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Structure-Activity Relationship (SAR) of the Phenethylamines: A ...

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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 />

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