Although spiperone displays good selectivity for 5-HT2A versus 5-HT2C serot
onin receptors, it suffers from high affinity for S-HT1A and dopamine D-2 r
eceptors. In order to determine a) the contribution of various structural f
eatures to 5-HT2A affinity, and b) if spiperone binds in a manner comparabl
e to that of the 5-HT2 antagonist ketanserin, several abbreviated analogs o
f spiperone were prepared and examined. Removal of the spiperone fluoro gro
up enhances 5-HT2A affinity several-fold, but does not improve its selectiv
ity. The butyrophenone carbonyl group is not a major contributor to binding
, but removal of the triazaspirodecanone carbonyl group reduces affinity at
all receptor populations by about 100-fold. For a series of spiperone anal
ogs, a three- to four-atom chain seems optimal for 5-HT2A affinity. On the
basis of the structure-activity findings, it is concluded that ketanserin a
nd spiperone likely bind at 5-HT2A receptors in a dissimilar manner.