“…Such a ligand, in a physiologic setting of an endogenous circulating agonist, can stimulate some receptor responses while inhibiting others (Violin et al, 2010;Kenakin, 2011). GPCR ligand bias has been observed between a number of intracellular signaling pathways, including coupling to different Ga subunits (Spengler et al, 1993;Eason et al, 1994), and between G protein coupling and b-arrestin recruitment (Azzi et al, 2003;Gesty-Palmer et al, 2006;DeWire et al, 2007;Violin and Lefkowitz, 2007;Kim et al, 2008;Ma et al, 2009;Gesty-Palmer and Luttrell, 2011;Rosethorne and Charlton, 2011). Evidence from knockout (KO) mice suggests that opioids signal through distinct MOR pathways, indicating that ligand bias might elicit differential MOR pharmacology.…”