The Synthetic Opioid Isotonitazene Induces Locomotor Activity and Reward Effects through Modulation of the Central Dopaminergic System in Mice
Abstract
Synthetic opioids, which differ from fentanyl, have recently emerged as new psychoactive substances and pose public health concerns. The pharmacological effects and drug dependency of these benzimidazole-based opioids, also known as nitazenes, remain unclear. In this study, we examined the selectivity of opioid receptors, effects on motor activity, and expression of reward effects for isotonitazene, which has been detected in many poisonings and fatalities since 2019. Isotonitazene was most selective for the μ-receptor and exhibited more potent agonist effects, with an EC 50 of 0.02 nM, than morphine (EC 50 = 34 nM) and fentanyl (EC 50 = 4.0 nM). In ICR mice, isotonitazene (up to 0.05 mg/kg) increased the locomotor activity in a dose-dependent manner. This effect was significantly suppressed by pretreatment with the opioid receptor antagonists naloxone (3 mg/kg) and β-FNA (1 mg/kg), the dopamine D1 receptor antagonist SCH23390 (0.5 mg/kg), and dopamine D2 receptor antagonist raclopride (6 mg/kg). The reward effects of isotonitazene, evaluated using conditioned place preference (CPP) in mice, showed that conditioning with isotonitazene produced significant dose-dependent CPP scores. Microdialysis analysis also confirmed that the isotonitazene dose that induced CPP (0.05 mg/kg) significantly increased dopamine levels in the nucleus accumbens of mice. These results suggest that isotonitazene, similar to fentanyl and morphine, is a compound with a high risk of forming drug dependence and reward effects via the dopaminergic nervous system. This study provides foundational data for biological evaluation of other nitazene compounds.
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Isotonitazene is estimated at approximately 500 times the potency of morphine.
“while isotonitazene is estimated at ~500 times the potency of morphine [12,34].”
From Nitazenes: The Emergence of a Potent Synthetic Opioid Threat (2025) · cites this paper as [34]
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Nitazenes: The Emergence of a Potent Synthetic Opioid Threat
Pereira, J. R. P., Quintas, A., & Neng, N. R. (2025) · Molecules · doi:10.3390/molecules30193890 · Cited by 21 · see citing works
“For instance, etonitazene has been reported to be 100–1000 times more potent than morphine and 10–20 times more potent than fentanyl [3,16], while isotonitazene is estimated at ~500 times the potency of morphine [12,34].”
Mechanistic insights into nitazenes at the μ-opioid receptor
Xia, L., Jin, M., & Lu, L. (2026) · Trends in Pharmacological Sciences · doi:10.1016/j.tips.2026.04.009
Endogenous opiates and behavior: 2025
Bodnar, R. J. (2026) · Peptides · doi:10.1016/j.peptides.2026.171512
Azizi, F., Shahrani, N., Asgharzadeh, N., Anjomshoa, M., Bijad, E., Shahrani, D., Korrani, M. S., & Shahrani, M. (2026) · Journal of Shahrekord University of Medical Sciences · doi:10.34172/jsums.1109
- Authors
- Tomiyama, K.-I., & Funada, M.
- Affiliations
- National Center of Neurology and Psychiatry (JP)
- Corresponding author
- Funada, Masahiko
- ORCID
- Funada, Masahiko
- Venue
- Toxicology and Applied Pharmacology
- Publisher
- Elsevier BV
- Published
- 2025-07
- Volume
- 500
- Pages
- 117361
- ISSN
- 0041-008X (ISSN-L)
- OpenAlex
- W4410051518
- Cited by
- 4
- References
- 41
- Citations by year
- 2026: 3 · 2025: 1
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Toxicology and Applied Pharmacology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministry of Health, Labour and Welfare (23KC1002, 23KC2005)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Forensic Toxicology and Drug Analysis
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- isotonitazene, nitazenes, synthetic opioids, mu-opioid receptor selectivity, locomotor activity, reward, conditioned place preference, dopamine, nucleus accumbens, dopamine D1 receptor, dopamine D2 receptor, naloxone, fentanyl analogs, drug addiction
- MeSH terms
- Analgesics, Opioid, Animals, Behavior, Animal, Benzimidazoles, Dopamine, Dose-Response Relationship, Drug, Locomotion, Male, Mice, Inbred ICR, Narcotic Antagonists, Reward, Mice
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