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μ-Opioid receptor 6-transmembrane isoform: A potential therapeutic target for new effective opioids
Marino Convertino1, Alexander Samoshkin2, Josee Gauthier3
1Biochemistry and Biophysics Department, University of North Carolina, 120 Mason Farm Rd., CB #7260 Genetic Medicine, Chapel Hill, NC 27599, USA.
Abstract:
The μ-opioid receptor (MOR) is the primary target for opioid analgesics. MOR induces analgesia through the inhibition of second messenger pathways and the modulation of ion channels activity. Nevertheless, cellular excitation has also been demonstrated, and proposed to mediate reduction of therapeutic efficacy and opioid-induced hyperalgesia upon prolonged exposure to opioids. In this mini-perspective, we review the recently identified, functional MOR isoform subclass, which consists of six transmembrane helices (6 TM) and may play an important role in MOR signaling. There is evidence that 6 TM MOR signals through very different cellular pathways and may mediate excitatory cellular effects rather than the classic inhibitory effects produced by the stimulation of the major (7 TM) isoform. Therefore, the development of 6 TM and 7 TM MOR selective compounds represents a new and exciting opportunity to better understand the mechanisms of action and the pharmacodynamic properties of a new class of opioids.
Insights
A newly identified six-transmembrane helix (6 TM) μ-opioid receptor (MOR) isoform may mediate cellular excitation, contrasting with the major seven-transmembrane helix (7 TM) MOR. Developing selective compounds for these MOR isoforms offers new therapeutic opportunities.
Area of Science:
- Pharmacology
- Neuroscience
- Molecular Biology
Background:
- The μ-opioid receptor (MOR) is the primary target for opioid analgesics, mediating pain relief via inhibitory signaling pathways.
- Prolonged opioid exposure can lead to cellular excitation, reduced therapeutic efficacy, and opioid-induced hyperalgesia.
- A functional subclass of MOR with six transmembrane helices (6 TM MOR) has been identified, distinct from the major seven-transmembrane helix (7 TM) isoform.
Purpose of the Study:
- To review the recently identified functional 6 TM MOR isoform subclass.
- To discuss the potential role of 6 TM MOR in MOR signaling and cellular effects.
- To highlight the therapeutic potential of developing selective compounds targeting 6 TM and 7 TM MOR isoforms.
Main Methods:
- Literature review of recent findings on MOR isoforms.
- Analysis of signaling pathways associated with 6 TM and 7 TM MOR.
- Discussion of pharmacodynamic properties and potential therapeutic applications.
Main Results:
- The 6 TM MOR isoform may signal through distinct cellular pathways compared to the 7 TM MOR.
- Evidence suggests 6 TM MOR may mediate excitatory cellular effects, contrasting with the inhibitory effects of 7 TM MOR.
- The distinct signaling properties of 6 TM and 7 TM MOR offer new avenues for opioid drug development.
Conclusions:
- The identification of the 6 TM MOR isoform presents a significant advancement in understanding MOR signaling.
- Targeting specific MOR isoforms (6 TM and 7 TM) could lead to novel opioid analgesics with improved efficacy and reduced side effects.
- Development of selective 6 TM and 7 TM MOR compounds is a promising strategy for future opioid-based therapies.
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