Highly water-soluble derivatives of the anesthetic agent propofol: in vitro and in vivo evaluation of cyclic amino acid esters

Eur J Pharm Sci. 2003 Sep;20(1):17-26. doi: 10.1016/s0928-0987(03)00161-1.

Abstract

Cyclic amino acid esters of propofol were synthesized in an attempt to develop new water-soluble anesthetic agents. Their solubility and stability in aqueous solution, and their ability to release propofol in vitro under physiological conditions were determined. L-Proline (6a) and racemic nipecotic acid (6c) esters were found to be highly soluble in water. Sufficiently stable at physiological pH (half-lives >6 h), the alpha-amino acid esters, 6a and 6b, were found to be quantitatively hydrolyzed in plasma and liver esterase solutions within a few minutes, showing prodrug behavior. The in vitro activity of the esters, determined either by the [(35)S]tert-butylbicyclophosphorothionate ([(35)S]TBPS) binding assay or electrophysiological measurements of the action at cloned human receptors, proved to be a mechanism involving allosteric modulation of GABA(A) receptors. Indeed, L-proline (6a), and racemic pipecolinate (6b) and nipecotate (6c), like propofol, reduced [(35)S]TBPS binding, whereas isonipecotate (6d) showed bicuculline-like behavior, increasing [(35)S]TBPS binding. A nonlinear relation between GABA(A) receptor binding affinity and lipophilicity, as assessed by reversed-phase high-performance liquid chromatography, emerged as a trend. The in vivo anticonvulsant and anesthetic activities of prolinate 6a, intraperitoneally administered in water solution, showed that is a water-soluble propofol prodrug candidate for developing formulations useful for parenteral administration.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Acids, Cyclic / chemistry*
  • Amino Acids, Cyclic / pharmacology
  • Anesthetics, Intravenous / chemical synthesis*
  • Anesthetics, Intravenous / chemistry
  • Anesthetics, Intravenous / pharmacology
  • Animals
  • Drug Stability
  • Esters
  • Humans
  • Hydrogen-Ion Concentration
  • Hydrolysis
  • In Vitro Techniques
  • Isonipecotic Acids / chemistry
  • Male
  • Nipecotic Acids / chemistry
  • Oocytes
  • Patch-Clamp Techniques
  • Prodrugs / chemical synthesis*
  • Prodrugs / chemistry
  • Prodrugs / pharmacology
  • Proline / chemistry
  • Propofol / chemistry*
  • Radioligand Assay
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, GABA-A / metabolism
  • Solubility
  • Structure-Activity Relationship
  • Water
  • Xenopus laevis

Substances

  • Amino Acids, Cyclic
  • Anesthetics, Intravenous
  • Esters
  • Isonipecotic Acids
  • Nipecotic Acids
  • Prodrugs
  • Receptors, GABA-A
  • Water
  • nipecotic acid
  • Proline
  • Propofol