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Identification of a [mu]-[delta] opioid receptor heteromer-biased agonist with antinociceptive activity

G protein-coupled receptors play a pivotal role in many physiological signaling pathways. Mounting evidence suggests that G protein-coupled receptors, including opioid receptors, form dimers, and dimerization is necessary for receptor maturation, signaling, and trafficking. However, the physiologica...

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Bibliographic Details
Published in:Proceedings of the National Academy of Sciences - PNAS 2013-07, Vol.110 (29), p.12072
Main Authors: Gomes, Ivone, Fujita, Wakako, Gupta, Achla, Saldanha, Adrian S, Negri, Ana, Pinello, Christine E, Roberts, Edward, Filizola, Marta, Hodder, Peter, Devi, Lakshmi A
Format: Article
Language:English
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Summary:G protein-coupled receptors play a pivotal role in many physiological signaling pathways. Mounting evidence suggests that G protein-coupled receptors, including opioid receptors, form dimers, and dimerization is necessary for receptor maturation, signaling, and trafficking. However, the physiological role of dimerization in vivo has not been well-explored because of the lack of tools to study these dimers in endogenous systems. To address this problem, we previously generated antibodies to ... opioid receptor (...OR-...OR) dimers and used them to study the pharmacology and signaling by this heteromer. We also showed that the heteromer exhibits restricted distribution in the brain and that its abundance is increased in response to chronic morphine administration. Thus, the ...OR-...OR heteromer represents a potentially unique target for the development of therapeutics to treat pain. Here, we report the identification of compounds targeting ...OR-...OR heteromers through high-throughput screening of a small-molecule library. These compounds exhibit activity in ...OR-...OR cells but not ...OR or ...OR cells alone. Among them, CYM51010 was found to be a ...OR-...OR-biased ligand, because its activity is blocked by the ...OR-...OR heteromer antibody. Notably, systemic administration of CYM51010 induced antinociceptive activity similar to morphine, and chronic administration of CYM51010 resulted in lesser antinociceptive tolerance compared with morphine. Taken together, these results suggest that CYM51010, a ...OR-...OR-biased ligand, could serve as a scaffold for the development of a unique type (heteromer-biased) of drug that is more potent and without the severe side effects associated with conventional clinical opioids. (ProQuest: ... denotes formulae/symbols omitted.)
ISSN:0027-8424
1091-6490