2018
DOI: 10.1007/164_2018_104
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Multifunctional Opioid Ligands

Abstract: The opioid receptor system plays a major role in the regulation of mood, reward, and pain. The opioid receptors therefore make attractive targets for the treatment of many different conditions, including pain, depression, and addiction. However, stimulation or blockade of any one opioid receptor type often leads to on-target adverse effects that limit the clinical utility of a selective opioid agonist or antagonist. Literature precedent suggests that the opioid receptors do not act in isolation and that intera… Show more

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Cited by 28 publications
(34 citation statements)
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“…Mice place conditioned with either isomer demonstrated no significant preference or aversion for their respective drug-paired chamber. These results are consistent with earlier tests of multifunctional macrocyclic tetrapeptides [ 9 , 19 ] and could reflect the counteracting effects of agonism at multiple opioid receptors such as MOR and KOR [ 9 , 10 ]. In contrast to 5 , isomer 3 did not demonstrate significant MOR-mediated agonism, but rather KOR- and DOR-mediated antinociception.…”
Section: Discussionsupporting
confidence: 92%
See 1 more Smart Citation
“…Mice place conditioned with either isomer demonstrated no significant preference or aversion for their respective drug-paired chamber. These results are consistent with earlier tests of multifunctional macrocyclic tetrapeptides [ 9 , 19 ] and could reflect the counteracting effects of agonism at multiple opioid receptors such as MOR and KOR [ 9 , 10 ]. In contrast to 5 , isomer 3 did not demonstrate significant MOR-mediated agonism, but rather KOR- and DOR-mediated antinociception.…”
Section: Discussionsupporting
confidence: 92%
“…Co-administration of either KOR [ 6 , 7 ] or DOR [ 8 ] agonists enhanced the antinociceptive effects of MOR-selective agonists. Some multifunctional opioids also produce reduced side effects [ 9 ], a profile attributed to simultaneous modulation of more than one opioid receptor that may counter their individual adverse effects [ 10 ]. For example, KOR agonism offsets MOR-mediated reinforcement [ 11 ] and respiratory depression [ 12 ], while DOR antagonism may slow the development of MOR agonist analgesic tolerance [ 13 , 14 ].…”
Section: Introductionmentioning
confidence: 99%
“…The recent development of multifunctional agonists targeting opioid and other neuropeptide receptors has been considered as a prospective approach in the separation of their antinociceptive activity from opioid-related side effects like constipation. 34 We recently designed and synthesized a multifunctional agonist DN-9, which simultaneously exhibited agonistic properties at MOP, DOP, KOP, NPFF 1 , and NPFF 2 receptors in the cAMP functional assay. 18 Furthermore, DN-9 produced potent antinociceptive effects in different pain models with minimal side effects.…”
Section: Discussionmentioning
confidence: 99%
“…Consistent with this, nalbuphine, a κ‐ and μ‐opioid receptor agonist, demonstrates similar analgesic efficacy to morphine, but with negligible respiratory effects (Miller, 1980; Schmidt et al, 1985). Likewise, the addition of μ‐opioid receptor agonist activity might improve the therapeutic utility of κ‐opioid agonists by mitigating dysphoric effects (Anand & Montgomery, 2018).…”
Section: Introductionmentioning
confidence: 99%