Toxicity of the New Psychoactive Substance (NPS) Clephedrone (4-Chloromethcathinone, 4-CMC): Prediction of Toxicity Using In Silico Methods for Clinical and Forensic Purposes

Int J Mol Sci. 2024 May 28;25(11):5867. doi: 10.3390/ijms25115867.

Abstract

This study reports the first application of in silico methods to assess the toxicity of 4-chloromethcathinone (4-CMC), a novel psychoactive substance (NPS). Employing advanced toxicology in silico tools, it was possible to predict crucial aspects of the toxicological profile of 4-CMC, including acute toxicity (LD50), genotoxicity, cardiotoxicity, and its potential for endocrine disruption. The obtained results indicate significant acute toxicity with species-specific variability, moderate genotoxic potential suggesting the risk of DNA damage, and a notable cardiotoxicity risk associated with hERG channel inhibition. Endocrine disruption assessment revealed a low probability of 4-CMC interacting with estrogen receptor alpha (ER-α), suggesting minimal estrogenic activity. These insights, derived from in silico studies, are critical in advancing the understanding of 4-CMC properties in forensic and clinical toxicology. These initial toxicological findings provide a foundation for future research and aid in the formulation of risk assessment and management strategies in the context of the use and abuse of NPSs.

Keywords: 4-CMC; 4-chloromethcathinone; clephedrone; drug toxicity; in silico toxicology; new psychoactive substance (NPS).

MeSH terms

  • Animals
  • Cardiotoxicity / etiology
  • Computer Simulation*
  • DNA Damage / drug effects
  • Endocrine Disruptors / chemistry
  • Endocrine Disruptors / toxicity
  • Estrogen Receptor alpha / metabolism
  • Humans
  • Propiophenones / chemistry
  • Propiophenones / toxicity
  • Psychotropic Drugs* / chemistry
  • Psychotropic Drugs* / toxicity

Substances

  • Psychotropic Drugs
  • Propiophenones
  • Estrogen Receptor alpha
  • Endocrine Disruptors

Grants and funding

This research received no external funding.