Abstract
Speciociliatine, a diastereomer of mitragynine, is an indole-based alkaloid found in kratom (Mitragyna speciosa). Kratom has been widely used for the mitigation of pain and opioid dependence, as a mood enhancer, and/or as an energy booster. Speciociliatine is a partial µ-opioid agonist with a 3-fold higher binding affinity than mitragynine. Speciociliatine has been found to be a major circulating alkaloid in humans following oral administration of a kratom product. In this report, we have characterized the metabolism of speciociliatine in human and preclinical species (mouse, rat, dog, and cynomolgus monkey) liver microsomes and hepatocytes. Speciociliatine metabolized rapidly in monkey, rat, and mouse hepatocytes (in vitro half-life was 6.6 ± 0.2, 8.3 ± 1.1, 11.2 ± 0.7 min, respectively), while a slower metabolism was observed in human and dog hepatocytes (91.7 ± 12.8 and > 120 min, respectively). Speciociliatine underwent extensive metabolism, primarily through monooxidation and O-demethylation metabolic pathways in liver microsomes and hepatocytes across species. No human-specific or disproportionate metabolites of speciociliatine were found in human liver microsomes. The metabolism of speciociliatine was predominantly mediated by CYP3A4 with minor contributions by CYP2D6.
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Funding
This study was supported by R01 DA047855 and UG3/UH3 DA048353 grants from the National Institute on Drug Abuse and the University of Florida Clinical and Translational Science Institute, which is supported in part by the NIH National Center for Advancing Translational Sciences under award number UL1TR001427.
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SK, EB, KSRR, TK, MK: conceptualization, methodology, investigation, data curation, writing — original draft, preparation. MM, FL: methodology, investigation, writing — review & editing. LM, CRM: conceptualization, funding acquisition, supervision, writing — review & editing. AS: conceptualization, methodology, investigation, supervision, writing — original draft, preparation, review & editing.
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Kamble, S.H., Berthold, E.C., Kanumuri, S.R.R. et al. Metabolism of Speciociliatine, an Overlooked Kratom Alkaloid for its Potential Pharmacological Effects. AAPS J 24, 86 (2022). https://doi.org/10.1208/s12248-022-00736-8
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DOI: https://doi.org/10.1208/s12248-022-00736-8