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Indan analogs of fenfluramine and norfenfluramine have reduced neurotoxic potential.

Abstract
N-Ethyl-5-trifluoromethyl-2-aminoindan (ETAI) and 5-trifluoromethyl-2-aminoindan (TAI) were synthesized to examine the effects of side-chain cyclization on the pharmacology of the anorectic drugs fenfluramine (FEN) and norfenfluramine (norFEN), respectively. ETAI and TAI inhibited synaptosomal accumulation of 5-HT but were less effective at inhibiting catecholamine uptake than FEN or norFEN, respectively. In vivo, ETAI and TAI were less neurotoxic than FEN or norFEN; decreases in the number of [3H]paroxetine-labeled 5-HT uptake sites were 50% less than the decreases produced by FEN or norFEN. Rats treated with ETAI. TAI, FEN, and norFEN lost 10-15% of their pretreatment body weight over a 4-day period, while saline-treated control animals gained 8%. In two-lever drug discrimination (DD) assays in rats, TAI fully substituted for the 5-HT releaser/uptake inhibitor, (+)-MBDB [(+)-N-methyl-1-(1,3-benzodioxol-5-yl)-2-aminobutane]. ETAI produced only partial substitution in this test. Neither TAI nor ETAI mimicked (+)-amphetamine in the DD assay. These studies demonstrate that incorporation of the side-chain of phenylisopropylamines into the five-membered ring of a 2-aminoindan changes both the molecular pharmacology and the neurotoxic profile of FEN and norFEN, but does not diminish the drugs' ability to reduce body weight.
AuthorsN V Cozzi, S Frescas, D Marona-Lewicka, X Huang, D E Nichols
JournalPharmacology, biochemistry, and behavior (Pharmacol Biochem Behav) Vol. 59 Issue 3 Pg. 709-15 (Mar 1998) ISSN: 0091-3057 [Print] United States
PMID9512076 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Appetite Depressants
  • Indans
  • Neurotransmitter Uptake Inhibitors
  • Receptors, Dopamine
  • Norfenfluramine
  • Fenfluramine
  • Serotonin
  • Paroxetine
Topics
  • Animals
  • Appetite Depressants (chemical synthesis, pharmacology)
  • Body Weight (drug effects)
  • Brain Chemistry (drug effects)
  • Discrimination, Psychological (drug effects)
  • Fenfluramine (analogs & derivatives, chemistry, toxicity)
  • In Vitro Techniques
  • Indans (chemistry, toxicity)
  • Male
  • Nervous System Diseases (chemically induced, physiopathology)
  • Neurotransmitter Uptake Inhibitors (chemical synthesis, metabolism, pharmacology)
  • Norfenfluramine (analogs & derivatives, chemistry, toxicity)
  • Paroxetine (metabolism)
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Dopamine (drug effects)
  • Serotonin (metabolism)
  • Synaptosomes (drug effects, metabolism)

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