While current opioids on the market are useful for Pain Management, opioid abuse has become a widespread problem in the United States and deaths from opioid overdose are numerous and increasing (1). According to the Centers for Disease Control and Prevention (CDC), more than 47,000 Americans died of opioid overdoses in 2017. The analgesic and addictive effect of opioids are exerted mainly though μOR (2-9). Recently, experimental analgesics with reduced side effects such as IBNtxA (10) and PZM21(11) have been developed. In animal studies, these drugs lack side effects such as respiratory suppression, significant constipation, physical dependence and behavioral reinforcement. IBNtxA seems to achieve this by selectively binding to truncated splice variants of μOR (10). PZM21 binds to the full length isoform but unlike morphine or heroin it activates only the G protein-dependent signal transduction cascade and not the G protein-independent pathway (11), which is referred to as functional selectivity. In order to design drugs like IBNtxA and PZM21, it is critical to better understand how drug binding causes the conformational change of μOR from the inactive to active state. Fortunately, X-ray crystal structures of murine μOR exist for the both states (12, 13). Binding modes of opioid drugs to human μOR will be computationally predicted, and the predicted binding modes will be tested using site-directed mutagenesis and covalent modification of μOR together with the two-electrode voltage clamp (TEVC) technique. The activation mechanism of μOR will then be investigated using molecular dynamics (MD) simulation.
(1) Dart, R. C., Surratt, H. L., Cicero, T. J., Parrino, M. W., Severtson, S. G., Bucher-Bartelson, B., and Green, J. L. (2015) Trends in opioid analgesic abuse and mortality in the United States. N Engl J Med 372, 241-8.
(2) Matthes, H. W., Maldonado, R., Simonin, F., Valverde, O., Slowe, S., Kitchen, I., Befort, K., Dierich, A., Le Meur, M., Dolle, P., Tzavara, E., Hanoune, J., Roques, B. P., and Kieffer, B. L. (1996) Loss of morphine-induced analgesia, reward effect and withdrawal symptoms in mice lacking the mu-opioid-receptor gene. Nature 383, 819-23.
(3) Pasternak, G. W., and Pan, Y. X. (2013) Mu opioids and their receptors: evolution of a concept. Pharmacol Rev 65, 1257-317.
(4) Ray, R., Ruparel, K., Newberg, A., Wileyto, E. P., Loughead, J. W., Divgi, C., Blendy, J. A., Logan, J., Zubieta, J. K., and Lerman, C. (2011) Human Mu Opioid Receptor (OPRM1 A118G) polymorphism is associated with brain mu-opioid receptor binding potential in smokers. Proc Natl Acad Sci U S A 108, 9268-73.
(5) Zhang, Y., Wang, D., Johnson, A. D., Papp, A. C., and Sadee, W. (2005) Allelic expression imbalance of human mu opioid receptor (OPRM1) caused by variant A118G. J Biol Chem 280, 32618-24.
(6) Beyer, A., Koch, T., Schroder, H., Schulz, S., and Hollt, V. (2004) Effect of the A118G polymorphism on binding affinity, potency and agonist-mediated endocytosis, desensitization, and resensitization of the human mu-opioid receptor. J Neurochem 89, 553-60.
(7) Sia, A. T., Lim, Y., Lim, E. C., Goh, R. W., Law, H. Y., Landau, R., Teo, Y. Y., and Tan, E. C. (2008) A118G single nucleotide polymorphism of human mu-opioid receptor gene influences pain perception and patient-controlled intravenous morphine consumption after intrathecal morphine for postcesarean analgesia. Anesthesiology 109, 520-6.
(8) Chou, W. Y., Wang, C. H., Liu, P. H., Liu, C. C., Tseng, C. C., and Jawan, B. (2006) Human opioid receptor A118G polymorphism affects intravenous patient-controlled analgesia morphine consumption after total abdominal hysterectomy. Anesthesiology 105, 334-7.
(9) Chou, W. Y., Yang, L. C., Lu, H. F., Ko, J. Y., Wang, C. H., Lin, S. H., Lee, T. H., Concejero, A., and Hsu, C. J. (2006) Association of mu-opioid receptor gene polymorphism (A118G) with variations in morphine consumption for analgesia after total knee arthroplasty. Acta Anaesthesiol Scand 50, 787-92.
(10) Majumdar, S., Grinnell, S., Le Rouzic, V., Burgman, M., Polikar, L., Ansonoff, M., Pintar, J., Pan, Y. X., and Pasternak, G. W. (2011) Truncated G protein-coupled mu opioid receptor MOR-1 splice variants are targets for highly potent opioid analgesics lacking side effects. Proc Natl Acad Sci U S A 108, 19778-83.
(11) Manglik, A., Lin, H., Aryal, D. K., McCorvy, J. D., Dengler, D., Corder, G., Levit, A., Kling, R. C., Bernat, V., Hubner, H., Huang, X. P., Sassano, M. F., Giguere, P. M., Lober, S., Da, D., Scherrer, G., Kobilka, B. K., Gmeiner, P., Roth, B. L., and Shoichet, B. K. (2016) Structure-based discovery of opioid analgesics with reduced side effects. Nature 537, 185-190.
(12) Manglik, A., Kruse, A. C., Kobilka, T. S., Thian, F. S., Mathiesen, J. M., Sunahara, R. K., Pardo, L., Weis, W. I., Kobilka, B. K., and Granier, S. (2012) Crystal structure of the μ-opioid receptor bound to a morphinan antagonist. Nature 485, 321-6.
(13) Huang, W., Manglik, A., Venkatakrishnan, A. J., Laeremans, T., Feinberg, E. N., Sanborn, A. L., Kato, H. E., Livingston, K. E., Thorsen, T. S., Kling, R. C., Granier, S., Gmeiner, P., Husbands, S. M., Traynor, J. R., Weis, W. I., Steyaert, J., Dror, R. O., and Kobilka, B. K. (2015) Structural insights into μ-opioid receptor activation. Nature 524, 315-21.