Institute of Pharmacology, University of Würzburg, Versbacher Strasse 9, Germany.
Biochem Pharmacol. 2011 May 15;81(10):1248-54. doi: 10.1016/j.bcp.2011.03.001. Epub 2011 Mar 17.
Morphine and several other opioids are important drugs for the treatment of acute and chronic pain. Opioid-induced analgesia is predominantly mediated by the μ-opioid receptor (MOR). When administered to humans, complex metabolic pathways lead to generation of many metabolites, nine of which may be considered major metabolites. While the properties of the two main compounds, morphine-6-glucuronide and morphine-3-glucuronide, are well described, the activity of other morphine metabolites is largely unknown. Here we performed an extensive pharmacological characterization by comparing efficacies and potencies of morphine and its nine major metabolites for the two main signaling pathways engaged by the human MOR, which occur via G(i)-protein activation and β-arrestins, respectively. We used radioligand binding studies and FRET-based methods to monitor MOR-mediated G(i)-protein activation and β-arrestin recruitment in single intact 293T cells. This approach identified two major groups of morphine metabolites, which we classified into "strong" and "weak" receptor ligands. Strong partial agonists morphine, morphine-6-glucuronide, normorphine, morphine-6-sulfate, 6-acetylmorphine and 3-acetylmorphine showed efficacies in the nanomolar range, while the weak metabolites morphine-N-oxide, morphine-3-sulfate, morphine-3-glucuronide and pseudomorphine activated MOR pathways only in the micromolar range. Interestingly, three metabolites, normorphine, 6-acetylmorphine and morphine-6-glucuronide, had lower potencies for Gi-protein activation but higher potencies and efficacies for β-arrestin recruitment than morphine itself, suggesting that they are biased towards β-arrestin pathways.
吗啡和其他几种阿片类药物是治疗急性和慢性疼痛的重要药物。阿片类药物诱导的镇痛主要由 μ 阿片受体 (MOR) 介导。当给人类施用时,复杂的代谢途径导致产生许多代谢物,其中有 9 种可被认为是主要代谢物。虽然两种主要化合物,吗啡-6-葡萄糖醛酸苷和吗啡-3-葡萄糖醛酸苷的性质得到了很好的描述,但其他吗啡代谢物的活性在很大程度上是未知的。在这里,我们通过比较吗啡及其 9 种主要代谢物对两种主要信号通路的效力和效价来进行广泛的药理学表征,这两种主要信号通路分别通过 G(i)-蛋白激活和β-arrestin 发生。我们使用放射性配体结合研究和基于 FRET 的方法在单个完整的 293T 细胞中监测 MOR 介导的 G(i)-蛋白激活和β-arrestin 募集。这种方法确定了吗啡代谢物的两个主要代谢物组,我们将其分类为“强”和“弱”受体配体。强部分激动剂吗啡、吗啡-6-葡萄糖醛酸苷、去甲吗啡、吗啡-6-硫酸盐、6-乙酰吗啡和 3-乙酰吗啡显示出纳摩尔范围内的效力,而弱代谢物吗啡-N-氧化物、吗啡-3-硫酸盐、吗啡-3-葡萄糖醛酸苷和伪吗啡仅在微摩尔范围内激活 MOR 途径。有趣的是,三种代谢物,去甲吗啡、6-乙酰吗啡和吗啡-6-葡萄糖醛酸苷,对 Gi 蛋白激活的效价较低,但对β-arrestin 募集的效价和效力较高,这表明它们偏向于β-arrestin 途径。
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