Objectives
This review examines the current state of knowledge on mitraciliatine with the following specific aims:
- Chemical identity and structural classification: Summarize its diastereomeric relationship with mitragynine, exact stereochemical configuration (3R,15S,20R), molecular formula, and position within the corynanthean indole alkaloid family.
- Natural occurrence and abundance: Report verified concentrations in Mitragyna speciosa leaves and commercial kratom products across different geographic origins and processing methods using peer-reviewed chromatographic data [5].
- Receptor pharmacology: Evaluate available evidence on binding and functional activity at µ-, κ-, and δ-opioid receptors as well as adrenergic and serotonergic targets, incorporating molecular docking predictions and findings from whole-kratom alkaloid profiling studies.
- Pharmacokinetics and metabolism: Review preclinical (liver microsomes, animal models) and clinical evidence of detection, primary metabolic pathways, and relative systemic exposure following kratom consumption [6].
- Analytical methods: Summarize validated LC–MS/MS, UPLC–MS/MS, and chiral chromatography workflows capable of unambiguous identification and quantification of mitraciliatine in plant material, commercial products, and biological matrices [7].
- Safety and drug–drug interaction potential: Assess cytochrome P450 inhibition profiles (particularly CYP2D6 and CYP3A4) and any available toxicity or interaction data derived from isolated mitraciliatine or diastereomer-enriched kratom fractions.