Eseroline is a drug which acts as an opioid agonist. It is a metabolite of the acetylcholinesterase inhibitor physostigmine but unlike physostigmine, the acetylcholinesterase inhibition produced by eseroline is weak and easily reversible, and it produces fairly potent analgesic effects mediated through the μ-opioid receptor. This mixture of activities gives eseroline an unusual pharmacological profile, although its uses are limited by side effects such as respiratory depression and neurotoxicity.
Synthesis
The alkylation of
phenacetin (
1) with
dimethyl sulfate gives
N-methylphenetidine (
2). Treatment with 2-bromopropanoyl bromide gives 2-bromo-
N-(4-ethoxyphenyl)-
N-methylpropanamide (
3). Treatment with aluminium trichloride results in 1,3-dimethyl-5-hydroxyoxindole (
4). Alkylation with
diethyl sulfate gives 5-ethoxy-1,3-dimethylindolin-2-one (
5). Base-catalyzed treatment with chloroacetonitrile gives 2-(5-ethoxy-1,3-dimethyl-2-oxoindol-3-yl)acetonitrile (
6). Catalytic hydrogenation of the nitrile group gives (
7). Mono-
methylation of the primary amine gives (
8). Intramolecular reductive amination gives
eserethole (
9). Cleavage of the ethyl ether protecting group gave (-)-eseroline (
10). Optional treatment with methyl isocyanide (MIC) leads to
physostigmine.