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9O36

CryoEM structure of mu-opioid receptor - Gi protein complex bound to fluornitrazene (FNZ)

This is a non-PDB format compatible entry.
Summary for 9O36
Entry DOI10.2210/pdb9o36/pdb
EMDB information70071
DescriptorGuanine nucleotide-binding protein G(i) subunit alpha-1, Guanine nucleotide-binding protein G(I)/G(S)/G(T) subunit beta-1, Guanine nucleotide-binding protein G(I)/G(S)/G(O) subunit gamma-2, ... (6 entities in total)
Functional Keywordscomplex, receptor, agonist, mor, membrane protein
Biological sourceHomo sapiens (human)
More
Total number of polymer chains5
Total formula weight162057.40
Authors
Robertson, M.J.,Skiniotis, G. (deposition date: 2025-04-05, release date: 2026-04-01, Last modification date: 2026-05-13)
Primary citationGomez, J.L.,Ventriglia, E.N.,Frangos, Z.J.,Sulima, A.,Robertson, M.J.,Sacco, M.D.,Budinich, R.C.,Giosan, I.M.,Xie, T.,Solis, O.,Tischer, A.E.,Bossert, J.M.,Caldwell, K.E.,Bonbrest, H.,Essmann, A.,Garcon-Poca, Z.M.,Choi, S.,Noya, M.R.,Limiac, F.,Arce, A.,Glatfelter, G.C.,Robinson, M.,Chen, L.,Mullarkey, A.A.,Brademan, D.R.,Enten, G.,Dunne, W.,Quiroz, C.,Schoenborn, I.,Lee, C.B.,Rais, R.,Holt, D.P.,Dannals, R.F.,Shi, L.,Huttenhain, R.,Ferre, S.,Kiyatkin, E.,Bonaventura, J.,Shaham, Y.,Zachariou, V.,Baumann, M.H.,Skiniotis, G.,Rice, K.C.,Michaelides, M.
A μ-opioid receptor superagonist analgesic with minimal adverse effects.
Nature, 652:1393-1404, 2026
Cited by
PubMed Abstract: Developing safe and effective pain medications is an ongoing challenge for human health. Agonists for the µ-opioid receptor (MOR) are essential pain medications, but their high intrinsic efficacy also induces adverse side effects, including respiratory depression, constipation, tolerance, dependence, withdrawal and addiction. Strategies to limit adverse effects traditionally include developing MOR agonists that have low intrinsic efficacy or that preferentially activate G-protein signalling over β-arrestin signalling. Here we identify a novel MOR agonist with supramaximal intrinsic efficacy and a unique pharmacological profile that produced effective analgesia in rodents with minimal adverse effects. N-desethyl-fluornitrazene (DFNZ) was derived from a class of synthetic benzimidazole opioids called nitazenes. DFNZ has impaired brain penetrance, a unique spatiotemporal MOR cellular signalling profile, and diminished efficacy at the MOR-galanin 1 receptor (GAL1) heteromer. DFNZ does not induce respiratory depression, tolerance or MOR downregulation after repeated exposure. Compared with other MOR agonists, DFNZ has limited effects on dopamine neurotransmission in nucleus accumbens and weaker reinforcing effects in the drug self-administration procedure. These results provide novel insights about MOR and nitazene pharmacology, have important implications for pain and addiction treatment, and challenge the prevailing dogma that high-efficacy MOR agonists cannot constitute safe and effective therapeutic agents.
PubMed: 41922775
DOI: 10.1038/s41586-026-10299-9
PDB entries with the same primary citation
Experimental method
ELECTRON MICROSCOPY (2.3 Å)
Structure validation

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