Designing Safer Analgesics via μ-Opioid Receptor Pathways

Pain is both a major clinical and economic problem, affecting more people than diabetes, heart disease, and cancer combined. While a variety of prescribed or over-the-counter (OTC) medications are available for pain management, opioid medications, especially those acting on the μ-opioid receptor (μO...

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Veröffentlicht in:Trends in pharmacological sciences (Regular ed.) 2017-11, Vol.38 (11), p.1016-1037
Hauptverfasser: Chan, H.C. Stephen, McCarthy, Dillon, Li, Jianing, Palczewski, Krzysztof, Yuan, Shuguang
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container_end_page 1037
container_issue 11
container_start_page 1016
container_title Trends in pharmacological sciences (Regular ed.)
container_volume 38
creator Chan, H.C. Stephen
McCarthy, Dillon
Li, Jianing
Palczewski, Krzysztof
Yuan, Shuguang
description Pain is both a major clinical and economic problem, affecting more people than diabetes, heart disease, and cancer combined. While a variety of prescribed or over-the-counter (OTC) medications are available for pain management, opioid medications, especially those acting on the μ-opioid receptor (μOR) and related pathways, have proven to be the most effective, despite some serious side effects including respiration depression, pruritus, dependence, and constipation. It is therefore imperative that both academia and industry develop novel μOR analgesics which retain their opioid analgesic properties but with fewer or no adverse effects. In this review we outline recent progress towards the discovery of safer opioid analgesics. Pain is a major clinical and economic problem. Owing to the serious side effects associated with current painkillers, the discovery of less toxic medications is an imperative in both academia and industry. Owing to recent advances in computational and structural biology, several μOR-mediated painkillers with fewer side effects have been successfully designed.
doi_str_mv 10.1016/j.tips.2017.08.004
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subjects Analgesics, Opioid - chemistry
Analgesics, Opioid - pharmacology
Animals
computational biology
Drug Design
drug discovery
GPCR
Humans
opioid receptor
Receptors, Opioid, mu - antagonists & inhibitors
Receptors, Opioid, mu - chemistry
Receptors, Opioid, mu - metabolism
safer painkiller
title Designing Safer Analgesics via μ-Opioid Receptor Pathways
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