Professional Documents
Culture Documents
Codeine, medically the most widely used opiate, is mostly derived from mor-
phine, isolated from opium and poppy straw (Papaver somniferum, opium poppy).
Morphine, however, is greatly misused by illegal conversion into its diacetyl-deriv-
ative: heroin. The discovery of an efficient alternative medicine or a source for
codeine other than opium poppy may contribute to a curtailment of the heroin
market. No major adverse properties should be present in such a new medicine or
codeine source. In this paper the search for the latter is discussed with regards to
the natural occurrence of morphinan derivatives and the biosynthetic pathways in
available plants. Economic and social problems connected with the introduction
of a new biological source for opiates are reviewed.
Document, 1980). Although at this moment the factory is still far from operating
adequately at or near the planned capacity, the actual outlays amount to about
53 million U.S. dollars. The resulting uncertainty with regard to a continuous
supply of opiates for medical use, combined with a substantially increasing de-
mand for such opiates, made it worthwhile, if not necessary, to give serious
consideration to other sources of opiates (morphinan alkaloids).
Predictions that synthetic drugs would replace the so-called natural narcotic
drugs have not been substantiated. The synthetic narcotic drugs have not gained
a large relative share of the market (U.N. Document, 1980), despite their more
predictable production benefits and their insensitivity to the whims of climate.
Therefore, countries other than the traditional suppliers focussed attention on
new natural sources of morphinan alkaloids as substitutes for the opium poppy.
Among these, plants of the Papaver section Oxytona Bernh. (Macrantha Elk.),
especially Papaver bracteatum Lindl., proved most promising: the latter species
contains almost exclusively the alkaloid thebaine, which can serve as an excellent
substitute for morphine as starting material for chemical conversion into codeine,
medically the most widely used opiate.
Substitution of this particular Papaver species for opium poppy as a source of
morphinan alkaloids may contribute to a curtailment of the heroin market for
the following reason. Heroin is derived from morphine, and the latter compound
is absent from this alternative source of morphinans. The chemical conversion
of thebaine into heroin requires both advanced chemical skill and equipment,
which makes such procedure less likely to be used illicitly (Fig. 1).
The cultivation of Papaver bracteatum for commercial purposes has largely
been frozen on the recommendation of the United Nations Commission on Nar-
cotic Drugs: 1 XXVII 'Restriction of cultivation of poppy,' 835th Meeting, 24
February 1977 (U.N. Document, 1980). Statistics are reported to the International
Narcotics Control Board on the basis of Resolution 2 XXIV of the Commission
on Narcotic Drugs: 'Voluntary Reporting of Statistics of Cultivation of Papaver
bracteatum,' 2-11 February 1971 (U.N. Document, 1980). Some countries, like
Yugoslavia, the United States, Switzerland, and the United Kingdom, seem to
proceed with cultivation.
The recommendation of careful consideration of possible P. bracteatum cul-
tivation for commercial purposes is partly prompted by fear of negative conse-
quences for the economic structure of the traditional suppliers of P. somniferum
raw material, if large-scale cultivation of P. bracteatum should be introduced in
the industrial countries of the Western Hemisphere.
In view of the present overproduction of morphine (estimated by the United
Nations International Narcotics Control Board at 50% for 1982) and the world-
wide increasing amounts of heroin on the illicit market, this policy cannot be
considered to be effective as to the heroin problem. U.N. Resolution 47 l, sup-
porting the restriction to import opiate material only from the traditional sup-
pliers, India and Turkey, may in the end even have adverse effects on the econ-
omies of these countries (see below).
New natural sources of a natural compound are generally not taken into con-
sideration if a reasonable synthetic production of the desired compound is pos-
sible. Despite considerable improvements in the total synthesis of codeine and
similar compounds (e.g., Beyerman et al., 1976; Szfintay et al., 1980; Brossi, 1982),
1986] THEUNS ET AL.: NATURAL MORPHINANS 487
AC~ MeO0
' ~ H NMe \r,/~H~NMe
AcO.L.~ H HO.L~ H
HEROIN CODEINE
2
MeO0
~ HO3 ~ ~ ~
0 'LI'~.,~'~
" I / ~ ~Me ~ ' ~ u ~Me
MeO ~ " ~ HClOL..~8 H ,7
7
THEBAINE MORPHINE
Fig. 1. Structural formulae of heroin, codeine, thebaine, and morphine.
that procedure, however, seems still more complex and expensive than the iso-
lation of morphinans from natural sources.
USES OF MORPHINANS
In addition to uses based on its narcotic properties, the opium poppy and other
Papaver species have found many uses (Duke, 1973). The earliest reports on the
use of poppy in medicine presumably date back to Hippocrates, 460 B.C. (Ba-
zilevskaya, 1928).
Since the isolation of morphine from opium by Sertiirner in 1805, this substance
has been available in a pure form for medical use and pharmacological evaluation.
The high potency of morphine and its high addiction liability limit the use of this
compound, and consequently attention was shifted to the less potent alkaloid
codeine, which is now the most widely used opiate, having a relatively low abuse
potential. In fact, about 90% of the legally produced morphine is converted into
codeine (U.N. Document, 1974) and some other compounds of minor quantitative
importance.
Codeine is used mainly as an antitussive agent, but also as a nonnarcotic an-
algesic. Recently, it has been said to be useful in treating malaria patients. 5 Its
use in the treatment of diarrhoea, however, is out of date, because more effective
substitutes are now available.
For mild to moderate pain, codeine is effective in relatively nontoxic doses,
but for severe pain alternative drugs are preferred because of the side effects of
high doses (Eddy et al., 1968, 1969; WHO-Scientific Group, 1972). Synthetic
alternatives are available that may be equivalent, though none is clearly superior,
to codeine for the relief of mild to moderate pain (ibid.).
For the relief of local irritation of the respiratory tract, alternative drugs are
available with a lower dependency liability and fewer side effects, but none of
them is superior to codeine (ibid.). The use of codeine-substituting agents is stated
to "result in no particular gain and probably no particular loss" (Eddy et al.,
1970). It is often stated, however, that there are no adequate substitutes for
codeine, and that this compound is still needed (U.N. Document, 1974; Cochin,
1975; Greentree, 1978). Indeed, there is no known substitute for which the phar-
macology has been studied as extensively as that of codeine. Moreover, in medical
practice codeine is still the agent of choice against severe cough.
Because of the objective to reduce the production of morphine--a compound
that is highly liable to abuse--a keen interest of researchers in potential alternatives
for codeine is justified.
However, if codeine production were not accompanied by morphine production
there would be no reason to search for a substitute for codeine other than for
economic reasons. Thus, the consideration of alternative morphine-free plant
sources for codeine may eliminate the major disadvantage that accompanies the
production of this compound.
A limited production of morphine, a potent narcotic analgesic, which is very
useful in the treatment of severe pain, may remain necessary. Limited production
of P. somniferum for this purpose will be more easily controllable than today's
large scale production in vast areas, often in rather inaccessible regions that are
difficult to oversee. Morphine, however, may also be prepared in high yield by
O-demethylation of codeine (Rice, 1977), a procedure which is completely unfit
for application within illicit channels and which may totally eliminate the need
for production of P. somniferum for alkaloid yield.
BIOGENESIS OF MORPHINANS
,., ,et~l,~
OMe
I
tyromlne tyros4ne p - hyO-oxyPln~ylpyruv~ acid Meo Meo ~
MO ~ HO ~ ,
NN~e NMe N~4e
HO ~ HO COOH Z HO~O 0
Me0 Me Me0
H OH
dopOmlne 3,~-d~ydr oxyph~yloIo~e 3 4~dhydt oxyphenylpyr uv~ ac~
~lu~0rld~ ~lthar~ne~-I
S' thabo,~
pl0
HO0C
NH
OH ~
HO ~N
0H
I
NtAe
)
Ne
Nk~e
......... :).
16-hyffmxy ihebol~
l~0_hydrox
yc~dmno~
H
R
OH OH HDCHzO o l/.fl-hyd~x ycode~ taeO
o r , p o ~ {R: Mel
no?kludonosoi~ c~boxyllc OCKI 1,2~ehydr~k~udrl~hne
I
HO H NH OH rx~'la~carr~~ HO H
o~ OH
1 1
MeO MeO
HO -NMe HO Me
HO H NM ~ OH ~--~ OH
e 0~e ~0Me
ced~ ~ph~ ~ph~e
I-I-te~uhne 1,2-dehy~elcul~m ~ E.I.r ehc=lne
1 1
Codmne N-omd~
1
~ r p h ~ N-oxld~
proposals using specifically methylated precursors, and often such schemes are
indeed correct.
The later stages in morphinan alkaloid biogenesis, starting from reticuline, are
better known, due to comparative investigations of alkaloidal precursors with
differing location of methyl ether groups. Precursors and intermediates are mostly
present at enzyme surfaces. Pool sizes of many intermediates are very small.
Consequently, the intermediacy of compounds like salutaridine, salutaridinol-I,
neopinone, and codeinone could be inferred only by means of sophisticated tech-
niques from feeding experiments with radioactive precursors (Barton et al., 1965;
Parker et al., 1972).
In contrast to the fairly accurate knowledge of many biosynthetic tranformations
leading to the morphinan alkaloids, comparatively little is known about the en-
zymes operating in the biosynthetic pathway (Mouranche and Castes, 1978; Hodges
and Rapoport, 1980, 1982a).
N A T U R A L OCCURRENCE OF M O R P H I N A N S
EUPHORBIACEAE
e
APOCYNACEAE
LOGANIACEAE
Str)chnos melinoniana thebaine )dubiously; the plant materia) got B~chli et a1.j 1967.
contaminated wlth opium alkalolds during work-up
in an opium factory).
a Earlier named P. dubi.L~ subs b. alblflorum; b Within the section Ox~tona the ploidy level is to be preferred over other characteristlcs. Therefore, the
p~ant material having a chrc4nos~ number 2n = 28, which was regarded as ~. pseudo-orientale by Ph~lhpson et al.~(1981a)~ must be ranked as P. orlentale,
whereas the plant material having 2n = 14j must be i d e n t i f i e d as P. br~cteatum; c Synonyms: P. caucasicum, P. florlbundum~ d Posslbly a variety of P.
rhoeas~ e The n~rphlnan alkaloids found within this plant family often are acc~panled by their racemlc forms" F The structural assignment of this alkalold
is not certified, because no optlcal rotation data were glven.
1986] THEUNS ET AL.: NATURAL MORPHINANS 491
ALTERNATIVE SOLUTIONS
Van Ree et al., 1978; Chau-Pam, 1978) and that their metabolites seem to exhibit
profound pharmacological actions (De Wied et al., 1978; Verhoeven et al., 1978),
their medical use as substitutes for morphine and codeine will be limited, for the
present.
The production of opium alkaloids by in vitro tissue culture ofP. somniferurn
(Anonymous, 1982) is a promising development, which may help to prevent
leaking of opiates into illicit channels (Hsu, 1981; Hodges and Rapoport, 1982b;
Kamo et al., 1982; Staba et al., 1982; Zito and Staba, 1982; Heinstein, 1985).
For the present, however, yields obtained are too low for commercial exploitation.
The addiction liability of thebaine, its derivatives, and of the minor alkaloids,
reported for Papaver bracteatum, has been studied. No case of thebaine abuse or
of illicit production of its derivatives has been reported (WHO-Advisory Group,
1980). Should heroin cease to be available, such abuse is not considered likely
either (U.N. Document, 1976). The minor alkaloids of P. bracteatum occur in
minute amounts only and can far easier be isolated from other plant species
(Kettenes-Van den Bosch et al., 1979, 1981). Thus, the abuse potential of P.
bracteatum alkaloids may be considered neglectable (WHO-Advisory Group,
1980). In this respect there is no reason to fear that production of thebaine from
P. bracteatum "'might let some unanticipated genie out of the bottle" (Anonymous,
1975).
ACKNOWLEDGMENTS
This paper results from research carried out by the first author as a Consultant to the United Nations
Division of Narcotic Drugs. The authors are indebted to Dr. S. D. Cook for linguistic corrections of
the revised version of the manuscript.
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Book Review
The Illustrated Plants of Special Uses in Taiwan. Feng-Chi Ho. Taiwan Museum, Taipei
City, Taiwan, R.O.C. 100. 1985. 219 pp. N.T./$600.00, US$15.00 (+ postage).
This elegantly illustrated book will fascinate any economic botanist. It consists mainly
o f six sections according to use: 1) Fragrances; 2) Insecticides and insect-repellents; 3)
Industrial oils; 4) Dyes and inks; 5) Fibers; 6) Cooling and medicinal beverages, jelly, and
soup. There are 209 species shown in full color; some only a branch-tip in flower or fruit,
others, an herbaceous plant or bush in bloom, or a portion of a tree or palm, accompanied
by separate close-ups o f flowers and/or fruits, seeds, and, occasionally, extracted fiber.
Introducing each section is a headlined page reproducing one of the illustrations within
the section.
Each subject is clearly identified by family and botanical binomial. The brief explanatory
text is entirely in Chinese but the pictures are eloquent. Included are many plants of broad
interest: tuberose, frangipani, crape jasmine, honeysuckle, basil, cinnamon, sweetpea, or-
chid trees, magnolia, lotus, Grand Duke jasmine, roses, grapefruit, lemon, ' H a n d of Buddha'
citron, orange jasmine, sandalwood, fennel, ginger-lily, pyrethrum, camphor, tree-of-heav-
en, tung nut, candlenut, physic nut, castorbean, peanut, African oil palm, sesame, mango,
annatto, tallowwood tree, logwood, indigo, betelnut, pomegranate, sisal, ricepaper plant,
kapok tree, Panama-hat plant, papyrus, flax, cotton, kenaf, paper mulberry, coconut, jute,
ramie, sweet-herb-of-Paraguay, Job's-tears, rosary pea (seeds poisonous; dried leaves and
stems used for "tea"), munghean, aloe, okra, roselle, passionfruit, plantain, coffee, and
cacao. Though these names do not appear in English in the book, finding is facilitated by
a detailed Table of Contents providing family and species names in the order of their
apperance, and an alphabetical Index o f scientific names. There is also a 10-item Bibli-
ography in Chinese and a Chinese subject index. Dr. Samuel Lee, Associate Dean, College
of Engineering, University of Miami, who revealed the plan of the book to me, pointed
out that the leaf decoction of var. awkeotsang of the c o m m o n creeping fig (p. 199) is a
remedy for appendicitis and bladder infection; the decoction o f Euphorbia thymifolia (p.
183) is drunk cold or applied on rashes; the aggressive cogon grass (p. 185), a bane o f the
tropics, is boiled to make a medicinal "tea." He spoke enthusiastically about the jelly made
from Mesona procumbens (p. 190) as a summertime refreshment (possibly much like our
familiar mint jelly). In fact, he was delighted to scan the book and it is quite likely that it
will be warmly greeted by Oriental residents in all walks of life in this country, in addition
to plant-minded scholars. I might add that Aloe vera (L.) Webb. (p. 195) is a synonym o f
the preferred Aloe barbadensis Mill., the much-exploited form of which has yellow flowers.
JULIA F. MORTON, UNIVERSITYOF MIAMI, CORAL GAaLES, FL 33124