphetamine<br />
• Mescaline was <strong>the</strong> starting point <strong>of</strong> <strong>the</strong><br />
substituted phenethylamine genre<br />
• Mescaline begat TMA in 1955<br />
• Nearly 200 derivatives have been<br />
evaluated for hallucinogenic activity<br />
• Shulgin’s PIHKAL is perhaps <strong>the</strong> most<br />
comprehensive collation <strong>of</strong> data to date<br />
Hallucinogenic <strong>Phenethylamines</strong>:<br />
N-Substitution<br />
• N-alkylation <strong>of</strong> hallucinogenic<br />
amphetamines dramatically attenuates or<br />
even abolishes hallucinogenic activity<br />
• Both receptor (5-HT 2 , 5HT 1C ) affinity and<br />
in vivo activity are diminished<br />
• N-CH 3 reduces hallucinogenic activity by<br />
about an order <strong>of</strong> magnitude<br />
• N,N-Dialkylation (even with methyl<br />
groups), completely abolishes<br />
hallucinogenic activity<br />
• An N-alkyl group larger than CH 3 or<br />
incorporation <strong>of</strong> <strong>the</strong> nitrogen into a<br />
heterocyclic ring leads to inactivity<br />
Hallucinogenic <strong>Phenethylamines</strong>:<br />
Aromatic Ring Substitution<br />
• 3,4,5-Trimethoxy pattern (e.g. mescaline)<br />
actually gives lowest potency<br />
hallucinogens<br />
• Moving 3-OCH 3 to <strong>the</strong> 2 position and/or<br />
replacing <strong>the</strong> 4-OCH 3 with a more<br />
hydrophobic group gives highly active<br />
hallucinogenic compounds<br />
• 2,4,5-trisubstituted with 2 and 5<br />
substituents as OCH 3 are most active<br />
12
Hallucinogenics based on<br />
2,5-Dimethoxyamphetamine<br />
R Trivial Name Est Dose (mg)*<br />
H 2,5-DMA 80 – 160<br />
OCH 3 TMA-2 20 – 40<br />
OCH 2 CH 3 MEM 20 – 50<br />
SCH 3 p-DOT 5 – 10<br />
NO 2 DON 3 – 4.5<br />
CH 3 DOM 3 – 10<br />
CH 2 CH 3 DOEt 2 – 6<br />
CH 2 CH 2 CH 3 DOPr 2.5 – 5<br />
Br DOB 1 – 3<br />
I DOI 1.5 – 3<br />
CF 3 DOTFM Animals Only<br />
*Data compiled from Shulgin & Shulgin (1991)<br />
Hallucinogenics based on<br />
2,5-Dimethoxyamphetamine<br />
2,5-Dimethoxyamphetamine<br />
• Are differences a result <strong>of</strong> electronics<br />
• Probably not – both alkyl and highly<br />
electronegative groups (e.g. NO 2 , CF 3 )<br />
are highly active<br />
• Greatest activity seems to be in congeners<br />
with relatively hydrophobic parasubstituent<br />
which is fairly resistant to<br />
oxidative metabolism<br />
Hallucinogenic <strong>Phenethylamines</strong>:<br />
4-Substituent Orientation<br />
A B<br />
• 4-substituent may force 5-OCH 3 into “anti”<br />
orientation<br />
• Compound A lacks “LSD-like” activity while<br />
B is as potent as <strong>the</strong> flexible analog, DOB<br />
• H-bond donor in <strong>the</strong> receptor site that<br />
needs this orientation <strong>of</strong> <strong>the</strong> O lone pair<br />
• This orientation <strong>of</strong> <strong>the</strong> OCH 3 group is<br />
required to make <strong>the</strong> aromatic system<br />
appear electronically similar to <strong>the</strong> indole<br />
nucleus <strong>of</strong> 5-HT<br />
13
Hallucinogenic <strong>Phenethylamines</strong>:<br />
4-Substituent Orientation<br />
• Optimum in <strong>the</strong> 2,5-dimethoxy-4-n-alkyl<br />
series is <strong>the</strong> n-propyl<br />
• n-butyl has some activity, but n-pentyl<br />
does not<br />
• Going from n-methyl to n-octyl results in<br />
transition from agonist to antagonist<br />
• Polar 4-substituets (OH, NH 2 , CO 2 H) have<br />
low 5-HT 2 receptor affinities<br />
Hallucinogenic <strong>Phenethylamines</strong>:<br />
4-Substituent Orientation<br />
• 3,4,5-Trisubstituted <strong>the</strong> adjacent OCH 3<br />
groups push <strong>the</strong> 4-OCH 3 to lie in a plane<br />
nearly perpendicular to <strong>the</strong> aromatic ring<br />
plane<br />
• 4-ethoxy and 4-isopropoxy are quite potent<br />
Hallucinogenic <strong>Phenethylamines</strong>:<br />
4-Substituent Orientation<br />
• 2,5-dimethoxy series, a 4-alkoxy larger than<br />
OCH 3 does not increase potency or binding<br />
at <strong>the</strong> 5-HT 2 receptor<br />
• 4-Alkoxy group lies in a conformation<br />
allowing maximal overlap <strong>of</strong> oxygen lone<br />
pairs with <strong>the</strong> π-system <strong>of</strong> <strong>the</strong> aromatic ring<br />
• The akyl group attached to <strong>the</strong> O is forced<br />
to lie in <strong>the</strong> plane <strong>of</strong> <strong>the</strong> aromatic ring<br />
• If S ra<strong>the</strong>r than O, alkyl substituent is forced<br />
out <strong>of</strong> ring plane and compounds are potent<br />
14
Hallucinogenic <strong>Phenethylamines</strong>:<br />
Ring Poly-Substitutions<br />
• 2,4- and 2,5-dimethoxyAMP are active in<br />
humans (20 – 60 mg dose)<br />
• 3,4-DimethoxyAMP is most like<br />
catecholamines, but not psychoactive<br />
• 2,4,6-trimethoxyAMP is almost as potent as<br />
2,4,5-trimethoxyAMP<br />
• 2,3,4,5-TetramethoxyAMP was reported as<br />
active in humans early on, but later study<br />
suggests this is not <strong>the</strong> case<br />
DOB<br />
2C-B<br />
Hallucinogenic <strong>Phenethylamines</strong>:<br />
Side Chain Modifications<br />
• Removal <strong>of</strong> α-CH 3 decreases potency in<br />
hallucinogenic amphetamines<br />
• Many stay within an order <strong>of</strong> magnitude<br />
<strong>of</strong> α-methylated congener<br />
• 2C-B and 2C-I are about 1/10 <strong>the</strong> potency<br />
<strong>of</strong> amphetamine counterparts (DOB & DOI)<br />
• Hallucinogen-like activity is higher for R-<br />
enantiomer (in vitro and in vivo)<br />
• Stereoselectivity <strong>of</strong> 3 – 6 fold (NOT<br />
stereoespecificity)<br />
• The α,α-Dimethyl compounds are inactive<br />
Hallucinogenic <strong>Phenethylamines</strong>:<br />
Mechanism <strong>of</strong> Action<br />
• This is tricky…<br />
• Some in vitro receptor data but difficult<br />
model to reproducibly characterize in vivo<br />
• Probably more direct postsynaptic agonist<br />
activity than <strong>the</strong> o<strong>the</strong>r amphetamines<br />
• Most important receptor seems to be <strong>the</strong><br />
5-HT 2 subtype<br />
• 5-HT 1C is probably #2<br />
• 5-HT 1A Hmmmmm……<br />
• Tryptamines and LSD do hit 5-HT 1A<br />
15
Hallucinogenic <strong>Phenethylamines</strong>:<br />
<strong>SAR</strong> Summary<br />
• Most active seem to have:<br />
• Primary amino group<br />
• 2,5 or 3,5-dimethoxy substituents<br />
• Hydrophobic group at 4-position such<br />
as unbranched alkyl, halogen larger<br />
than F or alkylthio group<br />
• The α-CH 3 gives 2 – 10 fold greater<br />
potency than non-methylated congeners<br />
• More active enantiomer is R- (levorotatory)<br />
• Disubstitution at α-carbon kills activity<br />
• Though α-cyclopropyl has some activity<br />
THANKS!!<br />
Rob Palmer<br />
RPalmer@Toxicologyassoc.com<br />
(303) 765-3800<br />
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