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A basic review of MDMA's enantiomeric pharmacology

BilZ0r

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Classically available MDMA comes as an equal mix of its two enantiomers (racemic) S(+)MDMA and R(-)MDMA. These two versions of the same drug have subtley different actions, but also many shared actions.

The pharmacokinetics is where these chemicals are the most different. The total Area under the curve (AUC) of the R(-) isomer has been reported to be 2.4 times higher than the S(+) isomer in healthy males given 40mg of racemic MDMA. This is probably a result of the much longer elimination half-life the R(-) isomer was reported to have in the same study 5.6 vs 3.6h (Fallon et al., 1999). In a similar study published from the De La Torre lab, healthy recreational MDMA users were given 100mg of racemic MDMA, the peak plasma level of the R(-) isomer was 30% higher than the S(+) isomer and the elimination half-lives of the R(-) and S(+) isomer were found 14.8 hours vs 4.9 hours respectively(Pizzaro et al., 2004). The large differences in the half lives reported in the study could be explained by the fact that MDMA has non-linear metabolism, and that MDMA metabolism seems to start to saturate at 100mg, as well as the fact that as the Pizzaro study used non-naive users, and MDMA inhibits it own metabolism over a period of days (Farre et al., 2004).

The differences in the potency of these chemicals on neurotransmitter release is going to be hard to deliniate from their pharmacokinetic differences, so these properties need to be considered from an in vitro primarily. Unfortunately, the data here is rather sparse. What is even worse is that the in vivo data is so contradictory it is almost nonsensical. Johnson et al., 1986 showed that the R(-) isomer is about 10% more potent at releasing serotonin, but that the S(+) isomer is about 280% more potent at releasing dopamine, from hippocampal or striatal slices respectively. Conversely, Nichols et al., 1982 showed that the S(+) isomer is ~200% more potent at releasing serotonin from whole brain synaptosomes. Finally Schmidt et al., 1987 showed that the S(+) isomer was more potent at releasing both dopamine and serotonin. Hiramatsu
et al., 1990
using in vivo microdialysis from rat striatum that S(+)MDMA was not only more potent at releasing serotonin and dopamine, but that R(-)MDMA could not release any serotonin or dopamine at all at 10mg/kg I.P. Finally Hiramatu et al., 1991 showed that the S(+)isomer could only release dopamine and had no effect on serotonin release at all as recorded by rat striatal microdialysis. From that collection of largely non-agreeable facts, it seems if one can say that the S(+) isomer is probably the more potent.

They have varying affinities for the 5-HT2 receptor, with the R/- isomer reported as the higher affinity ligand: 3.3µM(Lyon et al., 1986) and 3.1µM(Nash et al., 1994), and the S/+ isomer reporetd as the lower affinity ligand: 15.8µM(Lyon et al., 1986) and 10.3µM(Nash et al., 1994).

Finally, when it comes to potential neurotoxicity, it seems as if the S(+) isomer is the most potent at producing neurotoxicity (Schmidt et al., 1987)
 
They have varying affinities for the 5-HT2 receptor, with the R/- isomer reported as the higher affinity ligand: 3.3µM(Lyon et al., 1986) and 3.1µM(Nash et al., 1994), and the S/+ isomer reporetd as the lower affinity ligand: 15.8µM(Lyon et al., 1986) and 10.3µM

MDMA doesn't show it's activity via the 5HT2 receptor though (does it?); I thought it was through serotonin and catchecolamine efflux. Activity at the 5HT2a receptor is responsible for the DOM/LSD type of psychomimetic effect, which MDMA is pretty much lacking in. That the (-) isomer does show more activiry at the site of classic psychedelics isn't a surprise though, as the stereochemistry of the (-) isomer is better suited to interaction with the active site (as is the case with DOM etc - the (+) isomer basically has 'bits sticking out in the wrong direction' at the chiral centre (that makes the molecule not fit the receptor site as neatly) - as compared with the absolute stereochemistry of LSD - the 5 position, which is capaple of two possible stereoconfigureations, matches that of the configuration of (-) DOM)
 
Nope, it's an agonist, MDMA is quite a weak partial agonist at the 5-HT2A receptor... @100µM R(-) max = ~20%, S(+) ~5%
MDA on the other hand is more efficacious @100µM R(-) max = ~90% S(+) ~75%.

But that is looking at inosital monophosphate accumlation in 5-HT2A expressing fibroblasts.
 
This is interesting; I had a read a snippet the other day on MDMA and the potency of its stereoisomers and had wanted to learn more.

Something that was of interest was the way the R(-)MDMA potentiates S(+)MDMA, making it the racemic mixture as active as S(+)MDMA alone.. so the cause of this (from above) is likely metabolic competition?

Is this true for other phenethylamines? Adderall/XR (racemic amphetamine) was banned in Canada for cardiotoxicity and related deaths, but I think Dexadrine (d-amphetamine) is still on the market... How does in inclusion of l-amphetamine effect the activity of both together?

(sorry if these are newb questions or my terminology is incorrect; I never went to school for any of this and am still learning)
 
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You get rid of most amphetamine from your body unchanged, and through the kidneys, so the idea that the l-isomer inhibits metabolism of the d-isomer doesn't really come into play, as they're not metabolized at all, jussed pissed out
 
^^^ What he said. The idea of each form potentiating each other is interesting, and I've heard it before. You're idea that the R(-) isomer inhibits the metabolism of the S(+) isomer is interesting, and I don't think anyone has looked.

I don't really know how to explain a synergistic effect of combining the two isomers... and I'm not even sure if I believe it.
 
I'm not sure either; I've never seen any research relating to it. I guess an easy test would be to dose at 50 mg S enantiomer and then wait awhile and test at 100 mg 1:1 racemic and see if the exeriences are mostly identical...unfortunately, being illegal and controlled makes that a bit difficult. Pihkal had an entry about tasting 60 mg of the S enantiomer and reported it to be very active, while 60 mg racemic mdma is consider a pretty low dose.

The neurotransmitter release studies are so conflicting is very difficult to even hypothesize how they could effect eachother... I guess we'll just need to wait for more studies.
 
That PiHKAL entery is exactly what I would expect from the research I reviewed above.
 
L-Tartaric acid is easily available on the commercial market, and is said to stereo-selectively bind to most amines. The Tartrate salts of amines are generally more soluable in mono-alcohols than the base forms.

More information can be found at:
www.uspto.gov
http://gb.espacenet.com

I'm not suggesting anything, just pointing out that its not impossible.
 
Do you think it would work in this example? Tartaric acid can work in some cases, but not in most, or so I'm told.
 
If tartaric acid isn't suitable for a particular racemic amine, a salt such as barium tartrate can often be made-employed. Whether or not a particular resolving agent is suitable or not depends upon the differences in solubility between the the two resolved isomers.
 
^ Sometimes the only way to get a pure sample of a drug optical isomer is to start with an optically active precursor, as quite a few synthetic reactions retain the stereoconfiguration of the starting compound (such as SN1 substitution reactions).

For a pure S or R isomer of MDMA (or MDA), L-DOPA would be a possible starting material, but it'll be a long, convoluted synth to get to the final (R) or (S)-MDMA
 
I once had an old copy of this book. It gave a fairly simple method of resolving MDMA using HPLC.

As for a synthetic approach. Just a wild thought, but what about using a meta (5) or ortho (2) directing substitute (temporary) on the ring then using a Friedel-Crafts acylation with opically pure N-protected chloroalanine?

BTW, a drug discovery company in your neck of the woods has lots of good candidates for a suitable starting material.
 
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