A non-hallucinogenic psychedelic analogue with therapeutic potential

A non-hallucinogenic psychedelic analogue with therapeutic potential

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ABSTRACT The psychedelic alkaloid ibogaine has anti-addictive properties in both humans and animals1. Unlike most medications for the treatment of substance use disorders, anecdotal reports


suggest that ibogaine has the potential to treat addiction to various substances, including opiates, alcohol and psychostimulants. The effects of ibogaine—like those of other psychedelic


compounds—are long-lasting2, which has been attributed to its ability to modify addiction-related neural circuitry through the activation of neurotrophic factor signalling3,4. However,


several safety concerns have hindered the clinical development of ibogaine, including its toxicity, hallucinogenic potential and tendency to induce cardiac arrhythmias. Here we apply the


principles of function-oriented synthesis to identify the key structural elements of the potential therapeutic pharmacophore of ibogaine, and we use this information to engineer


tabernanthalog—a water-soluble, non-hallucinogenic, non-toxic analogue of ibogaine that can be prepared in a single step. In rodents, tabernanthalog was found to promote structural neural


plasticity, reduce alcohol- and heroin-seeking behaviour, and produce antidepressant-like effects. This work demonstrates that, through careful chemical design, it is possible to modify a


psychedelic compound to produce a safer, non-hallucinogenic variant that has therapeutic potential. Access through your institution Buy or subscribe This is a preview of subscription


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about institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS EFFICIENT AND MODULAR SYNTHESIS OF IBOGAINE AND RELATED ALKALOIDS Article


06 February 2025 (2-AMINOPROPYL)BENZO[Β]THIOPHENES (APBTS) ARE NOVEL MONOAMINE TRANSPORTER LIGANDS THAT LACK STIMULANT EFFECTS BUT DISPLAY PSYCHEDELIC-LIKE ACTIVITY IN MICE Article 08


November 2021 PSYCHEDELICS: PRECLINICAL INSIGHTS PROVIDE DIRECTIONS FOR FUTURE RESEARCH Article 17 March 2023 DATA AVAILABILITY Data are available at


https://doi.org/10.6084/m9.figshare.11634795. Source data are provided with this paper. CODE AVAILABILITY Custom-written data analysis codes are available upon request from the corresponding


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_Learn. Mem_. 27, 6–11 (2020). Article  CAS  PubMed  PubMed Central  Google Scholar  Download references ACKNOWLEDGEMENTS This work was supported by funds from the National Institutes of


Health (NIH) (R01GM128997 to D.E.O.; R37AA01684 to D.R.; R01AA022583 to D.K.; R01MH109475, R01MH104227 and R01NS104950 to Y.Z.; R01DA045836 to J.P.; and U19AG023122 to O.F.), a Hellman


Fellowship (D.E.O.), UC Davis STAIR and STAIR Plus grants (D.E.O.), a Max Planck Fellowship at MPFI (Y.Z.), four NIH training grants (T32GM113770 to R.J.T., T32MH112507 to L.P.C.,


5T32GM099608 to M.V.V., and 4T32GM6754714 to D.M.-T.), two UC Davis Provost’s Undergraduate Fellowships (to J.V. and A.J.P.), the Paul G. Allen Family Foundation (M.N.M. and D.K.), the


Genentech Fellowship Program (D.M.-T.), and a Medical College of Wisconsin Research Affairs Counsel Pilot Grant (J.D.M.). B.M.B. was supported by the National Center for Advancing


Translational Sciences, National Institutes of Health, through grant number UL1 TR001860 and linked award TL1 TR001861. Delix Therapeutics funded the large receptor screen conducted at


Eurofins Discovery. We thank F. F. Wagner for help in coordinating with Eurofins Discovery. This project used the Biological Analysis Core of the UC Davis MIND Institute Intellectual and


Development Disabilities Research Center (U54 HD079125). The Olympus FV1000 confocal microscope used in this study was purchased using NIH Shared Instrumentation Grant 1S10RR019266-01. We


thank the MCB Light Microscopy Imaging Facility, which is a UC Davis Campus Core Research Facility, for the use of this microscope. Several of the drugs used in this study were provided by


the NIDA Drug Supply Program. We thank D. R. Carty for assistance with larval zebrafish toxicity assays. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Neuroscience Graduate Program,


University of California, Davis, Davis, CA, USA Lindsay P. Cameron & Maxemiliano V. Vargas * Department of Chemistry, University of California, Davis, Davis, CA, USA Robert J. Tombari, 


Alexander J. Pell, Zefan Q. Hurley, Guoliang Zhang, Jayashri Viswanathan, Lee E. Dunlap & David E. Olson * Department of Molecular, Cell and Developmental Biology, University of


California, Santa Cruz, Santa Cruz, CA, USA Ju Lu, Taohui Liu, Michelle Tjia & Yi Zuo * Department of Neurology, University of California, San Francisco, San Francisco, CA, USA Yann


Ehinger & Dorit Ron * Institute for Neurodegenerative Diseases, University of California, San Francisco, San Francisco, CA, USA Matthew N. McCarroll, Jack C. Taylor, Douglas


Myers-Turnbull & David Kokel * Quantitative Biosciences Consortium, University of California, San Francisco, San Francisco, CA, USA Douglas Myers-Turnbull * Department of Molecular


Biosciences, School of Veterinary Medicine, University of California, Davis, Davis, CA, USA Bianca Yaghoobi & Pamela J. Lein * Department of Cell Biology, Neurobiology, and Anatomy,


Medical College of Wisconsin, Milwaukee, WI, USA Lauren J. Laskowski, Emilie I. Anderson & John D. McCorvy * Department of Pharmacology, School of Medicine, University of California,


Davis, Davis, CA, USA Brandon M. Brown & Heike Wulff * West Coast Metabolomics Center, University of California, Davis, Davis, CA, USA Zachary T. Rabow & Oliver Fiehn * Department of


Physiology, University of California, San Francisco, San Francisco, CA, USA David Kokel * Department of Anesthesiology, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO,


USA Jamie Peters * Department of Pharmacology, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO, USA Jamie Peters * Department of Biochemistry and Molecular Medicine,


School of Medicine, University of California, Davis, Sacramento, CA, USA David E. Olson * Center for Neuroscience, University of California, Davis, Davis, CA, USA David E. Olson * Delix


Therapeutics, Inc., Palo Alto, CA, USA David E. Olson Authors * Lindsay P. Cameron View author publications You can also search for this author inPubMed Google Scholar * Robert J. Tombari


View author publications You can also search for this author inPubMed Google Scholar * Ju Lu View author publications You can also search for this author inPubMed Google Scholar * Alexander


J. Pell View author publications You can also search for this author inPubMed Google Scholar * Zefan Q. Hurley View author publications You can also search for this author inPubMed Google


Scholar * Yann Ehinger View author publications You can also search for this author inPubMed Google Scholar * Maxemiliano V. Vargas View author publications You can also search for this


author inPubMed Google Scholar * Matthew N. McCarroll View author publications You can also search for this author inPubMed Google Scholar * Jack C. Taylor View author publications You can


also search for this author inPubMed Google Scholar * Douglas Myers-Turnbull View author publications You can also search for this author inPubMed Google Scholar * Taohui Liu View author


publications You can also search for this author inPubMed Google Scholar * Bianca Yaghoobi View author publications You can also search for this author inPubMed Google Scholar * Lauren J.


Laskowski View author publications You can also search for this author inPubMed Google Scholar * Emilie I. Anderson View author publications You can also search for this author inPubMed 


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this author inPubMed Google Scholar * Brandon M. Brown View author publications You can also search for this author inPubMed Google Scholar * Michelle Tjia View author publications You can


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Pamela J. Lein View author publications You can also search for this author inPubMed Google Scholar * David Kokel View author publications You can also search for this author inPubMed Google


Scholar * Dorit Ron View author publications You can also search for this author inPubMed Google Scholar * Jamie Peters View author publications You can also search for this author inPubMed


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inPubMed Google Scholar CONTRIBUTIONS A.J.P., Z.Q.H. and G.Z. synthesized the ibogalogs. L.E.D. synthesized 5-MeO-DMT fumarate and performed the CNS MPO calculations. L.P.C. performed the


dendritogenesis and spinogenesis assays. L.P.C. and J.V. performed the head-twitch response experiments. M.N.M. performed the zebrafish heart-rate and seizure experiments. J.C.T., D.M.-T.


and R.J.T. performed the zebrafish behavioural experiments. R.J.T. and B.Y. performed the zebrafish toxicity assays. B.M.B. and L.P.C. performed the hERG inhibition studies. L.P.C. performed


the solubility studies and conditioned place preference experiments. J.L., T.L. and L.P.C. performed the experiments assessing in vivo spine dynamics. L.J.L., E.I.A. and J.D.M. performed


the receptor functional assays. J.L. and M.T. performed the forced swim test following UMS. M.V.V. performed the forced swim test study without UMS with assistance from L.E.D. Z.T.R. and


L.P.C. performed the pharmacokinetic studies. J.P. performed the heroin self-administration experiments. Y.E. performed the alcohol consumption assays. L.P.C. performed the sucrose


preference assay. O.F., H.W., J.D.M., P.J.L., D.K., D.R., J.P., Y.Z. and D.E.O. supervised various aspects of this project and assisted with data analysis. D.E.O. conceived the project and


wrote the manuscript with input from all authors. CORRESPONDING AUTHOR Correspondence to David E. Olson. ETHICS DECLARATIONS COMPETING INTERESTS D.E.O. is the president and chief scientific


officer of Delix Therapeutics. Delix Therapeutics has licensed TBG-related technology from the University of California, Davis. ADDITIONAL INFORMATION PEER REVIEW INFORMATION _Nature_ thanks


Amy Newman, Yavin Shaham and the other, anonymous, reviewer(s) for their contribution to the peer review of this work. PUBLISHER’S NOTE Springer Nature remains neutral with regard to


jurisdictional claims in published maps and institutional affiliations. EXTENDED DATA FIGURES AND TABLES EXTENDED DATA FIG. 1 SYNTHESIS OF IBOGALOGS. A, Ibogalogs lacking the


tetrahydroazepine of ibogaine were synthesized in only a few steps. In brief, acylation of pyridine 1 under reductive conditions yielded the carboxybenzyl (Cbz)-protected dihydropyridine 2,


which was immediately subjected to a Diels–Alder reaction with methyl vinyl ketone (3) followed by an in situ epimerization with NaOMe to afford an inseparable 1:1 mixture of _exo_ (4A) and


_endo_ (4B) isomers (73% over 3 steps). Reaction of 4A and 4B with tosylhydrazide yielded the hydrazones 5A and 5B, which were separable via a combination of selective crystallization and


chromatography (total yield of the two isomers, 75%). Caglioti reduction of the tosylhydrazones yielded 6A or 6B, which were readily converted to a variety of analogues via reaction


sequences involving hydrogenolysis of the Cbz group, hydrogenation of the olefin, and C–N bond formation (Supplementary Information). B, Ibogalogs lacking the isoquinuclidine of ibogaine


were synthesized in a single step through Fischer indole cyclization. See Supplementary Information for details. EXTENDED DATA FIG. 2 THE EFFECTS OF IBOGALOGS ON DENDRITOGENESIS. A,


Representative images of rat embryonic cortical neurons (DIV6) treated with the indicated compounds. Scale bar, 10 μm. B, Maximum numbers of crossings (_N_max) of the Sholl plots demonstrate


that tetrahydroazepine-containing ibogalogs are more effective at increasing dendritic arbor complexity than are isoquinuclicine-containing ibogalogs. C, Sholl analysis (circle radii, 


1.34-μm increments) demonstrates that cultured cortical neurons treated with several ibogalogs have more complex dendritic arbors compared to vehicle control (_n_ = 52–83 neurons per


treatment). The shaded area surrounding each line represents 95% confidence intervals. Control compounds, isoquinuclidines and tetrahydroazepines are shown in blue, purple and red,


respectively. Exact _n_ values for each experimental condition are reported in Supplementary Table 1. Specific statistical tests, information on reproducibility, and exact _P_ values are


reported in Methods and Supplementary Table 1. EXTENDED DATA FIG. 3 TBG IS SAFER THAN IBOGAINE. A, Unlike ibogaine, IBG and TBG do not induce bradycardia in larval zebrafish. Sertindole (SI)


was used as a positive control. B, Heat maps are shown representing aggregate larval zebrafish locomotor activity per well compared to vehicle controls (pseudo-_Z_-score). Red and blue


indicate higher and lower activity than the mean of vehicle controls, respectively, while white indicates activity within ±1 s.d. of the control. Stimuli applied over time are indicated


under the heat maps. Colours indicate bright LED light of respective colours, black traces represent the waveforms of acoustic stimuli, and grey vertical lines indicate physical tapping as


secondary acoustic stimuli. C, Confusion matrix for classification of compounds (200 μM) plus vehicle and lethal controls. D, Concentration–response curves are shown for treated zebrafish


subjected to the series of stimuli depicted in B. Lower percentages indicate treatments that were more often classified as vehicle (blue) or lethal (red). The solid line denotes the median


and the shading denotes a 95th percentile confidence interval calculated by bootstrap. _n_ = 8 wells per condition (64 zebrafish per condition). Blue lines indicate that all compounds


produce behavioural phenotypes more distinct from vehicle at higher concentrations. Red lines indicate that known toxins (for example, PTZ, picrotoxin, endosulfan), known hERG inhibitors


(sertindole, haloperidol, terfenadine) and iboga alkaloids (IBO, NOR) produce behavioural phenotypes more closely resembling a lethal phenotype as their concentrations are increased.


Increasing concentrations of IBG or TBG do not produce lethal-like behavioural phenotypes. E, Transgenic larval zebrafish expressing GCaMP5G were immobilized in agarose, treated with


compounds, and imaged over time. The known seizure-inducing compound PTZ was used as a positive control. Ibogaine and TBG were treated at 50 μM (_n_ = 2 per condition). F, Proportion of


viable and non-viable (malformed + dead) zebrafish following treatment with vehicle and TBG (66 μM) for 5 dpf (Fisher’s exact test: _P_ = 0.3864). Representative images of zebrafish treated


with vehicle and TBG (66 μM) for 2 and 5 dpf are shown. Scale bar, 2 mm. Exact _n_ values for each experimental condition are reported in Supplementary Table 1. Specific statistical tests,


information on reproducibility and exact _P_ values are reported in the Methods and Supplementary Table 1. EXTENDED DATA FIG. 4 CONCENTRATION–RESPONSE CURVES DEMONSTRATING THE ABILITIES OF


IBOGALOGS AND RELATED COMPOUNDS TO ACTIVATE 5-HT AND OPIOID RECEPTORS. All compounds were assayed in parallel using the same drug dilutions. Graphs reflect representative


concentration–response curves plotting mean and s.e.m. of data points performed in duplicate or triplicate. Assay details are described in Methods. Exact _n_ values for each experimental


condition are reported in Supplementary Table 1. Specific statistical tests, information on reproducibility and exact _P_ values are reported in Methods and in Supplementary Table 1.


EXTENDED DATA FIG. 5 PHARMACOLOGICAL PROFILES OF IBOGALOGS AND RELATED COMPOUNDS. EC50 and _E_max estimates from at least two independent concentration-response curves performed in duplicate


or triplicate. log(_E_max/EC50) activity relative to the system _E_max. Inactive, inactive in agonist mode; N.D., not determined; blue boxes indicate that the compound exhibits antagonist


activity; dark grey boxes indicate that the compound is inactive in agonist mode but not tested in antagonist mode; orange boxes indicate that the compound is an inverse agonist. Ibogalogs


are more selective 5-HT2A agonists than is 5-MeO-DMT. Exact _n_ values for each experimental condition are reported in Supplementary Table 1. Specific statistical tests, information on


reproducibility and exact _P_ values are reported in Methods and in Supplementary Table 1. EXTENDED DATA FIG. 6 HIGH DOSES OF TBG DO NOT PRODUCE A CONDITIONED PLACE PREFERENCE. A, Schematic


of the design of the conditioned place preference experiments. On day 1, the amount of time the mice spent in each distinct side of a two-chamber apparatus was recorded. Next, vehicle and


TBG were administered to mice on alternating days while they were confined to chamber A (white box) or chamber B (grey parallel lines), respectively. Conditioning lasted for a total of 6


days. On day 8, preference for each distinct side of the two-chamber apparatus was assessed. B, A low dose of TBG (1 mg kg−1) did not produce conditioned place preference or conditioned


place aversion. Higher doses (10 and 50 mg kg−1) produce a modest conditioned place aversion. C, TBG does not produce any long-lasting (>24 h) effects on locomotion. There is no


statistical difference in locomotion between any pre- or post-conditioning groups (_P_ = 0.9985, one-way ANOVA). White bars indicate groups before receiving TBG (that is, pre-conditioning),


and blue bars indicate groups 24 h after the last TBG administration (that is, post-conditioning). Exact _n_ values for each experimental condition are reported in Supplementary Table 1.


Specific statistical tests, information on reproducibility and exact _P_ values are reported in Methods and in Supplementary Table 1. EXTENDED DATA FIG. 7 TBG PRODUCES ANTIDEPRESSANT EFFECTS


IN MICE. A, Schematic illustrating the stressors used as part of the 7-day UMS protocol. White and grey boxes represent the light and dark phases of the light cycle, respectively. B, TBG


rescues the effects of UMS on immobility. C, TBG (50 mg kg−1) reaches high brain concentrations and is rapidly eliminated from the body. Mice were administered 3 different doses of TBG via


i.p. injection and euthanized either 15 min or 3 h later. Whole brains and livers were collected, dried, homogenized and extracted with MTBE. Quantification was accomplished using LC–MS and


concentrations of TBG in the two organs were calculated. Several samples for the 10 and 1 mg kg−1 doses at the 3 h time point had TBG at levels below the limit of quantification (around 5


nmol g−1). In those cases, the values were recorded as 0. Exact _n_ numbers for each experimental condition are reported in Supplementary Table 1. Specific statistical tests, information on


reproducibility and exact _P_ values are reported in Methods and in Supplementary Table 1. EXTENDED DATA FIG. 8 EFFECTS OF TBG ON LOCOMOTION AND SUCROSE-SEEKING BEHAVIOUR IN RATS. A, Acute


administration of TBG does not impair locomotion in the open field. Rats were subjected to novelty-induced locomotion (baseline) for 30 min. At that time, cocaine was administered and


psychostimulant-induced locomotion (+cocaine) was assessed for 60 min. There were no differences between the vehicle- and TBG-treated groups with respect to total distance travelled or


average velocity. Furthermore, there was no difference in thigmotaxis measured during the baseline period (that is, the percentage of time in the centre of the open field). B–E, A sucrose


self-administration experiment was conducted in a similar manner to the heroin self-administration experiment in Fig. 4. Doses in mg kg−1 are shown in parentheses. B, Sucrose seeking over


time is shown. Coloured arrows indicate when each group received TBG. VEH was administered at all other time points to each group. C, TBG acutely reduces sucrose-seeking behaviour in a


dose-dependent manner when administered during self-administration. D, TBG acutely reduces sucrose seeking when administered immediately before the first extinction session. The CUE


(injection 1 = vehicle; injection 2, vehicle) and EXT (injection 1, vehicle; injection 2, TBG) groups were compared, as they were matched for the number of withdrawal days between the last


self-administration and first extinction session. E, TBG does not have long-lasting effects on sucrose-seeking behaviour, as it does not reduce active lever pressing during the cued


reinstatement when administered 12–14 days previously during self-administration (SA) or immediately before extinction (EXT). Exact _n_ values for each experimental condition are reported in


Supplementary Table 1. Specific statistical tests, information on reproducibility and exact _P_ values are reported in Methods and in Supplementary Table 1. SUPPLEMENTARY INFORMATION


SUPPLEMENTARY INFORMATION Supplemental methods describing the synthesis of key compounds. Spectral data are provided. REPORTING SUMMARY SUPPLEMENTARY TABLE Supplementary Table 1: The number


of replicates for each experimental condition, statistical parameters for each experiment, and information on reproducibility are provided. VIDEO 1 : Ibogaine induces bradycardia. Larval


zebrafish were immobilized in agarose and treated with either vehicle (VEH), ibogaine (IBO), ibogainalog (IBG), or tabernanthalog (TBG). Sertindole (SI) was used as a positive control. VIDEO


2 : PTZ induces excessive neural activity. Zebrafish larvae expressing GCaMP5G were immobilized in agarose and treated with either vehicle (VEH), ibogaine (IBO), or tabernanthalog (TBG).


The seizure-inducing compound pentylenetetrazol (PTZ) was used as a positive control. SOURCE DATA SOURCE DATA FIG. 2 SOURCE DATA FIG. 3 SOURCE DATA FIG. 4 RIGHTS AND PERMISSIONS Reprints and


permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Cameron, L.P., Tombari, R.J., Lu, J. _et al._ A non-hallucinogenic psychedelic analogue with therapeutic potential. _Nature_ 589, 474–479


(2021). https://doi.org/10.1038/s41586-020-3008-z Download citation * Received: 17 January 2020 * Accepted: 30 October 2020 * Published: 09 December 2020 * Issue Date: 21 January 2021 * DOI:


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