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Development of G protein-biased agonists for human μ-opioid receptor


                                 In Hee Jang 1,3 , Jae Hoon Jeong 2 , Jeong-Hoon Kim 1,4 , Sung Goo Park 1,4 , Byoung Chul Park 1,4 ,
                                   Bi-oh Park 1 , Sung Young Kim 1,4 , Sang Kyum Kim 3 , Yong-Chul Kim 2 , Sunhong Kim 1,4
                              1 Disease Target Structure Research Center, Korea Research Institute of Bioscience & Biotechnology, Daejeon, 34141, Republic of Korea
                                     2 Life sciences, Gwangju Institute of Science and Technology, Gwangju, 61005, Republic of Korea
                                       3 College of pharmacy, Chungnam national university, Daejeon, 34134, Republic of Korea
                                      4 Bioscience, Korea university of science and technology, Daejeon, 34113, Republic of Korea
                   BACKGROUND                                                   AIM
  G-protein coupled receptor is a cell membrane receptor that forms a huge superfamily, and it is   Several studies have reported that some of the side effects of μ-opioid receptors occur when the
  known that there are about 1000 different types of GPCRs in the human cell membrane. About   receptors transmit signals through β-arrestin. Therefore, in order to develop a drug that reduces
  one-third of drugs currently on the market are targeting GPCR. Among these GPCRs, we   the side effects of morphine, efforts are being made to create a biased ligand that transmits a
  focused on ligands targeting opioid receptors. The opioid receptor is largely composed of μ, κ   signal only toward the Gαi-protein, not the β-arrestin signaling pathway. As part of this effort,
  and δ-opioid receptor. Among them, the μ-opioid receptor is well known as the target of Morphine.   several compounds were produced through structure activity relationship based on PZM21,
  Morphine is a drug that is still used as a painkiller. However, it is accompanied by serious side   known as biased ligand. And we built an assay to detect the G protein pathway and the β-arrestin
  effects such as tolerance, addiction, constipation and respiratory depression.   pathway to see if the compound is a biased ligand.
                      METHODS                                               RESULTS

   A                       B                             A                       B









                           Figure 1. (A) G αi -protein pathway assay, cAMP  OPRM cAMP assay  OPRM NanoBiT assay
                           Glosensor assay principle. (B) The results of   pEC 50  EC 50  Efficacy  pEC 50  EC 50  Efficacy
                           the cAMP assay. The intracellular cAMP  DAMGO 8.755±0.430  1.76nM  100%  DAMGO 6.456±0.044  0.35µM  100%
                           concentration was lowered by DAMGO.
                Image from Promega                        PZM21  8.099±0.262  7.97nM  100%  PZM21  -  -  -
                                                          Ligand A 6.958±0.257  0.11µM  100%  Ligand A  -  -  -
   A                          Figure 2. (A) Principle of β-arrestin  Ligand B 7.291±0.489 51.19nM  100%  Ligand B  6.374  0.42μM  25.8%
                              assay, PRESTO-tango. (B) The results   C
                              of the cAMP assay. Luminescence                          Figure 4. (A), (B) cAMP assay
                              increases as β-arrestin is recruited by                  and NanoBiT assay data for
                              BRL52537, an OPRK agonist.                               OPRM. While Ligand A is biased
                           B                                                           to the G protein pathway, Ligand
                                                                                       B showed partial activity on the
                                                                                       β-arrestin pathway of OPRM.
                                                          (C) Western blot data on phospho-OPRM. Ligand B is less biased than Ligand A.
                                                         A                       B


    Kroeze, W., Sassano, M., Huang, X. et al. (2015).
   A
                                     Figure 3. (A) The principle
                                     of NanoBiT assay used in   C                D
                                     the β-arrestin pathway
                                     assay on OPRM.

    Image from Promega    B

    (B) Results of β-arrestin pathway
    analysis of OPRM using NanoBiT.
    Treatment of DAMGO, an agonist
    of OPRM, elicits the generation of                   Figure 5. (A), (B) Analysis of Ligand A and B in OPRK overexpressing cells. (C), (D)
    luminescence.                                        Analysis of Ligand A and B in OPRD overexpressing cells.
                                                         A                       B

                    REFERENCES

  1. Kroeze, W., Sassano, M., Huang, X. et al. PRESTO-Tango as an open-source resource for interrogation of the druggable
  human GPCRome. Nat Struct Mol Biol 22, 362–369 (2015).
  2. Manglik, A., Lin, H., Aryal, D. et al. Structure-based discovery of opioid analgesics with reduced side effects. Nature 537, 185–
  190 (2016).
  3. DeWire SM, Yamashita DS, Rominger DH, et al. A G protein-biased ligand at the μ-opioid receptor is potently analgesic with
  reduced gastrointestinal and respiratory dysfunction compared with morphine. J Pharmacol Exp Ther. 2013;344(3):708-717.
  4. Williams JT, Ingram SL, Henderson G, et al. Regulation of μ-opioid receptors: desensitization, phosphorylation, internalization,
  and tolerance. Pharmacol Rev. 2013;65(1):223-254. Published 2013 Jan 15. doi:10.1124/pr.112.005942
  5. Al-Hasani R, Bruchas MR. Molecular mechanisms of opioid receptor-dependent signaling and behavior. Anesthesiology.   Figure 6. (A), (B) Analysis of Ligand C in OPRK overexpressing cells.
  2011;115(6):1363-1381. doi:10.1097/ALN.0b013e318238bba6
  6. Wootten, D., Christopoulos, A., Marti-Solano, M. et al. Mechanisms of signalling and biased agonism in G protein-coupled
  receptors. Nat Rev Mol Cell Biol 19, 638–653 (2018).
  7. Hauser AS, Attwood MM, Rask-Andersen M, Schiöth HB, Gloriam DE. Trends in GPCR drug discovery: new agents, targets   CONCLUSION
  and indications. Nat Rev Drug Discov. 2017;16(12):829-842. doi:10.1038/nrd.2017.178
  8. Hodavance SY, Gareri C, Torok RD, Rockman HA. G Protein-coupled Receptor Biased Agonism. J Cardiovasc Pharmacol.
  2016;67(3):193-202.                                   We developed and performed cAMP assay, PRESTO-tango assay, and NanoBiT
  9. Groer CE, Schmid CL, Jaeger AM, Bohn LM. Agonist-directed interactions with specific beta-arrestins determine mu-opioid
  receptor trafficking, ubiquitination, and dephosphorylation. J Biol Chem. 2011;286(36):31731-31741.   assay to evaluate the activity of opioid receptor ligands. A derivative of PZM21,
  doi:10.1074/jbc.M111.248310                           Ligand A seems to have a biased agonist activity on OPRM, based on the data
  Contact information                                   from cAMP assay, NanoBiT assay, and Western blot. Ligand A can be evolved to a
                                                        novel biased agonist for OPRM in pain killer market. In addition, there was a
                                                        serendipitous finding that one of the derivatives, Ligand C, has an inverse agonist
    Sunhong Kim : skimworm@gmail.com                   activity on the β-arrestin pathway of OPRK. OPRK inhibitor has been known to
                                                        have a potential to be an anti-depressant. We will follow this structure to improve
    In Hee Jang : inhee@kribb.re.kr                    the potency.
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