AM404

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An active metabolite of paracetamol with analgesic properties


AM404
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AM404 is a chemical compound that is known as an active metabolite of paracetamol (acetaminophen). It is formed in the body when paracetamol is metabolized and has been shown to have analgesic (pain-relieving) properties. AM404 is of interest in the field of pharmacology due to its interaction with the endocannabinoid system.

Chemical Structure and Properties

AM404 is chemically known as N-(4-Hydroxyphenyl)arachidonamide. It is an amide formed from arachidonic acid and p-aminophenol, the latter being a metabolite of paracetamol. The compound has a long hydrophobic tail, characteristic of arachidonic acid derivatives, and a polar head group, which contributes to its biological activity.

Mechanism of Action

AM404 is believed to exert its effects through multiple mechanisms:

  • Inhibition of Fatty Acid Amide Hydrolase (FAAH): AM404 inhibits FAAH, an enzyme responsible for the breakdown of anandamide, an endogenous cannabinoid. This inhibition leads to increased levels of anandamide, enhancing its effects on the cannabinoid receptors in the brain.
  • Interaction with Vanilloid Receptors (TRPV1): AM404 activates TRPV1 receptors, which are involved in the modulation of pain and temperature sensation.
  • Inhibition of Cyclooxygenase (COX): AM404 may also inhibit COX enzymes, which are involved in the inflammatory process, although this effect is less pronounced compared to other non-steroidal anti-inflammatory drugs (NSAIDs).

Pharmacological Effects

AM404 has been shown to produce analgesic effects in various animal models. Its ability to modulate the endocannabinoid system and interact with TRPV1 receptors contributes to its potential as a pain-relieving agent. However, the exact contribution of AM404 to the analgesic effects of paracetamol in humans is still under investigation.

Potential Therapeutic Uses

Due to its unique mechanism of action, AM404 is being studied for its potential use in treating conditions such as:

Safety and Toxicity

The safety profile of AM404 is not fully understood, as most studies have been conducted in vitro or in animal models. Further research is needed to determine its safety and efficacy in humans.

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AM404

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Contributors: Prab R. Tumpati, MD