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Review
.2016 Jul;68(3):631-700.
doi: 10.1124/pr.114.008979.

Molecular Pharmacology of δ-Opioid Receptors

Affiliations
Review

Molecular Pharmacology of δ-Opioid Receptors

Louis Gendron et al. Pharmacol Rev.2016 Jul.

Abstract

Opioids are among the most effective analgesics available and are the first choice in the treatment of acute severe pain. However, partial efficacy, a tendency to produce tolerance, and a host of ill-tolerated side effects make clinically available opioids less effective in the management of chronic pain syndromes. Given that most therapeutic opioids produce their actions via µ-opioid receptors (MOPrs), other targets are constantly being explored, among which δ-opioid receptors (DOPrs) are being increasingly considered as promising alternatives. This review addresses DOPrs from the perspective of cellular and molecular determinants of their pharmacological diversity. Thus, DOPr ligands are examined in terms of structural and functional variety, DOPrs' capacity to engage a multiplicity of canonical and noncanonical G protein-dependent responses is surveyed, and evidence supporting ligand-specific signaling and regulation is analyzed. Pharmacological DOPr subtypes are examined in light of the ability of DOPr to organize into multimeric arrays and to adopt multiple active conformations as well as differences in ligand kinetics. Current knowledge on DOPr targeting to the membrane is examined as a means of understanding how these receptors are especially active in chronic pain management. Insight into cellular and molecular mechanisms of pharmacological diversity should guide the rational design of more effective, longer-lasting, and better-tolerated opioid analgesics for chronic pain management.

Copyright © 2016 by The American Society for Pharmacology and Experimental Therapeutics.

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Figures

Fig. 1.
Fig. 1.
Organization of theOprd gene and its regulatory elements. In all species, the DOPr gene (Oprd) occupies approximately 32 kb on the chromosome. The upper panel illustrates the coding region interrupted by two introns (26 kb and 3 kb) located after TM domains 1 and 4. Regulatory elements and transcription factors are illustrated in the lower panel. Note that most of these findings have been described upon studying the mouseOprd. Numbers above the map correspond to the 5′ ends of the transcription factor binding sites (blue circles) in relation to the initiation codon (designated by +1). Ets, E twenty-six; Ik, Ikaros; NF-κB, nuclear factorκB; Sp1, specificity protein 1; Sp3, specificity protein 3; TF, transcription factor; USF, upstream stimulatory factor; UTR, untranslated region. This figure is adapted from Wei and Loh (2011).
Fig. 2.
Fig. 2.
Primary and secondary amino acid structures of the DOPr and its conserved motifs. (A) The human DOPr in the serpentine format is shown. In all species, the DOPr contains 372 amino acid residues arranged into 7 TM-spanning domains. Motifs that are highly conserved within the rhodopsin-like GPCRs appear in gray, putative phosphorylation sites are in green, and consensusN-glycosylation sites are in red. Theβarr binding sites are also shown. (B) The primary amino acid sequence alignment reveals a >90% homology of mouse, rat, and human DOPrs. The amino acid sequences forming the putative TMHs are highlighted in yellow. The most common human polymorphism (Phe27/Cys27) is highlighted in light blue.
Fig. 3.
Fig. 3.
DOPr-NTI crystal structure. The DOPr structure is shown in blue and residues around the allosteric sodium site appear as green sticks. Sodium is shown as a blue sphere; waters in the first and second coordination shells are shown as red and magenta spheres, respectively. NTI is shown as orange sticks. This figure is adapted from Fig. 1A in Fenalti et al. (2014), generated by using coordinates deposited in the Protein Data Bank under accession code 4NH6.
Fig. 4.
Fig. 4.
DOPr structure (green) bound to DIPP-NH2 (blue sticks) superimposed on a DOPr structure (orange) bound to NTI (magenta sticks). This figure is adapted from Fig. 2D in Fenalti et al. (2015), generated by using coordinates deposited in the Protein Data Bank under accession code 4RWD.
Fig. 5.
Fig. 5.
Naturally occurring peptide DOPr agonists.
Fig. 6.
Fig. 6.
Peptide DOPr agonists.
Fig. 7.
Fig. 7.
Nonpeptide DOPr agonists.
Fig. 8.
Fig. 8.
Peptide DOPr antagonists.
Fig. 9.
Fig. 9.
Nonpeptide DOPr antagonists.
Fig. 10.
Fig. 10.
Peptide MOPr agonists/DOPr antagonists.
Fig. 11.
Fig. 11.
Nonpeptide MOPr agonists/DOPr antagonists.
Fig. 12.
Fig. 12.
Trafficking of DOPr. Two pathways have been proposed: regulated (secretory) and constitutive. (A) DOPrs are synthesized in ribosomes within the ER. (B) A large majority of DOPrs are targeted to lysosomes for degradation. (C) Only successfully folded proteins reach the Golgi apparatus, where they mature and undergo glycosylation. (D and E) Mature DOPrs are trafficked to the plasma membrane via either a constitutive pathway involving cytoskeletal proteins (including cofilin andβarr-1) (D) and/or a regulated (secretory) pathway (E). See Table 2 for a summary of evidence.
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