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A new splice of life for the μ-opioid receptor
Abstract:
μ-Opioid agonists mediate their analgesic effect through GPCRs that are generated via alternate splicing of the Oprm1 transcript. While the majority of μ-opioids interact with receptors comprising the canonical 7 transmembrane (7TM) domain, a recently identified class of μ-opioids appears to require a 6TM domain variant. In this issue of the JCI, Lu and colleagues provide an in vivo proof-of-concept demonstration that a 6TM isoform of the μ-opioid receptor can support functional analgesia in Oprm1-deficent animals. The 6TM isoform was pharmacologically distinct from the canonical 7TM μ-opioid receptor, and 6TM agonists had a reduced side effect profile, which confers a strong therapeutic advantage over standard opioid analgesics. The observations of Lu et al. extend the reach of opioid-receptor neurobiology and pharmacology into a new era of analgesic discovery. This advance emerges from a series of fundamental research analyses in which elements of the endogenous opioid system were frequently in the vanguard.
Insights
A novel 6 transmembrane (6TM) opioid receptor isoform provides pain relief in mice. This 6TM receptor is distinct from the standard 7 transmembrane (7TM) receptor and may offer a safer alternative for pain management.
Area of Science:
- Neuroscience
- Pharmacology
- Molecular Biology
Background:
- μ-Opioid agonists are key analgesics, acting via G protein-coupled receptors (GPCRs) from the Oprm1 transcript.
- Most μ-opioids interact with the canonical 7 transmembrane (7TM) receptor.
- A newly identified class of μ-opioids may utilize a 6 transmembrane (6TM) receptor variant.
Purpose of the Study:
- To demonstrate in vivo proof-of-concept for a 6TM μ-opioid receptor isoform supporting functional analgesia.
- To characterize the pharmacological properties and therapeutic potential of the 6TM isoform.
Main Methods:
- In vivo studies using Oprm1-deficient animals.
- Pharmacological characterization of the 6TM vs. 7TM μ-opioid receptor isoforms.
- Assessment of analgesic efficacy and side effect profiles.
Main Results:
- The 6TM μ-opioid receptor isoform successfully mediated functional analgesia in vivo.
- The 6TM isoform exhibited distinct pharmacological properties compared to the canonical 7TM receptor.
- Agonists targeting the 6TM isoform demonstrated a reduced side effect profile.
Conclusions:
- A 6TM μ-opioid receptor isoform can mediate analgesia, offering a potential therapeutic advantage.
- This discovery opens new avenues for analgesic drug discovery by expanding opioid-receptor neurobiology and pharmacology.
- The 6TM receptor represents a promising target for developing safer and more effective pain management strategies.
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