In search of a truly high-efficacy (i.e., tau > 100) mu opioid analgesic, w
e determined the efficacy (tau) and apparent in vivo affinity (K-A) Of the
high-potency alkoxymorphinan 14-methoxymetopon. However, in the present stu
dy, 14-methoxymetopon's efficacy proved to be only 1.5-fold higher than tha
t of morphine (tau, 19 vs. 12). K-A values were 2,900 nmol/kg for 14-methox
ymetopon and 46,000 nmol/kg for morphine (Ki for [H-3]DAMGO binding, 0.33 v
s 3.4 nmol/l). Thus, the 24-fold higher potency of methoxymetopon could be
fully accounted for by its 16-fold higher apparent in vivo affinity and its
only 1.5-fold higher efficacy. Furthermore, the 10-fold higher affinity of
14-methoxymetopon for the mu opioid receptor - as previously determined in
radioligand binding assays - was confirmed in the present behavioral tests
of thermal antinociception.