[HTML][HTML] Desmetramadol is identified as a G-protein biased µ opioid receptor agonist

JA Zebala, AD Schuler, SJ Kahn… - Frontiers in …, 2020 - frontiersin.org
Tramadol is widely used globally and is the second most prescribed opioid in the United
States. It treats moderate to severe pain but lethal opioid-induced respiratory depression is …

[HTML][HTML] SR-17018 stimulates atypical µ-opioid receptor phosphorylation and dephosphorylation

S Fritzwanker, S Schulz, A Kliewer - Molecules, 2021 - mdpi.com
Opioid-associated overdoses and deaths due to respiratory depression are a major public
health problem in the US and other Western countries. In the past decade, much research …

Morphine‐induced respiratory depression is independent of β‐arrestin2 signalling

A Kliewer, A Gillis, R Hill, F Schmiedel… - British journal of …, 2020 - Wiley Online Library
Background and Purpose GPCRs can signal through both G proteins and β‐arrestin2. For
the μ‐opioid receptor, early experimental evidence from a single study suggested that G …

Molecular recognition of morphine and fentanyl by the human μ-opioid receptor

Y Zhuang, Y Wang, B He, X He, XE Zhou, S Guo… - Cell, 2022 - cell.com
Morphine and fentanyl are among the most used opioid drugs that confer analgesia and
unwanted side effects through both G protein and arrestin signaling pathways of μ-opioid …

AG protein-biased ligand at the μ-opioid receptor is potently analgesic with reduced gastrointestinal and respiratory dysfunction compared with morphine

SM DeWire, DS Yamashita, DH Rominger, G Liu… - … of Pharmacology and …, 2013 - ASPET
The concept of ligand bias at G protein-coupled receptors broadens the possibilities for
agonist activities and provides the opportunity to develop safer, more selective therapeutics …

Structural insights into distinct signaling profiles of the μOR activated by diverse agonists

Q Qu, W Huang, D Aydin, JM Paggi, AB Seven… - Biorxiv, 2021 - biorxiv.org
Drugs targeting the G protein-coupled μ-opioid receptor (μOR) are the most effective
analgesics available but are also associated with fatal respiratory depression. While some …

[HTML][HTML] ß-arrestin 2 germline knockout does not attenuate opioid respiratory depression

I Bachmutsky, XP Wei, A Durand, K Yackle - elife, 2021 - elifesciences.org
Opioids are perhaps the most effective analgesics in medicine. However, between 1999 and
2018, over 400,000 people in the United States died from opioid overdose. Excessive …

Atypical opioids and their effect on respiratory drive.

L Webster, RL Rauck - Journal of Opioid Management, 2021 - europepmc.org
Opioids are an important tool in the treatment of pain, but opioid overdose has become a
serious health issue. Most opioid-related deaths are caused by respiratory depression, and …

Pharmacological characterization of levorphanol, a G-protein biased opioid analgesic

V Le Rouzic, A Narayan, A Hunkle… - Anesthesia & …, 2019 - journals.lww.com
BACKGROUND: Levorphanol is a potent analgesic that has been used for decades. Most
commonly used for acute and cancer pain, it also is effective against neuropathic pain. The …

Opioid overdose and tolerance: is the recruitment of β-arrestin to the µ-receptor involved?

A Gillis, MJ Christie - Neuropsychopharmacology, 2021 - nature.com
The search for safer opioid analgesics that have reduced liability for tolerance, addiction,
and lethal overdose due to respiratory depression has met with little success for well over a …