REVIEW ARTICLE Medical Biology 59: 21-34, 1981
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REVIEW ARTICLE Medical Biology 59: 21-34, 1981 ,8-CARBOLINES, PSYCHOACTIVE COMPOUNDS IN THE MAMMALIAN BODY PART I: OCCURRENCE, ORIGIN AND METABOLISM M. M. AIRAKSINEN and I. KARl FROM THE DEPARTMENT OF PHARMACOLOGYAND TOXICOLOGY, AND DEPARTMENT OF PHARMACY, UNIVERSITY OF KUOPIO, KUOPIO, FINLAND ABSTRACT We review the occurrence in nature and the formation and biotransformation in mammals of /3-car- bolines, the condensation products of tryptophan and indolealkylamines with aldehydes, with special reference to their possible role in man. They are found in many plants, some of which have been used as hallucinogens and drugs. They also occur as minor constitutients in tobacco smoke. In man tetra- hydro-p' -carboline (tetrahydronorharman), formed from tryptamine condensed with formaldehyde, oc- curs normally in plasma and is highly concentrated in platelets. The corresponding products from s-hvdroxvtrvntamlne and 5-methoxytryptamine have been identified in rats but their concentrations in man have not yet been assessed. I-Methyltetrahydro-p'-carboline (tetrahydroharman) is formed in the body as the acetaldehyde condensate after alcohol intake and its concentration is usually greatest at the time of hang-over. Its oxidation product, I-methyl-p'-carboline (harman), has also been found in human urine and platelets. Tetrahydro-/3-carbolines may be oxidized to corresponding dihydro-/3-car- bolines and f3-carbolines, at least in vitro. Due to the interesting biochemical and pharmacological effects (see part II) of .B-carbolines, several hypotheses about their role in the body can be made. The concentrations and roles of .B-carbolines in different neuropsychiatric diseases, however, remain to be determined, as suitable evaluation methods have only been developed in recent years. KEY WORDS: /I-CARBOLINES; HARMALA ALKALOIDS; TRYPTOLINES; HALLUCINOGENS;ALCOHOL; ALDEHYDES INTRODUCTION The major interest in ,8-carbolines has been prompted by the following findings: Since 1961 when McIsaac (69) reported the There is increasing evidence that some formation of ,8-carbolines in mammalian body ,8-carbohnes are normal constituents in as condensation products of indole alkyl- the human body and some are formed in amines with aldehydes, several reviews have special conditions such as after alcohol mentioned some aspects of these »natural intake (as described later in this review). hallucinogens» (3, 5, 18, 21, 25, 26, 28, 37, 39, ,8-Carbol'ines (Harm ala alkaloids) are 45, 46, 79, 91, 99); three of them appeared found in plants which have been used as while we were writing this review.,8-car- ha'llucinogens, and some pure ,8-carbolines bolines have often been described in the con- have known hallucinogenic properties (83, text of alcoholism together with tetrahydro- 84). A possible role in mental disease has isoquinolines, the corresponding condensation been suggested (70). products of catecholamines, these latter com- Tetrahydro-,8-carboline has been claimed pounds perhaps attracting most attention. to increase ethanol preference in rats (80, General interest in ,8-carbolines has, how- 81) and ,8-carbolines formed in the human ever, recently greatly increased and research body by acetaldehyde may be connected on them has consequently. intensified. The ·to alcohol dependence. Many of their ef- development of methods allowing a reliable fects in man (83) correspond to those of demonstration of the occurrence of some alcohol withdrawal. tetrahydro-,8-carbolines in human body and Some ,8-car'bolines induce tremor and har- some recent receptor studies has opened up maline has been used to produce experi- new aspects of their role and mode of action. mental tremor (33, 66, 94, 108, 123). 22 M. M. Airaksinen and I. Kari R'~COOH1 --;. R'~COOH1 --? R'lOt;YCOOHI - -.,. R'0lOI;VCOOH1 N NH2 RCHO N NH N ~N N ~NH H HR HR HR IA ][A mA I I I ~ ~ ~ R~ ---.;.R~ __.,.R'~I R' Vr\i3!J NH2 RCHO ~~>-y-'NH V'N;>'l --~'OrH H HR HR HR IB /-11 ][B mB / RCO~ / 'i' / I R' I ~H~N)J ~ H c=o I c R Fig. 1. Possible routes of mammalian synthesis of tetrahydro-,s'-carbolines (THBCs, I), dihydro-ji- carbolines (DHBCs, II) and ji'-carbolines (BCs, III).R' = H, OH or OCH3; R = H, CHR (or other radi- cal). The dotted arrows indicate more uncertain routes. - Some tB-carbolines are competitive inhi'bi- the literature. tB-Carboline (Fig. 1, III B; R = tors of the saturable sodium transport and R' = H) itself is usually known as norhar- harmaline has 'been used in studies of mane and I-methyl-tB-carboline (III B; R = sodium-dependent transport of amino CH~,R' = H) as harmane (with or without an acids etc.(105). e on the end). The primary condensation pro- tB-Carholines inhibrt monoamine oxidase ducts of indole-ethylamines, however, are (MAO) (38, 42), particularly A-type (19, 85), 1,2,3,4-tetrahydro-~-carbolines (THBCs) (Fig. and 'have 'been used as short acting MAO 1, I) or 2,3,4,9-tetrahydro-1H-pyrido[3,4-bJin- inhibitors. doles or 1,2,3,4-tetrahydronorharmane deriva- Some tetrahydro-zi-carbolines effectively tives, also named tryptolines by the Barchas' inhibitthe uptake of 5-hydroxytryptamine group (9). These as well as (1,2- 'Or) 3,4-di- (5-HT)(8, 53) and increase 5-HT concen- hydro-ji-carbobines, 4,9-dihydl'o-3H-pyrido- tration in the brain (72) and they have [3,4..;bJindolesor dihydronorharmanes (Fig. 1, sometimes been used experimentally as II)(the probable site of the double bond is serotonergic drugs. 1,2 but it has not often been determined) Effective binding of some ~-carbolines to may be oxidized (aromatized) to tB-carbolines benzadiazepine receptors has recently at least in vitro, perhaps also in vivo. been shown (6, 16, 31, 94) and they have Different numbering systems for the atoms been suggested as the natural ligands of in ~-carbolines have been used and even the »benzodiazepine» receptors, Binding to present most official numbering system dif- opiate receptors has also been described fers from that used in tryptamines (Fig. 1). (6). Thus, for example, the tryptamine 5-position Some tB-carbolines occurring in tobacco is 6-position .in ~-carbolines. The »tryptoIine» smoke and pyrolysis products of proteins naming of tetrahydro-ri-carbolines, however, in food are comutagenic (115, 116) and may uses principally the same numbering as for have carcinogenic or cocarcinogenic pro- tryptamines.Even editors of some scientific perties. journals 'have ,been confused because, for instance, 6-methoxy-tetrahydro-tB-carbohne St1"uctu1"es and nomenclatu1"e is the same as 5-methoxytryptoline. Here we ~-Carbolines or 2-carbolines is the often re- wil'l use the tB-carboline nomenclature and commended name for i9H-pyrido[3,4-bJindo- their usual numbering system. The term ~- les, but Chemical Abstracts uses the latter carbo lines refers .to the group which also in- names and a jungle of 'Other names occurs in cludes dihydro-ri-carbolines (DHBCs) and (J-Ca1'bolines in the mammalian body 23 tetrahydro-zi-carbolines (TRBCs) or to the plants seem to make mainly nonsaturated »fully aromatized» derivatives (BCs) of the BCs and DRBCs, but some, e.g. Elaeagnus specific compound p-carboline (BC). The niger L., also TRBCs. Some plants produce shortening Be is used only for the latter several p-carbolines, some are rather specific. meaning. Although the tryptol:ine naming is After a feeding of Passiflora edulis with [14C]- shorter and logical it has only been made tryptophan nearly all the radioactivity found for tetrahydro-zi-carbolines. The names ori- was in [14C]-harman (22). ginally given to the plant alkaloids or those Some other alkaloids with larger molecules derived from harman and other Harrnala al- contain a fJ-cal"boline ring system as part of kaloids are probably the 'best known but less a complicated skeleton. The effects of these logical. alkaloids usually differ from those of simple fJ-carbolines. The Rauwolfia alkaloids may be the best known representatives of such P-CARBOLINES IN PLANTS compounds, which are not dealt with in this The people living in various parts of South review. Ho (39) has reviewed the effects of America, Asia and Africa have known for yohimbine in the context of p-carbolines. thousands of years the potent psychoactivity p-Carbolines in food and tobacco of several plants containing p-carbolines (63, 84). Ancient Greeks and also Europeans of Aromatic p-carbolines, BC (norharman) and our centuries used Peganum tuirmaia L. 1-Me-BC(harman) have been described as among others in a »truth serum» (56). In being formed as pyrolysis products of trypto- India it had been used in religious ceremonies phan and proteins (55, 115, 116) which have (27, 63). West American natives have used been identified in cigarette smoke (90) and extracts from Passiiiora species (edulis and in the surface of charred meat and fish (82). incarnata) for several indications e.g. insom- The concentration of p-carbolines was con- nia, spasms and cramps (63). A drink called siderable if the surface was dark brown but ayahuasca, caapi, natema, pinde or yaje and very small if the meat remained only light made from the South American liane Banis- brown. teriopsis caapi, Spr. ex Griseb. (named Banis- teria caapi by Spruce) and preparations from /:i-CARBOLINES IN MAMMALS some other plants of the Malpighiaceae have INCLUDING MAN been used by Indians as narcotic and hallu- cinogenic agents in religious rituals (2, 44, 84, As shown later in this paper, TRBCs are 102, 103, 113) and sometimes also in other easily formed in vitro in various mammalian situations e.g. »to see the future» before tissues. Consequently many investigators have selecting a wife. Even habituation may have presented hypotheses about the possible form- occurred (61). Moreover, the anthelmintic ef- ation of p-carbolines in vivo.Until now nine fect of some plants containing p-carbolines p-carboline derivatives have been reported has been known to the natives for centuries to occur in various mammalian tissues and (24).