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a cellular structure that is postulated to exist in order to mediate between a chemical agent that acts on nervous tissue and the physiological response

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=sense organ / 受信装置

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/05/31 17:08:10」(JST)

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Opioid receptors are a group of inhibitory G protein-coupled receptors with opioids as ligands.^[1]^[2]^[3] The endogenous opioids are dynorphins, enkephalins, endorphins, endomorphins and nociceptin. The opioid receptors are ~40% identical to somatostatin receptors (SSTRs). Opioid receptors are distributed widely in the brain, and are found in the spinal cord and digestive tract.

Discovery

By the mid-1960s, it had become apparent from pharmacologic studies that opiate drugs were likely to exert their actions at specific receptor sites, and that there were likely to be multiple such sites.^[4] Early studies had indicated that opiates appeared to accumulate in the brain.^[5] The receptors were first identified as specific molecules through the use of binding studies, in which opiates that had been labeled with radioisotopes were found to bind to brain membrane homogenates. The first such study was published in 1971, using ³H-levorphanol.^[6] In 1973, Candace Pert and Solomon H. Snyder published the first detailed binding study of what would turn out to be the μ opioid receptor, using ³H-naloxone.^[7] That study has been widely credited as the first definitive finding of an opioid receptor, although two other studies followed shortly after.^[8]^[9]

Purification

Purification of the receptor further verified its existence. The first attempt to purify the receptor involved the use of a novel opioid receptor antagonist called chlornaltrexamine that was demonstrated to bind to the opioid receptor.^[10] Caruso later purified the detergent-extracted component of rat brain membrane that eluted with the specifically bound ³H-chlornaltrexamine.^[11]

Major subtypes

There are four major subtypes of opioid receptors:^[12]

Receptor	Subtypes	Location^[13]^[14]	Function^[13]^[14]
delta (δ) DOR OP₁ ^(I)	δ₁,^[15] δ₂	brain pontine nuclei amygdala olfactory bulbs deep cortex peripheral sensory neurons	analgesia antidepressant effects convulsant effects physical dependence may modulate μ-opioid receptor-mediated respiratory depression
kappa (κ) KOR OP₂ ^(I)	κ₁, κ₂, κ₃	brain hypothalamus periaqueductal gray claustrum spinal cord substantia gelatinosa peripheral sensory neurons	analgesia anticonvulsant effects depression dissociative/hallucinogenic effects diuresis dysphoria miosis neuroprotection sedation stress
mu (μ) MOR OP₃ ^(I)	μ₁, μ₂, μ₃	brain cortex (laminae III and IV) thalamus striosomes periaqueductal gray rostral ventromedial medulla spinal cord substantia gelatinosa peripheral sensory neurons intestinal tract	μ₁: analgesia physical dependence μ₂: respiratory depression miosis euphoria reduced GI motility physical dependence μ₃: possible vasodilation
Nociceptin receptor NOP OP₄	ORL₁	brain cortex amygdala hippocampus septal nuclei habenula hypothalamus spinal cord	anxiety depression appetite development of tolerance to μ-opioid agonists

(I). Name based on order of discovery

Evolution

The opioid receptor family originated from two duplication events of a single ancestral opioid receptor early in vertebrate evolution. Phylogenetic analysis demonstrates that the family of opioid receptors was already present at the origin of jawed vertebrates over 450 million years ago. In humans, this paralogon resulting from a double tetraploidization event resulted in the receptor genes being located on chromosomes 1, 6, 8, and 20. Tetraploidization events often result in loss of one more or the duplicated genes, but in this case, nearly all species retain all four opioid receptors, indicating important and specific function. The receptor families delta, kappa, and mu demonstrate 55–58% identity to one another, and a 48–49% homology to the nociceptin receptor. Taken together, this indicates that the NOP receptor gene, OPRL1, has equal evolutionary origin, but a higher mutation rate, than the other receptor genes.^[16]

The endogenous opioid system is thought to be important in mediating complex social behaviors involved in the formation of stable, emotionally committed relationships. Social attachment was demonstrated to be mediated by the opioid system through experiments administering morphine and naltrexone, an opioid agonist and antagonist, to juvenile guinea pigs. The agonist decreased the preference of the juvenile to be near the mother and reduced distress vocalization whereas the antagonist had the opposite effects. Experiments were corroborated in dogs, chicks, and rats confirming the evolutionary importance of opioid signaling in these behaviors.^[17] Researchers have also found that systemic naltrexone treatment of female prairie voles during initial exposure to a male reduced subsequent mating bouts and nonsexual socialization with this familiar partner, when a choice test including a novel male was performed afterwards. This points to a role for opioid receptors in mating behaviors.^[18]

There is evidence that human specific cognitive traits rely not on coding differences for the receptors or ligands, which display 99% homology with primates, but instead due to regulatory changes in expression levels that are specifically selected for.^[19]^[20]

Naming

The receptors were named using the first letter of the first ligand that was found to bind to them. Morphine was the first chemical shown to bind to mu receptors. The first letter of the drug morphine is m, rendered as the corresponding Greek letter μ. In similar manner, a drug known as ketocyclazocine was first shown to attach itself to κ receptors,^[21] while the δ receptor was named after the mouse vas deferens tissue in which the receptor was first characterised.^[22] An additional opioid receptor was later identified and cloned based on homology with the cDNA. This receptor is known as the nociceptin receptor or ORL1 (opiate receptor-like 1).

The opioid receptor types are ~70% identical with differences located at N and C termini. The μ receptor is perhaps the most important. It is thought that the G protein binds to the third intracellular loop of the opioid receptors. Both in mice and humans, the genes for the various receptor subtypes are located on different chromosomes.

Separate subtypes have been identified in human tissue. Research has so far failed to identify the genetic evidence of the subtypes, and it is thought that they arise from post-translational modification of cloned receptor types.^[23]

An IUPHAR subcommittee^[24]^[25] has recommended that appropriate terminology for the 3 classical (μ, δ, κ) receptors, and the non-classical (nociceptin) receptor, should be MOP, DOP, KOP and NOP respectively.

Additional receptors

Sigma (σ) receptors were once considered to be opioid receptors due to the antitussive actions of many opioid drugs' being mediated via σ receptors, and the first selective σ agonists being derivatives of opioid drugs (e.g., allylnormetazocine). However, σ receptors were found to not be activated by endogenous opioid peptides, and are quite different from the other opioid receptors in both function and gene sequence, so they are now not usually classified with the opioid receptors.

The existence of further opioid receptors (or receptor subtypes) has also been suggested, due to pharmacological evidence of actions produced by endogenous opioid peptides but shown not to be mediated through any of the four known opioid receptor subtypes. The existence of receptor subtypes or additional receptors other than the classical opioid receptors (μ, δ, κ) has been based on limited evidence, since only three genes for the three main receptors have been identified.^[26]^[27]^[28]^[29] The only one of these additional receptors to have been definitively identified is the zeta (ζ) opioid receptor, which has been shown to be a cellular growth factor modulator with met-enkephalin being the endogenous ligand. This receptor is now most commonly referred to as the opioid growth factor receptor (OGFr).^[30]^[31]

Another postulated opioid receptor is the ε opioid receptor. The existence of this receptor was suspected after the endogenous opioid peptide beta-endorphin was shown to produce additional actions that did not seem to be mediated through any of the known opioid receptors.^[32]^[33] Activation of this receptor produces strong analgesia and release of met-enkephalin, and a number of widely used opioid agonists such as the μ agonist etorphine and the κ agonist bremazocine have been shown to act as agonists for this effect (even in the presence of antagonists to their more well known targets),^[34] while buprenorphine has been shown to act as an epsilon antagonist. Several selective agonists and antagonists are now available for the putative epsilon receptor,^[35]^[36] however efforts to locate a gene for this receptor have been unsuccessful, and epsilon-mediated effects were absent in μ/δ/κ "triple knockout" mice,^[37] suggesting the epsilon receptor is likely to be either a splice variant derived from alternate post-translational modification, or a heteromer derived from hybridization of two or more of the known opioid receptors.

Pathology

Some forms of mutations in δ-opioid receptors have resulted in constant receptor activation.^[38]

References

^ Dhawan BN, Cesselin F, Raghubir R, Reisine T, Bradley PB, Portoghese PS, Hamon M (December 1996). "International Union of Pharmacology. XII. Classification of opioid receptors" (PDF). Pharmacol. Rev. 48 (4): 567–592. PMID 8981566.
^ Janecka A, Fichna J, Janecki T (2004). "Opioid receptors and their ligands". Curr. Top. Med. Chem. 4 (1): 1–17. doi:10.2174/1568026043451618. PMID 14754373.
^ Waldhoer M, Bartlett SE, Whistler JL (2004). "Opioid receptors". Annu. Rev. Biochem. 73: 953–990. doi:10.1146/annurev.biochem.73.011303.073940. PMID 15189164.
^ Martin, W. R. (December 1967). "Opioid antagonists". Pharmacol. Rev. 19 (4): 463–521. PMID 4867058. Retrieved December 29, 2013.
^ Ingoglia NA, Dole VP (1970). "Localization of d and l-methadone after intraventricular injection into rat brains.". J. Pharmacol. Exp. Ther. 175 (1): 84–87. PMID 5471456.
^ Goldstein A, Lowney LI, Pal BK (August 1971). "Stereospecific and nonspecific interactions of the morphine congener levorphanol in subcellular fractions of mouse brain". Proc. Natl. Acad. Sci. U.S.A. 68 (8): 1742–7. doi:10.1073/pnas.68.8.1742. PMC 389284. PMID 5288759.
^ Pert CB, Snyder SH (March 1973). "Opiate receptor: demonstration in nervous tissue". Science 179 (4077): 1011–4. doi:10.1126/science.179.4077.1011. PMID 4687585.
^ Terenius L (1973). "Stereospecific interaction between narcotic analgesics and a synaptic plasm a membrane fraction of rat cerebral cortex". Acta Pharmacol. Toxicol. (Copenh.) 32 (3): 317–20. doi:10.1111/j.1600-0773.1973.tb01477.x. PMID 4801733.
^ Simon EJ, Hiller JM, Edelman I (July 1973). "Stereospecific binding of the potent narcotic analgesic (3H) Etorphine to rat-brain homogenate". Proc. Natl. Acad. Sci. U.S.A. 70 (7): 1947–9. doi:10.1073/pnas.70.7.1947. PMC 433639. PMID 4516196.
^ Caruso TP, AE Takemori, DL Larson, PS Portoghese (April 1979). "Chloroxymorphamine, an opioid receptor site-directed alkylating agent having narcotic agonist activity". Science 204 (4390): 316–8. doi:10.1126/science.86208. PMID 86208.
^ Caruso TP, DL Larson, PS Portoghese, AE Takemori (December 1980). "Isolation of selective 3H-chlornaltrexamine-bound complexes, possible opioid receptor components in brains of mice". Life Sciences 27 (22): 2063–9. doi:10.1016/0024-3205(80)90485-3. PMID 6259471.
^ Corbett AD, Henderson G, McKnight AT, Paterson SJ (2006). "75 years of opioid research: the exciting but vain quest for the Holy Grail". Br. J. Pharmacol. 147 Suppl 1 (Suppl 1): S153–62. doi:10.1038/sj.bjp.0706435. PMC 1760732. PMID 16402099.
^ ^a ^b Stein C, Schäfer M, Machelska H (August 2003). "Attacking pain at its source: new perspectives on opioids". Nat. Med. 9 (8): 1003–8. doi:10.1038/nm908. PMID 12894165.
^ ^a ^b Fine PG, Portenoy RK (2004). "Chapter 2: The Endogenous Opioid System" (PDF). A Clinical Guide to Opioid Analgesia. McGraw Hill.
^ Portoghese PS, Lunzer MM (2003). "Identity of the putative delta1-opioid receptor as a delta-kappa heteromer in the mouse spinal cord". Eur. J. Pharmacol. 467 (1-3): 233–4. doi:10.1016/s0014-2999(03)01599-1. PMID 12706480.
^ Stevens CW (2009). "The evolution of vertebrate opioid receptors". Front Biosci (Landmark Ed) 14: 1247–69. PMC 3070387. PMID 19273128.
^ Furay AR, Neumaier JF (October 2011). "Opioid receptors: binding that ties". Neuropsychopharmacology 36 (11): 2157–8. doi:10.1038/npp.2011.147. PMC 3176578. PMID 21918519.
^ Burkett JP, Spiegel LL, Inoue K, Murphy AZ, Young LJ (October 2011). "Activation of μ-opioid receptors in the dorsal striatum is necessary for adult social attachment in monogamous prairie voles". Neuropsychopharmacology 36 (11): 2200–10. doi:10.1038/npp.2011.117. PMC 3176565. PMID 21734650.
^ Cruz-Gordillo P, Fedrigo O, Wray GA, Babbitt CC (2010). "Extensive changes in the expression of the opioid genes between humans and chimpanzees". Brain Behav. Evol. 76 (2): 154–62. doi:10.1159/000320968. PMID 21079395.
^ Rockman MV, Hahn MW, Soranzo N, Zimprich F, Goldstein DB, Wray GA (December 2005). "Ancient and recent positive selection transformed opioid cis-regulation in humans". PLoS Biol. 3 (12): e387. doi:10.1371/journal.pbio.0030387. PMC 1283535. PMID 16274263.
^ Aggrawal, Anil (May 1, 1995). "Opium: the king of narcotics". Opioids: past, present and future. BLTC Research. Archived from the original on May 26, 2012. Retrieved December 29, 2013.
^ Lord JA, Waterfield AA, Hughes J, Kosterlitz HW. Nature. 1977; 267:495–499.
^ Lemke, Thomas L.; Williams, David H.; Foye, William O. (2002). "Opioid Analgesics; Fries, DS". Foye's principles of medicinal chemistry. Hagerstown, MD: Lippincott Williams & Wilkins. ISBN 0-683-30737-1.
^ Girdlestone D (October 2000). "Opioid receptors; Cox BM, Chavkin C, Christie MJ, Civelli O, Evans C, Hamon MD, et al.". The IUPHAR Compendium of Receptor Characterization and Classification (2nd ed.). London: IUPHAR Media. pp. 321–333.
^ "Opioid receptors". IUPHAR Database. International Union of Pharmacology (2008-08-01).
^ Dietis N, Rowbotham D, Lambert D (May 2011). "Opioid receptor subtypes: fact or artifact?". B.J.A. 107 (1): 8–18. doi:10.1093/bja/aer115. PMID 21613279.
^ Grevel J, Yu V, Sadée W (May 1985). "Characterization of a labile naloxone binding site (lambda site) in rat brain". J. Neurochem. 44 (5): 1647–56. doi:10.1111/j.1471-4159.1985.tb08808.x. PMID 2985759.
^ Mizoguchi H, Narita M, Nagase H, Tseng LF (October 2000). "Activation of G-proteins in the mouse pons/medulla by beta-endorphin is mediated by the stimulation of mu- and putative epsilon-receptors". Life Sci. 67 (22): 2733–43. doi:10.1016/S0024-3205(00)00852-3. PMID 11105989.
^ Wollemann M, Benyhe S (June 2004). "Non-opioid actions of opioid peptides". Life Sci. 75 (3): 257–70. doi:10.1016/j.lfs.2003.12.005. PMID 15135648.
^ Zagon IS, Verderame MF, Allen SS, McLaughlin PJ (February 2000). "Cloning, sequencing, chromosomal location, and function of cDNAs encoding an opioid growth factor receptor (OGFr) in humans". Brain Res. 856 (1–2): 75–83. doi:10.1016/S0006-8993(99)02330-6. PMID 10677613.
^ Zagon IS, Verderame MF, McLaughlin PJ (February 2002). "The biology of the opioid growth factor receptor (OGFr)". Brain Res. Brain Res. Rev. 38 (3): 351–76. doi:10.1016/S0165-0173(01)00160-6. PMID 11890982.
^ Wüster M, Schulz R, Herz A (December 1979). "Specificity of opioids towards the mu-, delta- and epsilon-opiate receptors". Neurosci. Lett. 15 (2–3): 193–8. doi:10.1016/0304-3940(79)96112-3. PMID 231238.
^ Schulz R, Wüster M, Herz A (March 1981). "Pharmacological characterization of the epsilon-opiate receptor". J. Pharmacol. Exp. Ther. 216 (3): 604–6. PMID 6259326.
^ Narita M, Tseng LF (March 1998). "Evidence for the existence of the beta-endorphin-sensitive "epsilon-opioid receptor" in the brain: the mechanisms of epsilon-mediated antinociception". Jpn. J. Pharmacol. (&NDASH; ^{SCHOLAR SEARCH})|format= requires |url= (help) 76 (3): 233–53. doi:10.1254/jjp.76.233. PMID 9593217. ^{[dead link]}
^ Fujii H, Narita M, Mizoguchi H, Murachi M, Tanaka T, Kawai K, Tseng LF, Nagase H (August 2004). "Drug design and synthesis of epsilon opioid receptor agonist: 17-(cyclopropylmethyl)-4,5alpha-epoxy-3,6beta-dihydroxy-6,14-endoethenomorphinan-7alpha-(N-methyl-N-phenethyl)carboxamide (TAN-821) inducing antinociception mediated by putative epsilon opioid receptor". Bioorg. Med. Chem. 12 (15): 4133–45. doi:10.1016/j.bmc.2004.05.024. PMID 15246090.
^ Fujii H, Nagase H (2006). "Rational drug design of selective epsilon opioid receptor agonist TAN-821 and antagonist TAN-1014". Curr. Med. Chem. 13 (10): 1109–18. doi:10.2174/092986706776360851. PMID 16719773.
^ Contet C, Matifas A, Kieffer BL (May 2004). "No evidence for G-protein-coupled epsilon receptor in the brain of triple opioid receptor knockout mouse". Eur. J. Pharmacol. 492 (2–3): 131–6. doi:10.1016/j.ejphar.2004.03.056. PMID 15178356.
^ Befort K, Zilliox C, Filliol D, Yue S, Kieffer BL (June 1999). "Constitutive activation of the delta opioid receptor by mutations in transmembrane domains III and VII". J. Biol. Chem. 274 (26): 18574–81. doi:10.1074/jbc.274.26.18574. PMID 10373467.

External links

Opioid Receptors at the US National Library of Medicine Medical Subject Headings (MeSH)
"Opioid Receptors". IUPHAR Database of Receptors and Ion Channels. International Union of Basic and Clinical Pharmacology.
Corbett A, McKnight S, Henderson G. "Opioid Receptors". BLTC Research. Retrieved 2008-03-21.
Lomize A, Lomize M, Pogozheva I. "Orientations of Proteins in Membranes (OPM) database". University of Michigan. Retrieved 2008-03-21.
- "Mu-opioid receptor model (inactive state) with antagonist". Retrieved 2008-03-21.
- "Mu-opioid receptor model in active state with agonist". Retrieved 2008-03-21.
Guzman F. "Video lectures on opioid receptors". Pharmacology Corner. Retrieved 2012-07-30.

UpToDate Contents

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1. 慢性疼痛の治療の概要 overview of the treatment of chronic pain
2. オピオイド使用障害の薬物療法 pharmacotherapy for opioid use disorder
3. 危篤状態の成人患者における疼痛管理 pain control in the critically ill adult patient
4. オピオイド系薬剤を用いた癌疼痛のマネージメント：副作用の予防およびマネージメント cancer pain management with opioids prevention and management of side effects
5. オピオイド使用障害：疫学、薬理学、臨床症状、経過、スクリーニング、評価、および診断 opioid use disorder epidemiology pharmacology clinical manifestations course screening assessment and diagnosis

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「オピオイド受容体」

　　[★]

英: opioid receptor
同: モルヒネ受容体 morphine receptor
関: オピオイドペプチド、オピオイド

オピオイド受容体はμ受容体、κ受容体、δ受容体がある。
モルヒネ、フェンタニルはμ受容体刺激薬
呼吸抑制はμ₂受容体を介したものである。

オピオイドとオピオイド受容体 (GOO.552)

	μ受容体	δ受容体	κ受容体
薬物
モルフィン	+++		+
フェンタニル	+++
ブトルファノール	P		+++
ブプレノルフィン	P		－－
ナロキソン	－－－	－	－－
ナロルフィン	－－－		+
内因性オピオイドペプチド
Met-エンケファリン	++	+++
Leu-エンケファリン	++	+++
β-エンドルフィン	+++	+++
ダイノルフィンA	++		+++
ダイノルフィンB	+	+	+++