We have previously shown that N/OFQ, the endogenous
peptide ligand for the '
opioid-like' NOP receptor, inhibits
cough in guinea pigs and cats. In the present study we sought to continue our characterization of the
cough-suppressant effects of NOP stimulation by profiling the pulmonary and
antitussive effects of a novel non-
peptide NOP agonist,
Ro-64-6198, in guinea pigs. In receptor-binding assays, we confirmed that
Ro-64-6198 selectively binds to NOP receptors over other
opioid receptors. The Ki values for
Ro-64-6198 at NOP, MOP, KOP and DOP receptors was 0.3, 36, 214 and 3,787 nmol/l, respectively. In
GTPgammaS-binding assays,
Ro-64-6198 displayed >900-fold functional selectivity at NOP relative to MOP receptors. We evaluated the effects of
Ro-64-6198 (3 and 10 micromol/l) in isolated guinea pig nodose ganglia cells on the increases in intracellular Ca2+ concentration evoked by
capsaicin stimulation (1 x 10(-8)-1 x 10(-6) mol/l). Similar to previously reported data with N/OFQ,
Ro-64-6198 (3 and 10 micromol/l) significantly attenuated Ca2+ responses in nodose ganglia cells produced by exposure to
capsaicin. The effect of
Ro-64-6198 (3 micromol/l) on
capsaicin-induced intracellular Ca2+ responses was blocked by the NOP antagonist, J113397 (3 micromol/l). In guinea pig in vivo studies, aerosolized
capsaicin (10-300 micromol/l) produced a dose-dependent increase in
cough number.
Ro-64-6198 given i.p. significantly inhibited
cough due to
capsaicin (300 micromol/l) exposure. In a duration study we found that the maximum
antitussive effect (42 +/- 8% inhibition) of
Ro-64-6198 (3 mg/kg) was observed at 1 h after i.p. administration. Also at 1 h after administration,
Ro-64-6198 (0.003-3.0 mg/kg, i.p.) produced a dose-dependent inhibition of
cough. The
antitussive effect of
Ro-64-6198 (3 mg/kg, i.p.) was blocked by J113397 (12 mg/kg, i.p.) but not by the classical
opioid antagonist naltrexone (10 mg/kg, i.p.). Although the
antitussive action of
Ro-64-6198 may be mediated by a central and/or a peripheral site of action, we hypothesize that selective oral NOP agonists that do not penetrate the blood-brain barrier may provide a novel approach for the treatment of
cough. Moreover, because these drugs do not interact at MOP receptors, they may be devoid of
codeine-like side effects such as
respiratory depression, sedation,
constipation or proclivities for addictive liabilities.