|This article needs additional citations for verification. (December 2007)|
|Systematic (IUPAC) name|
|(what is this?)|
Cathinone // (also known as benzoylethanamine, or β-keto-amphetamine also known as hagigat (Hebrew: חגיגת "celebration") in Israel,) is a monoamine alkaloid found in the shrub Catha edulis (khat) and is chemically similar to ephedrine, cathine, methcathinone and other amphetamines. It is probably the main contributor to the stimulant effect of Catha edulis. Cathinone differs from many other amphetamines in that it has a ketone functional group. Other phenethylamines that share this structure include the stimulants methcathinone, MDPV, mephedrone and the antidepressant bupropion among others.
Khat has been cultivated in the Horn of Africa and Arabian Peninsula region of the world for thousands of years. It is most commonly chewed for the euphoric effect it produces. The active ingredient was first proposed in 1930 when cathine was identified as a predominant alkaloid in the plant. Cathine was thought to be the main active ingredient in khat until the 1960’s. It was found that the amount of cathine in the khat leaves wasn’t enough to produce the effects observed. In 1975, the United Nations Narcotic Laboratory analyzed khat leaves from Yemen, Kenya, and Madagascar and found the presence of a different alkaloid, cathinone. Cathinone is a similar molecule to cathine, but is much more abundant in younger plants. This finding caused scientists to speculate whether or not cathinone was the true active ingredient in khat.
A study was conducted in 1994 to test this. Six volunteers who had never chewed khat before were given an active khat sample and a placebo sample from which they extracted out the Cathinone. The researchers analyzed the participants’ moods, activity levels, and blood pressure before and after the participant chewed the khat and the placebo. This analysis showed that Cathinone produced amphetamine-like symptoms, which led them to conclude that it is the active ingredient in khat leaves, not cathine.
Over 20 million people in the Arabian Peninsula and East Africa chew khat leaves daily. It is an important piece of the culture and economy in this region, especially in Ethiopia, where khat is said to have originated, Kenya, Djibouti, and Yemen. Men usually chew it during parties or other social gatherings while smoking cigarettes and drinking tea. Farmers and other workers also use khat in the afternoon to reduce fatigue and hunger as the day goes on. It functions like the caffeine in a strong cup of coffee as an anti-fatigue drug. Students and drivers have been known to use it to stay alert for longer periods of time.
In order to produce its desired effects, khat leaves should be chewed fresh. The fresh leaves have a higher concentration of cathinone. Waiting too long after cultivation to chew the leaf will allow the cathinone to break down into its less potent form, cathine. Because of the need for quick chewing, it is a habit that has historically been prevalent only where the plant grows. However, in the recent years with improvements in road and air transport, khat chewing has spread to all corners of the world.
The cultivation of khat in Yemen is a highly profitable industry for farmers. Khat plants will grow differently depending on the climate they are grown in and each one will produce different amounts of cathinone. It generally doesn’t grow as well in costal, hot climates. In Yemen, the khat plant is named after the region in which it is grown. The Nehmi khat plant has the highest known concentration of cathinone, 342.5mg/100g.
The sale of khat is legal in some jurisdictions, but illegal in others—see Khat (Regulation). Substituted cathinones were also often used as the key ingredient of recreational drug mixes commonly known as "bath salts" in the United States.
The table below shows the legality of khat and cathinone in different countries of the world:
|Kenya||Khat is legal but Cathinone and cathine are classified as Class C substances|
|South Africa||Khat is a protected plant|
|Israel||The khat plant itself is allowed to be sold and chewed, but it is illegal to sell or make beverages containing khat or pills based on Cathinone extracts|
|Yemen||Khat is legal but the cultivation and selling of the plant is regulated by the government|
|France||Khat is prohibited as a stimulant|
|Germany||Khat is illegal but a derivate of Cathinone is available upon prescription|
|Ireland||Illegal unless authorized|
|Netherlands||Cathinone and cathine have been illegal but khat was announced as illegal in 2012|
|Canada||Illegal to obtain unless approved by a medical practitioner|
|Australia||Khat is regulated under the Australian Customs Service and a special permit is needed to import it for personal use|
Mechanism of Action
Cathinone has been found to stimulate the release of dopamine and inhibit the re-uptake of epinephrine, norepinephrine, and serotonin in the Central Nervous System (CNS). These neurotransmitters are all considered monoamines and share the general structure of an aromatic ring and an amine group attached by a two-carbon separator Because cathinone is a hydrophobic molecule, it can easily cross cell membranes and other barriers including the blood brain barrier. This property allows it to interact with the monoamine transporters in the synaptic cleft between neurons. Cathinone induces the release of dopamine from freshly-killed rabbit brain striatal preparations that are prelabelled either with dopamine or its precursors.
The metabolites of cathinone, cathine and norephedrine, also possess CNS stimulation, but create much weaker effects. The effects of cathinone on the body can be countered by a pre-administration of a dopamine-receptor antagonist. The antagonist will keep the neuron at its resting state so the cathinone cannot cause extraneous release of dopamine or other neurotransmitters.
Cathinone can also affect the Peripheral Nervous System (PNS) by blocking adrenergic receptors and inhibiting smooth muscle contraction. It can also induce dry mouth, blurred vision, and increased blood pressure and heart rate.
Khat leaves are removed from the plant stalk and are kept in a ball in the cheek and chewed. Chewing releases juices of the leaves, which include the alkaloid, cathinone. The absorption of cathinone has two phases: one in the buccal mucosa and one in the stomach and small intestine. The stomach and small intestine are very important in the absorption of ingested alkaloids. Approximately 2.3 hours after chewing khat leaves, the maximum concentration of Cathinone in blood plasma is reached. The mean residence time is 5.2 ± 3.4 hours. The elimination half-life of cathinone is 1.5 ± 0.8 hours. A two-compartment model for absorption and elimination best describes this data. However, at most, only 7% of the ingested cathinone is recovered in the urine. This indicates that the cathinone is being broken down in the body. Cathinone has been shown to selectively metabolize into R,S-(-)-norephedrine and cathine. The reduction of the ketone group in cathinone will produce cathine. This reduction is catalyzed by enzymes in the liver. The spontaneous breakdown of Cathinone is the reason it must be chewed fresh after cultivation.
Effects on Health
The first documentation of the khat plant being used in medicine was in a book published by an Arabian physician in the 10th century. It was used as an antidepressant because it led to feelings of happiness and excitement in the individual. Chronic khat chewing can also create drug dependence, as shown by animal studies. In these studies, monkeys were trained to push a level to receive the drug reward. As the monkeys' dependence increased they pressed the level at an increasing frequency.
Khat chewing and the effects of Cathinone on the body differ from person to person, but there is a general trend of how a person will behave after ingesting fresh cathinone:
1. Feelings of euphoria that lasts for 1-2 hours
2. Discussion of serious issues and increased irritability
3. The Sulaimania Hour: the chewer’s imagination is very active
4. The depressive stage
There are other effects not related to the CNS. The chewer can develop constipation and heartburn after a khat session. Long-term effects of the cathinone can include gum disease or oral cancer, cardiovascular disease, and depression. The withdrawal symptoms of cathinone include, hot flashes, lethargy, and a great urge to use the drug for at least the first two days.
The synthesis of cathinone in khat begins with L-phenylalanine and the first step is carried out by L-phenylalanine ammonia lyase (PAL), which cleaves off an ammonia group and creates a carbon-carbon double bond. After this, the molecule can either go through a beta-oxidative pathway or a non-beta-oxidative pathway. The beta-oxidative pathway produces benzoyl-CoA while the non-beta-oxidative pathway produces benzoic acid. Both of these molecules can be converted to 1-phenylpropane-1,2-dione by a condensation reaction catalyzed by a ThDP-dependent enzyme (Thiamine diphosphate-dependent enzyme) with pyruvate and producing CO2. 1-phenylpropane-1,2-dione goes though a transaminase reaction to replace a ketone with an ammonia group to form (S)-cathinone. (S)-Cathinone can then undergo a reduction reaction to produce the less potent but structurally similar cathine or norephedrine, which are also found in the plant.
Aside from the beta- and non-beta-oxidative pathways, the biosynthesis of cathinone can proceed through a CoA-dependent pathway. The CoA-dependent pathway is actually a mix between the two main pathways as it starts like the beta-oxidative pathway and then when it loses CoA, it finishes the synthesis in the non-beta-oxidative pathway. In this pathway, the trans-cinnamic acid produced from L-phenylalanine is ligated to a Coenzyme A (CoA), just like the beginning of the beta-oxidative pathway. It then undergoes hydration at the double bond. This product then loses the CoA to produce benzaldehyde, an intermediate of the non-beta-oxidative pathway. Benzaldehyde is converted into benzoic acid and proceeds through the rest of the synthesis.
Synthetic Production of Cathinone
Cathinone can be synthetically produced from propiophenone through a Friedel-Crafts Acylation of propionic acid and benzene. The resulting structure can be brominated, and the bromine can be substituted with an amine group to produce a racemic mixture of cathinone. A different mechanism must be used to produce enantiomerically pure (S)-cathinone. The mechanism begins with a Friedel-Crafts Acylation of the optically active amino acid, S-alanine. Then, phosphorus pentachloride (PCl5) is used to chlorinate the carboxylic acid. At the same time, another Friedel-Crafts acylation is preformed to add a benzene ring to the carbonyl carbon with aluminum chloride. Finally, the aldehyde is removed by adding heat in the presence of HCl to form enantiomerically pure S-(-)-cathinone.
Cathinone can be extracted from Catha edulis, or synthesized from α-bromopropiophenone (which is easily made from propiophenone). Because cathinone is both a primary amine and a ketone, it is very likely to dimerize, especially as a free base isolated from plant matter.
The structure of cathinone is very similar to that of other molecules. By reducing the ketone, it becomes cathine if it retains its stereochemistry, or norephedrine if its stereochemistry is inverted. Cathine is a less potent version of cathinone and cathinone’s spontaneous reduction is the reason that older khat plants are not as stimulating and younger ones. Cathinone and amphetamine are closely related in that amphetamine is only lacking the ketone C=O group. Cathinone is structurally related to methcathinone, in much the same way as amphetamine is related to methamphetamine. Cathinone differs from amphetamine by possessing a ketone oxygen atom (C=O) on the β (beta) position of the side chain. The corresponding alcohol, cathine, is a less powerful stimulant. The biophysiological conversion from cathinone to cathine is to blame for the depotentiation of khat leaves over time. Fresh leaves have a greater ratio of cathinone to cathine than dried ones, therefore having more psychoactive effects.
There are many cathinone derivatives that include the addition of an R group to the amino end of the molecule. Some of these derivatives have medical uses as well. Bupropion is one of the most commonly prescribed antidepressants and its structure is Cathinone with a tertiary butyl group attached to the nitrogen and chlorine attacked to the benzene ring meso to the main carbon chain.
- Toennes SW, Harder S, Schramm M, Niess C, Kauert GF (2003). "Pharmacokinetics of cathinone, cathine and norephedrine after the chewing of khat leaves". Br J Clin Pharmacol 56 (1): 125–130. doi:10.1046/j.1365-2125.2003.01834.x. PMC 1884326. PMID 12848785.
- Bentur Y, Bloom-Krasik A, Raikhlin-Eisenkraft B (2008). "Illicit cathinone ("Hagigat") poisoning". Clin Toxicol (Phila) 46 (3): 206–10. doi:10.1080/15563650701517574. PMID 17852166.
- Patel, N.B. (2009). "Mechanism of Action of Cathinone: The Active Ingredient of Khat (Catha Edulis)". East African Medical Journal 77 (6): 329–32. PMID 12858935. Retrieved 8 March 2015.
- Wilder, Peter; Mathys, Karoline; Brenneisen, Rudolf; Kalix, Peter; Fisch, Hans-Ulrich (May 1994). "Pharmacodynamics and Pharmacokinetics of Khat: A Controlled Study". Clinical Pharmacology and Therapeutics 55 (5): 556–62. PMID 7910126. Retrieved 16 March 2015.
- Kirby, Alex. "Yemen's khat habit soaks up water". BBC News. BBC. Retrieved 20 March 2015.
- Al-Motarreb, Ahmed; Baker, Kathryn; Broadley, Kenneth J. (2002). "Khat: Pharmacological and Medical Aspects and Its Social Use in Yemen". Phytotherapy Research 16 (2): 403–13. doi:10.1002/ptr.1106. PMID 12203257. Retrieved 11 March 2015.
- "List of psychotropic substances under international control" (PDF). International Narcotics Control Board. United Nations. 2003. Archived from the original (PDF) on 2012-08-31.
- "Synthetic Street Drug Camouflaged as Bath Salts Has Dangerous, Bizarre Effects". PBS NewsHour. 20 September 2012. Retrieved 7 December 2013.
- The Guardian: Drugs and dance as Israelis blot out intifada | World news | The Guardian, accessdate: 4/19/2015
- National | Globalnews.ca: What you need to know about flakka, the latest drug causing erratic behaviour - National | Globalnews.ca, accessdate: 4/19/2015
- Hugins, Kevin B. "Cathinone: History, Synthesis, and Human Applications". slideshare. Retrieved 8 March 2015.
- Kalix P (1981). "Cathinone, an alkaloid from khat leaves with an amphetamine-like releasing effect". Psychopharmacology (Berl.) 74 (3): 269–70. doi:10.1007/BF00427108. PMID 6791236.
- "Cathinone". Drug Bank. Drug Bank. Retrieved 10 March 2015.
- Hagel, Jillian M.; Krizevski, Raz; Kilpatrick, Korey; Sitrit, Yaron; Marsolais, Frédéric; Lewinsohn, Efraim; Facchini, Peter J. (October 2011). "Expressed Sequence Tag Analysis of Khat (Catha Edulis) Provides a Putative Molecular Biochemical Basis for the Biosynthesis of Phenylpropylamino Alkaloids". Genetics and Molecular Biology 34 (4): 640–646. doi:10.1590/S1415-47572011000400017. PMID 22215969. Retrieved 8 March 2015.
- Shulgin, Alexander (7 December 2005). "4-Hydroxy-5-methoxy-N,N-dimethyltryptamine, Psilocybe mushrooms, Psilocin". Ask Dr. Shulgin Online. Retrieved 10 September 2013.
- "Synthetic cathinones drug profile". European Monitoring Center for Drugs and Drug Addiction. EMCDDA. Retrieved 8 March 2015.