Dynamic Opioid Receptor Regulation in the Periphery

Nathaniel A Jeske1

  • 1Departments of Oral and Maxillofacial Surgery, Pharmacology, and Physiology, Center for Biomedical Neuroscience, University of Texas Health San Antonio, San Antonio, Texas jeske@uthscsa.edu.

Molecular Pharmacology
|February 7, 2019
PubMed

Insights

Peripheral opioid receptors offer unique pain relief pathways. Unlike central nervous system receptors, these peripheral targets may provide analgesia without addiction potential, highlighting distinct physiological roles.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Pain Management

Background:

  • Opioids are crucial for managing severe acute pain, such as from trauma, surgery, or cancer.
  • Previous research often generalized opioid receptor function based on central nervous system or cell line studies.
  • Emerging data suggest differential modulation of opioid receptor systems based on anatomical location.

Purpose of the Study:

  • To investigate the unique regulatory mechanisms and potential analgesic advantages of peripheral opioid receptors.
  • To explore whether peripheral opioid receptors play distinct anatomical roles in pain modulation.
  • To determine if peripheral opioid receptor activation can provide pain relief without the addictive side effects associated with central opioid action.

Main Methods:

  • Systemic analysis of opioid receptor function.
  • Comparative studies of receptor systems in central versus peripheral nervous tissues.
  • Examination of opioid receptors expressed in exogenously expressing immortalized cell lines.
  • Innovative experimental data analysis focusing on differential modulation based on anatomic expression profile.

Main Results:

  • Opioid receptors exhibit differential modulation based on their anatomical expression profile.
  • Peripheral nervous system opioid receptors undergo unique regulation compared to central nervous system counterparts.
  • Evidence suggests distinct anatomical roles for peripheral opioid receptors.

Conclusions:

  • Peripheral opioid receptors possess distinct regulatory mechanisms and functional roles compared to central opioid receptors.
  • Targeting peripheral opioid receptors may offer a novel strategy for effective analgesia with a reduced risk of addiction.
  • Further research into peripheral opioid receptor systems is warranted for developing safer pain management therapies.

Related Concept Videos

Opioid Receptors: Overview01:22

Opioid Receptors: Overview

Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...
4.3K
Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
1.1K
GTPases and their Regulation02:14

GTPases and their Regulation

Guanine nucleotide-binding proteins (G-proteins), also known as GTPases, are a superfamily of proteins that regulate many cellular processes, such as cell signaling, vesicular transport, and the regulation of cell shape and motility. Mutation or dysfunction of these proteins can lead to disease. There are around 40,000 known G-proteins that can broadly be classified into two groups ‒  small G-proteins consisting of a single domain and large multi-domain G-proteins.
Large G-proteins,...
9.8K
Opioid Analgesics: Morphine and Other Natural Cogeners01:20

Opioid Analgesics: Morphine and Other Natural Cogeners

Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
997
Drugs Affecting GI Tract Motility: Opioids as Antidiarrheal Agents01:17

Drugs Affecting GI Tract Motility: Opioids as Antidiarrheal Agents

Diarrhea, a condition marked by frequent loose or watery bowel movements, can be triggered by multiple factors such as viral or bacterial infections, food intolerances, anxiety, medications, and digestive disorders. Symptoms may include abdominal pain, bloating, nausea, and cramping. Severe or prolonged diarrhea can lead to complications like electrolyte imbalances, malnutrition, and dehydration if left untreated.
Opioids, widely used antidiarrheal agents, mitigate diarrhea by slowing down...
672
Neural Regulation01:37

Neural Regulation

Digestion begins with a cephalic phase that prepares the digestive system to receive food. When our brain processes visual or olfactory information about food, it triggers impulses in the cranial nerves innervating the salivary glands and stomach to prepare for food.
43.3K