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Opioid-galanin receptor heteromers mediate the dopaminergic effects of opioids

A figure from this study

A figure from this study

Hot Off the Press – April 1, 2019.

Identifying non-addictive opioid medications is a high priority in medical sciences, but μ-opioid receptors mediate both the analgesic and addictive effects of opioids. We found a significant pharmacodynamic difference between morphine and methadone that is determined entirely by heteromerization of μ-opioid receptors with galanin Gal1 receptors, rendering a profound decrease in the potency of methadone. This was explained by methadone’s weaker proficiency to activate the dopaminergic system as compared to morphine and predicted a dissociation of therapeutic versus euphoric effects of methadone, which was corroborated by a significantly lower incidence of self-report of “high” in methadone-maintained patients. These results suggest that μ-opioid-Gal1 receptor heteromers mediate the dopaminergic effects of opioids, which may lead to a lower addictive liability of opioids with selective low potency for the μ-opioid-Gal1 receptor heteromer, exemplified by methadone.

Publication Information

Cai, Ning-Sheng; Quiroz, Cesar; Bonaventura, Jordi; Bonifazi, Alessandro; Cole, Thomas O; Purks, Julia; Billing, Amy S; Massey, Ebonie; Wagner, Michael; Wish, Eric D; Guitart, Xavier; Rea, William; Lam, Sherry; Moreno, Estefania; Casado-Anguera, Veronica; Greenblatt, Aaron D; Jacobson, Arthur E; Rice, Kenner C; Casado, Vicent; Newman, Amy Hauck; Winkelman, John W; Michaelides, Michael; Weintraub, Eric; Volkow, Nora D; Belcher, Annabelle M; Ferre, Sergi

Opioid-galanin receptor heteromers mediate the dopaminergic effects of opioids. Journal Article

In: J Clin Invest, vol. 130, 2019, ISSN: 1558-8238 (Electronic); 0021-9738 (Linking).

Abstract | Links

@article{Cai:2019aa,
title = {Opioid-galanin receptor heteromers mediate the dopaminergic effects of opioids.},
author = {Ning-Sheng Cai and Cesar Quiroz and Jordi Bonaventura and Alessandro Bonifazi and Thomas O Cole and Julia Purks and Amy S Billing and Ebonie Massey and Michael Wagner and Eric D Wish and Xavier Guitart and William Rea and Sherry Lam and Estefania Moreno and Veronica Casado-Anguera and Aaron D Greenblatt and Arthur E Jacobson and Kenner C Rice and Vicent Casado and Amy Hauck Newman and John W Winkelman and Michael Michaelides and Eric Weintraub and Nora D Volkow and Annabelle M Belcher and Sergi Ferre},
url = {https://www.ncbi.nlm.nih.gov/pubmed/30913037},
doi = {10.1172/JCI126912},
issn = {1558-8238 (Electronic); 0021-9738 (Linking)},
year = {2019},
date = {2019-03-26},
urldate = {2019-03-26},
journal = {J Clin Invest},
volume = {130},
abstract = {Identifying non-addictive opioid medications is a high priority in medical sciences, but mu-opioid receptors mediate both the analgesic and addictive effects of opioids. We found a significant pharmacodynamic difference between morphine and methadone that is determined entirely by heteromerization of mu-opioid receptors with galanin Gal1 receptors, rendering a profound decrease in the potency of methadone. This was explained by methadone's weaker proficiency to activate the dopaminergic system as compared to morphine and predicted a dissociation of therapeutic versus euphoric effects of methadone, which was corroborated by a significantly lower incidence of self-report of "high" in methadone-maintained patients. These results suggest that mu-opioid-Gal1 receptor heteromers mediate the dopaminergic effects of opioids that may lead to a lower addictive liability of opioids with selective low potency for the mu-opioid-Gal1 receptor heteromer, exemplified by methadone.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}

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Identifying non-addictive opioid medications is a high priority in medical sciences, but mu-opioid receptors mediate both the analgesic and addictive effects of opioids. We found a significant pharmacodynamic difference between morphine and methadone that is determined entirely by heteromerization of mu-opioid receptors with galanin Gal1 receptors, rendering a profound decrease in the potency of methadone. This was explained by methadone's weaker proficiency to activate the dopaminergic system as compared to morphine and predicted a dissociation of therapeutic versus euphoric effects of methadone, which was corroborated by a significantly lower incidence of self-report of "high" in methadone-maintained patients. These results suggest that mu-opioid-Gal1 receptor heteromers mediate the dopaminergic effects of opioids that may lead to a lower addictive liability of opioids with selective low potency for the mu-opioid-Gal1 receptor heteromer, exemplified by methadone.

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  • https://www.ncbi.nlm.nih.gov/pubmed/30913037
  • doi:10.1172/JCI126912

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