PMID- 36866677 OWN - NLM STAT- MEDLINE DCOM- 20230508 LR - 20230509 IS - 1099-1077 (Electronic) IS - 0885-6222 (Linking) VI - 38 IP - 3 DP - 2023 May TI - A narrative review of the neuropharmacology of synthetic cathinones-Popular alternatives to classical drugs of abuse. PG - e2866 LID - 10.1002/hup.2866 [doi] AB - OBJECTIVE: To review the literature on the neuropharmacology of synthetic cathinones. METHODS: A comprehensive literature search was carried out across multiple databases (mainly PubMed, World Wide Web, and Google Scholar) using relevant keywords. RESULTS: Cathinones exhibit a broad toxicological profile, mimicking the effects of a wide variety of 'classic drugs' such as 3,4-methylenedioxymethamphetamine (MDMA), methamphetamine and cocaine. Even small structural changes affect their interactions with key proteins. This article reviews existing knowledge of the mechanisms of action of cathinones at the molecular level, and key findings from research on their structure-activity relationship. The cathinones are also classified according to their chemical structure and neuropharmacological profiles. CONCLUSIONS: Synthetic cathinones represent one of the most numerous and widespread groups among new psychoactive substances. Initially developed for therapeutic purposes, they quickly started to be used recreationally. With a rapidly increasing number of new agents entering the market, structure-activity relationship studies are valuable for assessing and predicting the addictive potential and toxicity of new and potential future substances. The neuropharmacological properties of synthetic cathinones are still not fully understood. A full elucidation of the role of some key proteins, including organic cation transporters, requires detailed studies. CI - (c) 2023 John Wiley & Sons Ltd. FAU - Kuropka, Patryk AU - Kuropka P AD - Institute of Toxicology Research, Borowa, Poland. FAU - Zawadzki, Marcin AU - Zawadzki M AD - Institute of Toxicology Research, Borowa, Poland. AD - Department of Forensic Medicine, Wroclaw Medical University, Wroclaw, Poland. FAU - Szpot, Pawel AU - Szpot P AD - Institute of Toxicology Research, Borowa, Poland. AD - Department of Forensic Medicine, Wroclaw Medical University, Wroclaw, Poland. LA - eng PT - Journal Article PT - Review DEP - 20230303 PL - England TA - Hum Psychopharmacol JT - Human psychopharmacology JID - 8702539 RN - 0 (Synthetic Cathinone) RN - 0 (Alkaloids) RN - 44RAL3456C (Methamphetamine) RN - 0 (Central Nervous System Stimulants) RN - 0 (Psychotropic Drugs) SB - IM MH - Humans MH - Synthetic Cathinone MH - Neuropharmacology MH - *Alkaloids/adverse effects MH - *Methamphetamine/adverse effects MH - *Central Nervous System Stimulants/adverse effects MH - Psychotropic Drugs/adverse effects OTO - NOTNLM OT - NPS OT - SAR OT - monoamine transporters OT - neuropharmacology OT - organic cation transporters OT - synthetic cathinones EDAT- 2023/03/04 06:00 MHDA- 2023/05/08 06:42 CRDT- 2023/03/03 05:03 PHST- 2023/02/15 00:00 [revised] PHST- 2022/06/01 00:00 [received] PHST- 2023/02/16 00:00 [accepted] PHST- 2023/05/08 06:42 [medline] PHST- 2023/03/04 06:00 [pubmed] PHST- 2023/03/03 05:03 [entrez] AID - 10.1002/hup.2866 [doi] PST - ppublish SO - Hum Psychopharmacol. 2023 May;38(3):e2866. doi: 10.1002/hup.2866. Epub 2023 Mar 3.