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Nature Papers Reveal 'Reverse' GPCR Switch That Boosts Opioid Analgesia in Preclinical Tests

The GTP release–selective concept outlines a path to pain medicines with lower breathing risk, with current molecules remaining early-stage prototypes.

Overview

  • USF Health researchers published a Nature study on December 17 describing GTP release–selective agonists, alongside a companion mechanistic paper in Nature Communications.
  • The team reports a reversible first step in mu opioid receptor signaling, where ligands can favor a 'reverse' GTP/GDP release cycle to modulate receptor activity.
  • Two prototype chemicals that bias this reverse cycle enhanced morphine- and fentanyl-induced pain relief at subeffective doses without increasing respiratory suppression in preclinical models.
  • The prototypes still suppress breathing at high doses and lack toxicity data, so they are not considered drug candidates at this stage.
  • The NIH-funded work, which notes University of Florida patents on SR-17018 and filings for new compounds, may inform safer opioid design and could extend to other GPCRs such as the serotonin 1A receptor.