Critical assessment of G protein-biased agonism at the μ-opioid receptor

A Gillis, A Kliewer, E Kelly, G Henderson… - Trends in …, 2020 - cell.com
G protein-biased agonists of the μ-opioid receptor (MOPr) have been proposed as an
improved class of opioid analgesics. Recent studies have been unable to reproduce the …

Regulation of µ-opioid receptors: desensitization, phosphorylation, internalization, and tolerance

JT Williams, SL Ingram, G Henderson, C Chavkin… - Pharmacological …, 2013 - Elsevier
Morphine and related µ-opioid receptor (MOR) agonists remain among the most effective
drugs known for acute relief of severe pain. A major problem in treating painful conditions is …

Low intrinsic efficacy for G protein activation can explain the improved side effect profiles of new opioid agonists

A Gillis, AB Gondin, A Kliewer, J Sanchez, HD Lim… - Science …, 2020 - science.org
Biased agonism at G protein–coupled receptors describes the phenomenon whereby some
drugs can activate some downstream signaling activities to the relative exclusion of others …

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 …

Opioid receptors

C Stein - Annual review of medicine, 2016 - annualreviews.org
Opioids are the oldest and most potent drugs for the treatment of severe pain. Their clinical
application is undisputed in acute (eg, postoperative) and cancer pain, but their long-term …

Signalling bias in new drug discovery: detection, quantification and therapeutic impact

T Kenakin, A Christopoulos - Nature reviews Drug discovery, 2013 - nature.com
Agonists of seven-transmembrane receptors, also known as G protein-coupled receptors
(GPCRs), do not uniformly activate all cellular signalling pathways linked to a given seven …

The role of kinetic context in apparent biased agonism at GPCRs

C Klein Herenbrink, DA Sykes, P Donthamsetti… - Nature …, 2016 - nature.com
Biased agonism describes the ability of ligands to stabilize different conformations of a
GPCR linked to distinct functional outcomes and offers the prospect of designing pathway …

Biased agonism: lessons from studies of opioid receptor agonists

E Kelly, A Conibear, G Henderson - Annual review of …, 2023 - annualreviews.org
In ligand bias different agonist drugs are thought to produce distinct signaling outputs when
activating the same receptor. If these signaling outputs mediate therapeutic versus adverse …

Biased agonism: An emerging paradigm in GPCR drug discovery

Z Rankovic, TF Brust, LM Bohn - Bioorganic & medicinal chemistry letters, 2016 - Elsevier
G protein coupled receptors have historically been one of the most druggable classes of
cellular proteins. The members of this large receptor gene family couple to primary effectors …

A narrative pharmacological review of buprenorphine: a unique opioid for the treatment of chronic pain

J Gudin, J Fudin - Pain and therapy, 2020 - Springer
Buprenorphine is a Schedule III opioid analgesic with unique pharmacodynamic and
pharmacokinetic properties that may be preferable to those of Schedule II full μ-opioid …