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}) })(jQuery); </script> </head> <body class="post-template-default single single-post postid-1525 single-format-standard header-image full-width-content genesis-breadcrumbs-visible"><div class="site-container"><header class="site-header"><div class="wrap"><div class="title-area"><p class="site-title"><a href="https://www.thermofisher.com/" title="Thermo Fisher Scientific">Thermo Fisher Scientific</a></p><p class="site-description">Electron and cryo-electron microscopy stories and solutions about the advancement of cellular and structural biology</p></div><div class="widget-area header-widget-area"><section id="block-5" class="widget widget_block"><div class="widget-wrap"> <div class="wp-block-group"><div class="wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow"></div></div> </div></section> <section id="block-6" class="widget widget_block"><div class="widget-wrap"> <div class="wp-block-group"><div class="wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow"></div></div> </div></section> </div><div class="breadcrumb"><span class="breadcrumb-link-wrap"><a href="https://www.thermofisher.com/blog/?">Accelerating Science</a></span><span class="breadcrumb-link-wrap"><a class="breadcrumb-link" href="https://www.thermofisher.com/blog/atomic-resolution/"><span class="breadcrumb-link-text-wrap">Life in Atomic Resolution</span></a><meta ></span> <span aria-label="breadcrumb separator">/</span> <span class="breadcrumb-link-wrap"><a class="breadcrumb-link" href="https://www.thermofisher.com/blog/atomic-resolution/cryo-electron-microscopy-cryo-em/"><span class="breadcrumb-link-text-wrap">Cryo-Electron Microscopy (Cryo-EM)</span></a><meta ></span> <span aria-label="breadcrumb separator">/</span> <span class="breadcrumb-current-title">Finding new ways to treat pain with novel opioid receptor ligands</span></div></div></header> <section class="hero-banner" style="background-image:url(https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/Opioid-research-blog-large-banner-1920x450-1777892-2.jpg)"> </section> <div class="site-inner"><div class="content-sidebar-wrap"><main class="content"><article class="post-1525 post type-post status-publish format-standard has-post-thumbnail category-cryo-electron-microscopy-cryo-em category-opioid-addiction-cryo-electron-microscopy-cryo-em category-rational-drug-design category-structure-based-drug-design entry" aria-label="Finding new ways to treat pain with novel opioid receptor ligands"><header class="entry-header"><h1 class="entry-title">Finding new ways to treat pain with novel opioid receptor ligands</h1> <span class="post-info-author"> By <a href="https://www.thermofisher.com/blog/author/alexilitchev/" title="Posts by Alex Ilitchev" rel="author">Alex Ilitchev</a> </span> <span class="post-info-date"> 10.28.2024 </span> </header><div class="entry-content"><h2 style="font-size: 100%"><strong>Analgesics, pain relief, and opioid addiction</strong></h2> <p>While pain management is a critical and highly complex aspect of modern medicine, pain-relieving substances (or analgesics) are also some of the earliest known therapeutics in recorded human history. Opium, derived from certain species of poppies, is perhaps one of the first analgesics, and it gives its name to both a class of drugs (opioids) as well as their targets, opioid receptors. Unfortunately, the history of these medicines is highly intertwined with their addictive and destructive properties. Even to this day, opioids prescribed for severe pain carry a significant risk of addiction and their administration must be closely regulated.</p> <p>The over-prescription and over-use of these opioid analgesics (also called narcotics) has led to a global opioid crisis, with <a href="https://www.thelancet.com/journals/landig/article/PIIS2589-7500(21)00058-3/fulltext">~60 million people addicted to opioids, resulting in ~100,000 deaths by opioid overdose annually.</a> Pharmaceutical research is therefore continuously striving to develop novel analgesics that are highly effective, targeted, and safer, with significantly reduced risks of addiction.</p> <p>To develop these drugs, researchers are finding it increasingly necessary to understand the interaction of opioids and their receptors at a molecular level. Leading structural biology techniques, such as cryogenic electron microscopy (cryo-EM), are unraveling these mechanisms at unprecedented detail, providing a clear visualization of the receptors with the ligands that bind to them. This structural information can be used to directly inform the design of new analgesics with enhanced properties.</p> <h2 style="font-size: 100%"><strong>Structure-based design of opioid receptor agonists</strong></h2> <p>While there are several types of opioid receptors, mu receptors (渭OR) are most directly associated with both pain relief as well as dependence and addiction. 渭OR can act through two distinct signaling pathways, which utilize either G protein or 尾鈥恆rrestin, respectively. Biasing the receptor toward the G protein pathway, through the use of specific ligands (agonists), has been shown to reduce unwanted side effects as well as lower addiction potential.</p> <p><a href="https://onlinelibrary.wiley.com/doi/10.1002/anie.202200269">A study led by researchers at Stanford University and the University of Erlangen-Nuremberg</a> investigated the structural basis of this behavior. They determined the cryo-EM structure of 渭OR bound to PZM21, a computationally determined agonist for G protein biasing. Their results provided structural validation of this agonist鈥檚 behavior and a potential starting point for the development of improved analgesics.</p> <div id="attachment_1526" style="width: 760px" class="wp-caption aligncenter"><img decoding="async" aria-describedby="caption-attachment-1526" class="wp-image-1526" src="https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/9BQJ-figure-1.jpg" alt="Visualizing agonist binding with cryo-EM of selective ligands for opioid receptors." title="Visualizing agonist binding with cryo-EM of selective ligands for opioid receptors." width="750" height="323" srcset="https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/9BQJ-figure-1.jpg 1001w, https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/9BQJ-figure-1-300x129.jpg 300w, https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/9BQJ-figure-1-768x331.jpg 768w" sizes="(max-width: 750px) 100vw, 750px" /><p id="caption-attachment-1526" class="wp-caption-text">By directly visualizing agonist binding, cryo-EM supports the development of functional selective ligands.</p></div> <h2 style="font-size: 100%"><strong>Rational design of bitopic ligands targeting the mu opioid receptor</strong></h2> <p>Bitopic pharmaceuticals consist of two molecular structures that are recognized by the drug target, joined by a linker. By interacting with multiple sites on a receptor simultaneously, bitopic ligands can more effectively and narrowly modulate receptor behavior than would be possible by introducing the two molecules separately. <a href="https://www.nature.com/articles/s41586-022-05588-y">A collaboration led by researchers at the University of Washington</a> developed novel bitopic ligands that couple the opioid fentanyl with a positively-charged guanidino group.</p> <p>Attached in this way, the ligand is able to bind to the opioid receptor while also attaching to an allosteric sodium binding pocket. This served to greatly reduce 渭OR recruitment of 尾-arrestin while also increasing its preference for G protein binding. The design of this ligand, and its interaction with the allosteric binding site, was structurally validated with cryo-EM.</p> <div id="attachment_1527" style="width: 510px" class="wp-caption aligncenter"><img decoding="async" aria-describedby="caption-attachment-1527" class="wp-image-1527" src="https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/7U2K-c6-and-7U2l-c5-.jpg" alt="Cryo-EM of bitopic ligands binding to the opioid receptor 渭OR." title="Cryo-EM of bitopic ligands binding to the opioid receptor 渭OR." width="500" height="650" srcset="https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/7U2K-c6-and-7U2l-c5-.jpg 1000w, https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/7U2K-c6-and-7U2l-c5--231x300.jpg 231w, https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/7U2K-c6-and-7U2l-c5--788x1024.jpg 788w, https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/7U2K-c6-and-7U2l-c5--768x998.jpg 768w" sizes="(max-width: 500px) 100vw, 500px" /><p id="caption-attachment-1527" class="wp-caption-text">With cryo-EM, researchers are able to directly visualize the binding of bitopic ligands to their targets. Here, two bitopic ligands, with varying linker lengths, are shown in the binding pocket of 渭OR.</p></div> <p>More recent studies have sought to further refine the behavior of these bitopic ligands, particularly the C6guano ligand shown above. <a href="https://pubs.acs.org/doi/10.1021/acscentsci.4c00525">A recent publication in ACS Central Science</a> examined a novel ligand called RO76, where the guanidino group is replaced with a benzyl alcohol. Researchers found that this ligand showed similarly reduced side effects as C6guano while also having increased ability to pass through the blood-brain barrier. Once again, the structural interaction of ligand and receptor was visualized with cryo-EM analysis.</p> <h2 style="font-size: 100%"><strong>Drug design targeting the kappa opioid receptor</strong></h2> <p>Most analgesic opioids target 渭OR, but there are several additional types of opioid receptor that are being investigated as potential alternate analgesic targets. Among them is the kappa opioid receptor (KOR), which is notable for its reduced addiction potential. Despite this, there are still challenges, as KOR binding is associated with a number of serious side effects. Drugs that target KOR must therefore have high specificity while also finding ways to mitigate these effects. <a href="https://www.nature.com/articles/s41467-023-43718-w">Researchers applied a computation de novo approach to find prospective candidates consisting of peptide-small molecule conjugates.</a> This approach was able to screen a large quantity of potential conjugates for best candidates, greatly reducing the typical lead optimization and screening required in drug discovery.</p> <p>The resulting compound was structurally validated using cryo-EM, as the simulated interaction between the drug and receptor could be compared to cryo-EM visualization. In vivo efficacy studies were also performed to verify the behavior of the drug. Overall, this approach provides an exciting method for the discovery of highly selective ligands that target KOR, and could potentially be applied to any number of drug discovery challenges.</p> <div id="attachment_1528" style="width: 770px" class="wp-caption aligncenter"><img loading="lazy" decoding="async" aria-describedby="caption-attachment-1528" class="wp-image-1528 size-large" src="https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/Computational-approach-used-optimize-the-structure-of-the-peptide-small-molecule-conjugates-1024x316.jpg" alt="Peptide-small molecule conjugates targeting opioid receptors." title="Peptide-small molecule conjugates targeting opioid receptors." width="760" height="235" srcset="https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/Computational-approach-used-optimize-the-structure-of-the-peptide-small-molecule-conjugates-1024x316.jpg 1024w, https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/Computational-approach-used-optimize-the-structure-of-the-peptide-small-molecule-conjugates-300x93.jpg 300w, https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/Computational-approach-used-optimize-the-structure-of-the-peptide-small-molecule-conjugates-768x237.jpg 768w, https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/Computational-approach-used-optimize-the-structure-of-the-peptide-small-molecule-conjugates-1536x474.jpg 1536w, https://www.thermofisher.com/blog/atomic-resolution/wp-content/uploads/sites/22/2024/10/Computational-approach-used-optimize-the-structure-of-the-peptide-small-molecule-conjugates.jpg 1709w" sizes="(max-width: 760px) 100vw, 760px" /><p id="caption-attachment-1528" class="wp-caption-text">Peptide-small molecule conjugates investigated by Muratspahi膰 et al. Figure reproduced under CC BY 4.0.</p></div> <h2 style="font-size: 100%"><strong>Managing pain and combatting opioid misuse through structure-based drug design</strong></h2> <p>The opioid crisis is a complex and terrible consequence of the misuse of medicines that are intended to relieve pain and suffering. Addressing this crisis will require a multifaceted approach that has novel therapeutics at its core, because people will ultimately still require tools for pain management. With structure-based drug design, researchers are able to modulate these substances at a molecular level, greatly increasing the control that they can exert on a drug鈥檚 simultaneous side effects. Cryo-electron microscopy accelerates this rational design approach with high-resolution visualization of molecular interactions. We hope that novel lead compounds discovered with cryo-EM continue to pave the way to a future where medicines for pain relief provide only that, relief.</p> <p><a href="https://www.thermofisher.com/us/en/home/electron-microscopy/life-sciences/drug-discovery/small-molecule.html?cid=blog%20msd_ls_ind_sbio_xbl_1777892_gl_oso_blg_wokbp3&utm_source=comms-blog&utm_medium=blog&utm_campaign=blog%20msd_ls_ind_sbio_xbl_1777892_gl_oso_blg_wokbp3">Learn more about cryo-EM in rational drug design >></a></p> <p><a href="https://corporate.thermofisher.com/us/en/index/about/leadership/addressing-the-opioid-epidemic.html?cid=blog%20msd_ls_ind_sbio_xbl_1777892_gl_oso_blg_wokbp3&utm_source=comms-blog&utm_medium=atomic%20resolution%20blog&utm_campaign=blog%20msd_ls_ind_sbio_xbl_1777892_gl_oso_blg_wokbp3">Marc Casper discusses how Thermo Fisher Scientific is helping address the opioid crisis >></a></p> <hr /> <p><em>Alex Ilitchev, PhD, is a Science Writer for Thermo Fisher Scientific.</em><br /> 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