Resiniferatoxin (RTX) is a naturally occurring chemical found in resin spurge (''
Euphorbia resinifera''), a cactus-like plant commonly found in
Morocco
Morocco (),, ) officially the Kingdom of Morocco, is the westernmost country in the Maghreb region of North Africa. It overlooks the Mediterranean Sea to the north and the Atlantic Ocean to the west, and has land borders with Algeria ...
, and in ''
Euphorbia poissonii'' found in northern
Nigeria
Nigeria ( ), , ig, Naìjíríyà, yo, Nàìjíríà, pcm, Naijá , ff, Naajeeriya, kcg, Naijeriya officially the Federal Republic of Nigeria, is a country in West Africa. It is situated between the Sahel to the north and the Gulf of G ...
.
[''Euphorbia poissonii''](_blank)
in BoDD – Botanical Dermatology Database It is a potent
functional analog of
capsaicin
Capsaicin (8-methyl-''N''-vanillyl-6-nonenamide) ( or ) is an active component of chili peppers, which are plants belonging to the genus ''Capsicum''. It is a chemical irritant for mammals, including humans, and produces a sensation of burning ...
, the active ingredient in
chili peppers
Chili peppers (also chile, chile pepper, chilli pepper, or chilli), from Nahuatl '' chīlli'' (), are varieties of the berry-fruit of plants from the genus '' Capsicum'', which are members of the nightshade family Solanaceae, cultivated for ...
.
Biological activity
Resiniferatoxin has a score of 16 billion
Scoville heat units, making pure resiniferatoxin about 500 to 1000 times hotter than pure
capsaicin
Capsaicin (8-methyl-''N''-vanillyl-6-nonenamide) ( or ) is an active component of chili peppers, which are plants belonging to the genus ''Capsicum''. It is a chemical irritant for mammals, including humans, and produces a sensation of burning ...
.
Resiniferatoxin activates
transient vanilloid receptor 1 (TRPV1) in a subpopulation of primary
afferent sensory neurons involved in
nociception
Nociception (also nocioception, from Latin ''nocere'' 'to harm or hurt') is the sensory nervous system's process of encoding noxious stimuli. It deals with a series of events and processes required for an organism to receive a painful stimulus, ...
, the transmission of
physiological
Physiology (; ) is the scientific study of functions and mechanisms in a living system. As a sub-discipline of biology, physiology focuses on how organisms, organ systems, individual organs, cells, and biomolecules carry out the chemica ...
pain. TRPV1 is an ion channel in the plasma membrane of sensory neurons and stimulation by resiniferatoxin causes this ion channel to become permeable to
cations, especially
calcium
Calcium is a chemical element with the symbol Ca and atomic number 20. As an alkaline earth metal, calcium is a reactive metal that forms a dark oxide-nitride layer when exposed to air. Its physical and chemical properties are most similar t ...
. The influx of cations causes the neuron to depolarize, transmitting signals similar to those that would be transmitted if the innervated tissue were being burned or damaged. This stimulation is followed by desensitization and
analgesia
Pain management is an aspect of medicine and health care involving relief of pain (pain relief, analgesia, pain control) in various dimensions, from acute and simple to chronic and challenging. Most physicians and other health professionals ...
, in part because the nerve endings die from calcium overload.
Total synthesis
A
total synthesis
Total synthesis is the complete chemical synthesis of a complex molecule, often a natural product, from simple, commercially-available precursors. It usually refers to a process not involving the aid of biological processes, which distinguishes i ...
of (+)-resiniferatoxin was completed by the
Wender group at
Stanford University in 1997.
The process begins with a starting material of 1,4-pentadien-3-ol and consists of more than 25 significant steps. , this represented the only complete total synthesis of any member of the
daphnane family of molecules.
One of the main challenges in synthesizing a molecule such as resiniferatoxin is forming the three-ring backbone of the structure. The Wender group was able to form the first ring of the structure by first synthesizing Structure 1 in Figure 1. By reducing the ketone of Structure 1 followed by oxidizing the furan nucleus with
m-CPBA and converting the resulting hydroxy group to an oxyacetate, Structure 2 can be obtained. Structure 2 contains the first ring of the three-ring structure of RTX. It reacts through an oxidopyrylium cycloaddition when heated with
DBU in
acetonitrile to form Structure 4 by way of Intermediate 3. Several steps of synthesis are required to form Structure 5 from Structure 4, with the main goal of positioning the
allylic branch of the seven-membered ring in a ''trans'' conformation. Once this conformation is achieved, zirconocene-mediated cyclization of Structure 5 can occur, and oxidizing the resulting hydroxy group with
TPAP will yield Structure 6. Structure 6 contains all three rings of the RTX backbone and can then be converted to resiniferatoxin through additional synthesis steps attaching the required functional groups.
An alternative approach to synthesizing the three-ring backbone makes use of radical reactions to create the first and third rings in a single step, followed by the creation of the remaining ring. It has been proposed by the
Inoue group of the
University of Tokyo
, abbreviated as or UTokyo, is a public research university located in Bunkyō, Tokyo, Japan. Established in 1877, the university was the first Imperial University and is currently a Top Type university of the Top Global University Project by ...
.
Toxicity
At 16 billion Scoville units, Resiniferatoxin is rather toxic and can inflict
chemical burns in tiny quantities. The primary action of resiniferatoxin is to activate sensory neurons responsible for the perception of pain. It is currently the most potent TRPV1 agonist known, with ~500x higher binding affinity for TRPV1 than
capsaicin
Capsaicin (8-methyl-''N''-vanillyl-6-nonenamide) ( or ) is an active component of chili peppers, which are plants belonging to the genus ''Capsicum''. It is a chemical irritant for mammals, including humans, and produces a sensation of burning ...
, the active ingredient in hot chili peppers such as those produced by ''
Capsicum annuum
''Capsicum annuum'' is a species of the plant genus '' Capsicum'' native to southern North America, the Caribbean, and northern South America. This species is the most common and extensively cultivated of the five domesticated capsicums. The sp ...
''. For rats,
LD50
In toxicology, the median lethal dose, LD50 (abbreviation for "lethal dose, 50%"), LC50 (lethal concentration, 50%) or LCt50 is a toxic unit that measures the lethal dose of a toxin, radiation, or pathogen. The value of LD50 for a substance is the ...
through oral ingestion is 148.1 mg/kg. Animal experiments on rats suggest that, in humans, ingestion of 1.672 g may be fatal or cause serious damage to health. It causes severe burning pain in sub-microgram (less than 1/1,000,000th of a gram) quantities when ingested orally.
Research
Sorrento Therapeutics
Sorrento (, ; nap, Surriento ; la, Surrentum) is a town overlooking the Bay of Naples in Southern Italy. A popular tourist destination, Sorrento is located on the Sorrentine Peninsula at the south-eastern terminus of the Circumvesuviana rail ...
has been developing RTX as a means to provide pain relief for forms of advanced
cancer
Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal bl ...
.
The nerve desensitizing properties of RTX were once thought to be useful to treat
overactive bladder (OAB) by preventing the bladder from transmitting "sensations of urgency" to the brain, similar to how they can prevent nerves from transmitting signals of pain; RTX has never received
FDA approval for this use.
RTX has also previously been investigated as a treatment for
interstitial cystitis
Interstitial cystitis (IC), a type of bladder pain syndrome (BPS), is chronic pain in the bladder and pelvic floor of unknown cause. It is the urologic chronic pelvic pain syndrome of women. Symptoms include feeling the need to urinate right a ...
,
rhinitis, and lifelong
premature ejaculation
Premature ejaculation (PE) occurs when a man expels semen (and most likely experiences orgasm) soon after beginning sexual activity, and with minimal penile stimulation. It has also been called ''early ejaculation'', ''rapid ejaculation'', '' ...
(PE).
See also
*
List of investigational analgesics
*
Discovery and development of TRPV1 antagonists
*
Iodoresiniferatoxin
*
Phenylacetylrinvanil
*
Transient receptor potential
*
Tinyatoxin
References
External links
Fiery pepper may hold key to easing painLauran Neergaard,
The Associated Press
The Associated Press (AP) is an American non-profit news agency headquartered in New York City. Founded in 1846, it operates as a cooperative, unincorporated association. It produces news reports that are distributed to its members, U.S. newspa ...
Published 10:00 pm PST, Monday, January 16, 2006
*
{{Authority control
Neurotoxins
Plant toxins
Analgesics
Total synthesis
Terpenes and terpenoids
Carboxylate esters
Orthoesters
Benzyl compounds
Cyclopentenes