Designer drugs are a collection of various substances designed to imitate the effects of controlled substances without being detected or categorized as illegal 1. As such, drug-regulatory authorities face a significant challenge to control such drugs, which can endanger public health when used improperly. Some substances that are referred to as designer drugs may have approved medical use in different legal jurisdictions or countries, further complicating the matter 1. In general, designer drugs can be classified into the categories as traditional drugs of abuse, such as stimulants, sedatives, dissociatives, cannabinoids, and psychedelics. Unlike traditional drugs of abuse, newly emerging designer drugs can avoid detection of routine drug screening, and there is often limited information available about their associated adverse effects. Healthcare workers who treat patients under the influence of these drugs must possess an understanding of their mechanism of action and the related clinical complications. Such knowledge is crucial for ensuring effective medical care.
While there are many chemically unrelated new psychedelic substances that can be classified as designer drugs, a large proportion are structural or functional analogues of tryptamines or phenethylamines. Natural phenethylamines are a class of aromatic amine alkaloids that function as stimulant neurotransmitters 2. Compared to the other amine neurotransmitters dopamine, serotonin, histamine and norepinephrine they exist only in trace amounts 3. Synthetic phenethylamines can have psychoactive, hallucinogenic, and sympathomimetic effects 4 and include the party drugs methamphetamine/METH (N-methylamphetamine), MDMA/ecstasy (3,4-methylenedioxy-methamphetamine), and mescaline (3,4,5-trimethoxyphenethylamine) which are illegal in most countries 5. As the recreational use of phenethylamines has grown 6, diverse harmful effects have been reported 1. The acute adverse effects of phenethylamines including agitation, hallucinations, drowsiness, confusion, mydriasis, aggression, hyperthermia, hypertension, and tachycardia, with more severe long-term adverse effects including acute psychosis, seizures, coma, cerebral edema, long-lasting severe neurological impairment, serotonin syndrome, prolonged respiratory failure, renal failure, multi-organ failure, metabolic acidosis, and rhabdomyolysis 1 depending on dose. While it is believed that the psychedelic effect of the phenethylamines is mediated by activation of the serotonin receptor 5-HT2A, the mechanisms of these adverse effects are less understood.
Phenethylamines show a strong affinity for serotonergic receptors, with the highest affinity for the 5-HT2A receptors, however they also interact with other monoaminergic targets including adrenergic, dopaminergic, and histaminergic receptors, monoamine transporters, and monoamine oxidases 1. Other potential targets include adenosine receptors, aldose reductases, carbonic anhydrases, dipeptidyl peptidases, dopamine β-hydroxylase, galectin-1 receptors, HIV-1 reverse transcriptase receptors, opioid receptors, peroxisome proliferator-activated receptors, sigma receptors, and trace amine-associated receptors 7. Beyond these targets, phenethylamine compounds, such as mescaline and its derivatives, are also structurally similar to the microtubule-destabilizing agent colchicine 8 and may exert effects via direct modulation of cytoskeletal dynamics. Like colchicine mescaline binds to the microtubule constituent protein tubulin, inhibits microtubule dependent axonal transport, and inhibits microtubule and mitotic spindle formation 9. Conversely 2-phenethylamine shows a concentration dependent stabilization of microtubules and suggests a biochemical basis for neuromodulation via direct effect on tubulin of phenethylamines 10–12. The effect of phenethylamines on the microtubule cytoskeleton does not appear to have been studied further than this 13.
Microtubules are polymers composed of αβ-beta tubulin heterodimers that are responsible for many important functions in cells, from protein transport to cell division, and dendrite interactions with synapses of neurons 14. Microtubules go through dynamic instability phases of sporadic polymerization that cause microtubule growth by assembling increasing the concentration of guanosine triphosphate (GTP)-tubulin molecules. Dynamic instability also involves sporadic depolymerization causing the microtubule to shrink because the GTP-tubulin assembly gets hydrolyzed to release energy and attain stability in a curved state 15. Microtubules play a key role in cell division, through the formation of mitotic spindles, a structure that relies on the dynamic instability and precise dynamic stages of microtubule growth and shrinkage during mitosis 16. As microtubules are essential for proper cell function, their dysfunction has been implicated in many nervous system disorders including the neurodegenerative diseases (i.e. Alzheimer’s, Parkinson’s Huntington’s), neuropsychiatric disorders (i.e. schizophrenia, bipolar disorder, major depression), and neurodevelopmental disorders (i.e. autism)17. Microtubule-targeting agents that interfere with microtubule dynamics can contribute to the formation of or exacerbate these conditions. Conversely, with proper regulation and study, such agents could be harnessed for the treatment of many diseases such as cancers 18, neurodegenerative diseases 19, and neuropsychological disorders 20.
As such the goal of this study is to investigate the effect of phenethylamines as microtubule-targeting agents that can either stabilize or destabilize tubulin polymerization. Due to the structural similarity between phenethylamines and the known microtubule-targeting agent colchicine, we performed molecular docking with Autodock Vina 21 of 110 substituted phenethylamines to the colchicine binding site on tubulin. The top 10% of compounds as ranked by binding energy to tubulin were selected for further analysis. Using SwissADME 22 we measured pan-assay interference compounds (PAINS) alerts, Brenk alerts, analyzed whether the compound is a P-glycoprotein (Pg-p) substrate, and whether the compound is an inhibitor of five enzymes from the cytochromes P450 (CYP) family. We also used LightBBB 23 to predict the compound's permeability across the blood brain barrier (BBB). These results were used to select three compounds (25B-NBF (4-bromo-N-[(2-fluorophenyl)methyl]-2,5-dimethoxy-benzene-ethanamine), 25C-NBF (4-chloro-N-[(2-fluorophenyl)methyl]-2,5-dimethoxybenzeneethan-amine), and DMBMPP (2-(2,5-dimethoxy-4-bromobenzyl)-6-(2-methoxy-phenyl) piperidine)) from the 110 phenethylamines for in vitro microtubule polymerization testing. Overall, our results indicate that these compounds affect microtubule polymerization dynamics in a dose dependent manner.