Biased signalling: from simple switches to allosteric microprocessors

JS Smith, RJ Lefkowitz, S Rajagopal - Nature reviews Drug discovery, 2018 - nature.com
G protein-coupled receptors (GPCRs) are the largest class of receptors in the human
genome and some of the most common drug targets. It is now well established that GPCRs …

Opioid analgesia and opioid-induced adverse effects: A review

AK Paul, CM Smith, M Rahmatullah, V Nissapatorn… - Pharmaceuticals, 2021 - mdpi.com
Opioids are widely used as therapeutic agents against moderate to severe acute and
chronic pain. Still, these classes of analgesic drugs have many potential limitations as they …

Insights into distinct signaling profiles of the µOR activated by diverse agonists

Q Qu, W Huang, D Aydin, JM Paggi, AB Seven… - Nature chemical …, 2023 - nature.com
Drugs targeting the μ-opioid receptor (μOR) are the most effective analgesics available but
are also associated with fatal respiratory depression through a pathway that remains …

Structure-based discovery of opioid analgesics with reduced side effects

A Manglik, H Lin, DK Aryal, JD McCorvy, D Dengler… - Nature, 2016 - nature.com
Morphine is an alkaloid from the opium poppy used to treat pain. The potentially lethal side
effects of morphine and related opioids—which include fatal respiratory depression—are …

Molecular mechanisms of opioid receptor-dependent signaling and behavior

R Al-Hasani, MR Bruchas - The Journal of the American Society of …, 2011 - pubs.asahq.org
Opioid receptors have been targeted for the treatment of pain and related disorders for
thousands of years and remain the most widely used analgesics in the clinic. Mu (μ), kappa …

Mu opioids and their receptors: evolution of a concept

GW Pasternak, YX Pan - Pharmacological reviews, 2013 - ASPET
Opiates are among the oldest medications available to manage a number of medical
problems. Although pain is the current focus, early use initially focused upon the treatment of …

Fentanyl: Receptor pharmacology, abuse potential, and implications for treatment

SD Comer, CM Cahill - Neuroscience & Biobehavioral Reviews, 2019 - Elsevier
Opioid overdoses, many of which are attributed to use of illicit fentanyl, are currently one of
the leading causes of death in the US Although fentanyl has been used safely for decades in …

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 …

Synthetic and Receptor Signaling Explorations of the Mitragyna Alkaloids: Mitragynine as an Atypical Molecular Framework for Opioid Receptor Modulators

AC Kruegel, MM Gassaway, A Kapoor… - Journal of the …, 2016 - ACS Publications
Mu-opioid receptor agonists represent mainstays of pain management. However, the
therapeutic use of these agents is associated with serious side effects, including potentially …

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 …