基于结构的副作用减少的阿片类镇痛药的发现。

Structure-based discovery of opioid analgesics with reduced side effects.

作者信息

Manglik Aashish, Lin Henry, Aryal Dipendra K, McCorvy John D, Dengler Daniela, Corder Gregory, Levit Anat, Kling Ralf C, Bernat Viachaslau, Hübner Harald, Huang Xi-Ping, Sassano Maria F, Giguère Patrick M, Löber Stefan, Scherrer Grégory, Kobilka Brian K, Gmeiner Peter, Roth Bryan L, Shoichet Brian K

机构信息

Department of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, California 94305, USA.

Department of Pharmaceutical Chemistry, University of California, San Francisco, California 94158, USA.

出版信息

Nature. 2016 Sep 8;537(7619):185-190. doi: 10.1038/nature19112. Epub 2016 Aug 17.

Abstract

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 thought to be mediated by μ-opioid-receptor (μOR) signalling through the β-arrestin pathway or by actions at other receptors. Conversely, G-protein μOR signalling is thought to confer analgesia. Here we computationally dock over 3 million molecules against the μOR structure and identify new scaffolds unrelated to known opioids. Structure-based optimization yields PZM21-a potent G activator with exceptional selectivity for μOR and minimal β-arrestin-2 recruitment. Unlike morphine, PZM21 is more efficacious for the affective component of analgesia versus the reflexive component and is devoid of both respiratory depression and morphine-like reinforcing activity in mice at equi-analgesic doses. PZM21 thus serves as both a probe to disentangle μOR signalling and a therapeutic lead that is devoid of many of the side effects of current opioids.

摘要

吗啡是一种从罂粟中提取的生物碱,用于治疗疼痛。吗啡及相关阿片类药物具有潜在致命的副作用,包括致命的呼吸抑制,其被认为是通过β-抑制蛋白途径的μ-阿片受体(μOR)信号传导或其他受体的作用介导的。相反,G蛋白μOR信号传导被认为可产生镇痛作用。在此,我们通过计算机模拟将超过300万个分子与μOR结构进行对接,并鉴定出与已知阿片类药物无关的新骨架。基于结构的优化产生了PZM21,这是一种有效的G激活剂,对μOR具有卓越的选择性,且对β-抑制蛋白-2的募集极少。与吗啡不同,在等效镇痛剂量下,PZM21对镇痛的情感成分比对反射成分更有效,并且在小鼠中既没有呼吸抑制也没有吗啡样的强化活性。因此,PZM21既可用作解开μOR信号传导的探针,也可用作一种治疗先导物,它没有目前阿片类药物的许多副作用。

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