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Updated: Oct 23, 2025

Tracking Drug-induced Changes in Receptor Post-internalization Trafficking by Colocalizational Analysis
Published on: July 3, 2015
Annexin A2 traps mu-opioid receptors in recycling endosomes upon remifentanil-induced internalization
Idy H T Ho1,2, Lhotse H L Ng1,2, Xiaojie Cheng1
1Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong Special Administrative Region, China.
Abstract:
•ANXA2 is a novel MOR1-interacting protein regulating MOR1 sub-cellular localization.•ANXA2 retains MOR1 in late recycling endosomes after remifentanil exposure.
Insights
Annexin A2 (ANXA2) is a newly identified protein that interacts with the Mu-opioid receptor 1 (MOR1). ANXA2 regulates MOR1
Area of Science:
- Cellular Biology
- Molecular Pharmacology
- Neuroscience
Background:
- The Mu-opioid receptor 1 (MOR1) is a key target for opioid analgesics.
- Understanding MOR1 regulation is crucial for developing safer pain management strategies.
- Sub-cellular localization of MOR1 influences its signaling and downstream effects.
Purpose of the Study:
- To identify novel proteins interacting with MOR1.
- To investigate the role of ANXA2 in regulating MOR1 sub-cellular localization.
- To determine the effect of remifentanil exposure on the ANXA2-MOR1 interaction.
Main Methods:
- Co-immunoprecipitation assays to identify MOR1-interacting proteins.
- Confocal microscopy to visualize sub-cellular localization of MOR1 and ANXA2.
- Pharmacological treatments with remifentanil.
Main Results:
- Annexin A2 (ANXA2) was identified as a novel MOR1-interacting protein.
- ANXA2 retains MOR1 in late recycling endosomes following remifentanil exposure.
- This interaction impacts MOR1 trafficking and availability at the cell surface.
Conclusions:
- ANXA2 is a critical regulator of MOR1 sub-cellular localization.
- The ANXA2-MOR1 interaction provides a new target for modulating opioid receptor function.
- Understanding this mechanism may lead to improved opioid-based therapeutics.
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