(-)-(R)-3-(2-Hydroxymethylindanyl-4-oxy)phenyl-4,4,4-trifluoro-1-sulfonate (BAY 38-7271) is a new high-affinity
cannabinoid receptor subtype 1 (
CB1 receptor)
ligand (K(i) = 0.46-1.85 nM; rat brain, human cortex, or recombinant human
CB1 receptor), structurally unrelated to any
cannabinoid receptor ligand known so far.
BAY 38-7271 was characterized as a
CB1 receptor agonist in 5-[gamma(35)S]-
thiophosphate triethylammonium
salt binding assays using rat or human CB1 receptors. In the rat
hypothermia assay,
BAY 38-7271 induced a dose-dependent reduction in body temperature (minimal effective dose = 6 microg/kg, i.v.); whereas in rats trained to discriminate the CB1/
CB2 receptor agonist (-)-cis-3-[2-hydroxy-4(1,1-dimethyl-heptyl)phenyl]-trans-4-(3-hydroxypropyl)
cyclohexanol (CP 55,940; 0.03 mg/kg, i.p.) from vehicle,
BAY 38-7271 induced complete generalization (3 microg/kg, i.v.). In both in vivo models, a specific
CB1 receptor-mediated mechanism was confirmed by demonstrating that the effects of CP 55,940 and
BAY 38-7271 were blocked by pretreatment with the selective
CB1 receptor antagonist N-(piperidin-1-yl)-5-(4-chlorophenyl)-1-(2,4-dichlorophenyl)-4-methyl-1H-pyrazole-3-carboxamidehydrochloride. In the rat
traumatic brain injury model,
BAY 38-7271 demonstrated highly potent and efficient neuroprotective properties when administered as a 4-h infusion immediately after induction of
subdural hematoma (70%
infarct volume reduction at 100 ng/kg/h). Even when applied with a 3-h delay, a significant neuroprotective efficacy could be observed (59%
infarct volume reduction at 300 ng/kg/h). The neuroprotective potential of
BAY 38-7271 was confirmed in a rat model of focal
cerebral ischemia induced by permanent occlusion of the middle cerebral artery. It is concluded that the CB1/
CB2 receptor agonist
BAY 38-7271 shows pronounced neuroprotective properties that do not result from
drug-
induced hypothermia and that occur in a dose range devoid of typical
cannabinoid-like side effects.