[HTML][HTML] Mediation of opioid analgesia by a truncated 6-transmembrane GPCR

Z Lu, J Xu, GC Rossi, S Majumdar… - The Journal of …, 2015 - Am Soc Clin Investig
Z Lu, J Xu, GC Rossi, S Majumdar, GW Pasternak, YX Pan
The Journal of clinical investigation, 2015Am Soc Clin Investig
The generation of potent opioid analgesics that lack the side effects of traditional opioids
may be possible by targeting truncated splice variants of the μ-opioid receptor. μ-Opioids act
through GPCRs that are generated from the Oprm1 gene, which undergoes extensive
alternative splicing. The most abundant set of Oprm1 variants encode classical full-length 7
transmembrane domain (7TM) μ-opioid receptors that mediate the actions of the traditional μ-
opioid drugs morphine and methadone. In contrast, 3-iodobenzoyl-6β-naltrexamide (IBNtxA) …
The generation of potent opioid analgesics that lack the side effects of traditional opioids may be possible by targeting truncated splice variants of the μ-opioid receptor. μ-Opioids act through GPCRs that are generated from the Oprm1 gene, which undergoes extensive alternative splicing. The most abundant set of Oprm1 variants encode classical full-length 7 transmembrane domain (7TM) μ-opioid receptors that mediate the actions of the traditional μ-opioid drugs morphine and methadone. In contrast, 3-iodobenzoyl-6β-naltrexamide (IBNtxA) is a potent analgesic against thermal, inflammatory, and neuropathic pain that acts independently of 7TM μ-opioid receptors but has no activity in mice lacking a set of 6TM truncated μ-opioid receptor splice variants. Unlike traditional opioids, IBNtxA does not depress respiration or result in physical dependence or reward behavior, suggesting it acts through an alternative μ-opioid receptor target. Here we demonstrated that a truncated 6TM splice variant, mMOR-1G, can rescue IBNtxA analgesia in a μ-opioid receptor–deficient mouse that lacks all Oprm1 splice variants, ablating μ-opioid activity in these animals. Intrathecal administration of lentivirus containing the 6TM variant mMOR-1G restored IBNtxA, but not morphine, analgesia in Oprm1-deficient animals. Together, these results confirm that a truncated 6TM GPCR is both necessary and sufficient for IBNtxA analgesia.
The Journal of Clinical Investigation