^ abcdeSutera FM, De Caro V, Giannola LI (January 2017). "Small endogenous molecules as moiety to improve targeting of CNS drugs". Expert Opinion on Drug Delivery. 14 (1): 93–107. doi:10.1080/17425247.2016.1208651. PMID27367188. Recently, DA has been conjugated with Phe (DA-Phen, Fig 2A) and other Phe mono substituted moieties obtaining related neurotransmitter derivatives capable of carrying DA into the CNS [35,36]. In particular, the physicochemical properties of DA-Phen, e.g. molecular weight and LogD, are favourable for its ability in crossing biological membranes [35]. The aptitude of DA-Phen to reach the CNS has been assessed in a combined approach in vitro, using the PAMPA-BBB and Caco-2 models. Transport across the BBB substantially occurred through transcellular permeation, involving carrier-mediated processes. Molecular docking analysis evidenced that this conjugate interacts with the deep pocket of the identified D1 binding site of the human brain receptor [37]. Following administration on rats, DA-Phen showed a consistent enhancement in cognitive flexibility in naïve subjects, whereas in rats who are trained to alcohol self-administration the conjugate is able to reduce both ethanol intake and forced abstinence signs [38].
^ abcdeHaddad F, Sawalha M, Khawaja Y, Najjar A, Karaman R (December 2017). "Dopamine and Levodopa Prodrugs for the Treatment of Parkinson's Disease". Molecules. 23 (1): 40. doi:10.3390/molecules23010040. PMC5943940. PMID29295587. 1.5. Peptide Transport-Mediated Prodrugs Giannola et al. [80] have proposed a 2-amino-N-[2-(3,4-dihydroxyphenyl)-ethyl]-3-phenyl-propionamide dopamine prodrug (DA-PHEN) (Figure 10) [81]. It was synthesized by condensation of dopamine with a neutral amino acid to interact with the BBB endogenous transporters and readily enter the CNS. DA-PHEN undergoes slow cleavage by cerebral enzymes (t 1/2 460 min) and yields free dopamine in the brain, but it is rapidly hydrolyzed in human plasma (t 1/2 28 min). Chemical stability studies on DA-PHEN proved that no DA release happened in the gastrointestinal tract, also the prodrug can cross through a simulated intestinal mucosal membrane. Recently, De Caro et al. [81] studied in vitro the ability of DA-PHEN to penetrate the CNS. The team used in their study parallel artificial permeability assay (PAMPA) and Caco-2 models. Despite the relatively low molecular weight (300.35 Da) and the estimated experimental value [80] of log DPh 7.4 (0.76) of DA-PHEN which indicates good potential for passage through biological membranes, they noticed very limited transport through PAMPA-BBB [81]. In fact, the apparent permeability was 3.2 × 107 cm/s, indicating low capacity of DA-PHEN to penetrate BBB by passive transcellular route. Transport trials via Caco-2 cells showed marked increase of DA-PHEN flux with regard to that calculated in PAMPA-BBB system. However, high penetration rates seen in DA-PHEN cannot be obtained only by the simple diffusion, but may also involve carrier mediated transport [82].
^Di Battista V, Hey-Hawkins E (May 2022). "Development of Prodrugs for Treatment of Parkinson's Disease: New Inorganic Scaffolds for Blood-Brain Barrier Permeation". Journal of Pharmaceutical Sciences. 111 (5): 1262–1279. doi:10.1016/j.xphs.2022.02.005. PMID35182542. DA-PHEN (XXXXI): can be classified as a dopamine prodrug, belonging to the group of peptide transport-mediated prodrugs. It can easily cross the BBB and reach the CNS; it has been proposed that the molecule can also act as a per se drug which modulates cognitive performances correlated with dopaminergic neurotransmission. Preclinical studies will be the next step to be performed.
^ abcTutone M, Chinnici A, Almerico AM, Perricone U, Sutera FM, De Caro V (November 2016). "Design, synthesis and preliminary evaluation of dopamine-amino acid conjugates as potential D1 dopaminergic modulators". European Journal of Medicinal Chemistry. 124: 435–444. doi:10.1016/j.ejmech.2016.08.051. PMID27597419.
^ abcDe Caro V, Sutera FM, Gentile C, Tutone M, Livrea MA, Almerico AM, et al. (December 2015). "Studies on a new potential dopaminergic agent: in vitro BBB permeability, in vivo behavioural effects and molecular docking evaluation". Journal of Drug Targeting. 23 (10): 910–925. doi:10.3109/1061186X.2015.1035275. PMID26000952.
^ abSutera FM, Giannola LI, Murgia D, De Caro V (December 2017). "Assessment of in vivo organ-uptake and in silico prediction of CYP mediated metabolism of DA-Phen, a new dopaminergic agent". Computational Biology and Chemistry. 71: 63–69. doi:10.1016/j.compbiolchem.2017.09.012. PMID28985485.
^ abSutera FM, De Caro V, Cannizzaro C, Giannola LI, Lavanco G, Plescia F (September 2016). "Effects of DA-Phen, a dopamine-aminoacidic conjugate, on alcohol intake and forced abstinence". Behavioural Brain Research. 310: 109–118. doi:10.1016/j.bbr.2016.05.006. PMID27155501.