Morphine-6-sulfate (M6S) and codeine-6-sulfate (C6S) are mu-selective opiat
es which have been isolated from brain. M6S is an effective analgesic, with
a 30-fold greater potency than morphine in the mouse radiant heat tailflic
k assay and similar to the active morphine metabolite morphine-6 beta-glucu
ronide (M6G). M6S analgesia is reversed by 3-methoxynaltrexone at low antag
onist doses which are inactive against morphine, suggesting that M6S may be
acting through the same mechanisms as M6G. Consistent with this possibilit
y, antisense mapping of the MOR-1 clone revealed that M6S analgesia was low
ered by probes targeting exon 2 and not by targeting exon 1, a sensitivity
profile similar to that of M6G and not morphine. C6S also has analgesic act
ivity at doses approximately 10-fold greater than M6S. However, its. charac
terization was impeded by the appearance of seizures at doses below full an
algesic activity. Thus, M6S is a potent analgesic with pharmacological prop
erties similar to M6G. C6S has limited utility due to its high level of tox
icity. (C) 1999 Published by Elsevier Science B.V. All rights reserved.