“…For example, biochemical assays for desensitization, such as inhibition of adenylyl cyclase that requires more than 5 minutes of sustained opioid exposure (most assays take 10-20 minutes, e.g., Law et al, 2000, or longer, e.g., Koch et al, 2005, measure the combined effects of rapid desensitization at the cell surface plus endocytosis or recovery from desensitization. Robust desensitization generally precedes endocytosis and can occur when endocytosis is absent or prevented (Johnson et al, 2005;Arttamangkul et al, 2006;Dang et al, 2009). While it is clear that arrestindependent internalization can sequester the opioid receptors in compartments that reduce the efficiencies of certain forms of signaling (e.g., Gbg activation of Kir3 channels), it is now equally clear that arrestin binding does not inactivate all receptor signaling.…”