Google Play icon

Next-generation single-dose antidotes for opioid overdoses

Share
Posted April 4, 2019

The U.S. opioid epidemic is being driven by an unprecedented surge in deaths from fentanyl and other synthetic opiates. Fentanyl’s powerful effects are long-lasting, and even tiny amounts of the drug can lead to an overdose. Antidotes, such as naloxone, do not last long enough in the body to fully counter the drug, requiring repeated injections. Now, scientists report that they are developing single-dose, longer-lasting opioid antidotes using polymer nanoparticles.

Prescription pain pills dumped out on a table. Image credit: U.S. Air Force / Mark R. W. Orders-Woempner, Public Domain

Prescription pain pills dumped out on a table. Image credit: U.S. Air Force / Mark R. W. Orders-Woempner, Public Domain

The researchers will present their results at the American Chemical Society (ACS) Spring 2019 National Meeting & Exposition. ACS, the world’s largest scientific society, is holding the meeting. It features nearly 13,000 presentations on a wide range of science topics.

Covalent nanoparticles (top) release naloxone (purple structures) slowly over 24 hours. Image credit: Marina Kovaliov

“We became interested in this problem while trying to make non-addictive pain medications,” Saadyah Averick, Ph.D., says. “In that course of research, we realized the limitations of current opioid antidotes.”

According to the U.S. Centers for Disease Control, opioids, such as heroin, oxycodone and fentanyl, were implicated in more than 47,000 deaths from overdose in 2017. These drugs all bind to the mu opioid receptor (MOR) in the brain, which is the body’s natural pleasure receptor, explains Averick, a scientist at Allegheny Health Network Research Institute. “The drugs bind, turn on the receptor and stimulate a euphoric feeling. The synthetic opioids, such as fentanyl, turn this on really, really well,” he says.

And their effects are long-lasting. Fentanyl, which is much stronger than morphine, another opioid, can be absorbed into fat tissue, which protects it from being metabolized right away. It is then slowly released from this tissue, causing effects for several hours. Naloxone, an MOR antagonist and antidote, only stays in the system for about 30 minutes to an hour, however. Because of this mismatch, repeated doses are required to help the patient recover. But not all patients want to undergo the entire treatment course, and they can end up succumbing to an overdose after the naloxone is metabolized.

To overcome this challenge, Averick and his colleagues developed a drug delivery system intended to ensure that a steady, sufficient dose of antagonist is delivered over 24 hours. The researchers reacted naloxone, which has a multi-ringed chemical structure, with polylactic acid (PLA), thus creating a naloxone polymer. They then prepared covalent nanoparticles (CNPs) by adding this polymer to a solution of polyvinyl alcohol. They used a variety of analytical methods to purify and analyze the resulting particles, which are 300 nanometers in diameter.

“In collaboration with the Benedict Kolber laboratory at Duquesne University, proof-of-concept research has shown that these nanoparticles can deliver sufficient naloxone in a linear time-release fashion to block morphine’s analgesic effect for 24 hours,” Averick notes. “As a next step, the study will be extended to fentanyl.” Although the most recent work was performed with mice, future studies will include an animal model that more closely simulates how humans metabolize opioids.

The researchers are also planning to investigate how particle size impacts naloxone release from the nanoparticle. “Ultimately, we hope to develop a therapeutic intervention for fentanyl overdose that can be used in the field, perhaps supplanting short-acting naloxone as an overdose antidote of choice,” Averick says. “We anticipate that this drug delivery system will also be effective for other non-fentanyl opioids.”

Given the fact that naloxone and the other compounds the team uses are already deemed safe, Averick predicts that the time-to-market could be less than five years for the nanoparticle system.

Source: acs.org

Featured news from related categories:

Technology Org App
Google Play icon
84,083 science & technology articles

Most Popular Articles

  1. Efficiency of solar panels could be improved without changing them at all (September 2, 2019)
  2. Diesel is saved? Volkswagen found a way to reduce NOx emissions by 80% (September 3, 2019)
  3. The famous old Titanic is disappearing into time - a new expedition observed the corrosion (September 2, 2019)
  4. The Time Is Now for Precision Patient Monitoring (July 3, 2019)
  5. Europe and US are Going to Try and Deflect an Asteroid (September 6, 2019)

Follow us

Facebook   Twitter   Pinterest   Tumblr   RSS   Newsletter via Email