From opiate pharmacology to opioid peptide physiology

Ups J Med Sci. 2000;105(1):1-15. doi: 10.1517/03009734000000043.

Abstract

This is a personal account of how studies of the pharmacology of opiates led to the discovery of a family of endogenous opioid peptides, also called endorphins. The unique pharmacological activity profile of opiates has an endogenous counterpart in the enkephalins and beta-endorphin, peptides which also are powerful analgesics and euphorigenic agents. The enkephalins not only act on the classic morphine (mu-) receptor but also on the delta-receptor, which often co-exists with mu-receptors and mediates pain relief. Other members of the opioid peptide family are the dynorphins, acting on the kappa-receptor earlier defined as precipitating unpleasant central nervous system (CNS) side effects in screening for opiate activity, A related peptide, nociceptin is not an opioid and acts on the separate NOR-receptor. Both dynorphins and nociceptin have modulatory effects on several CNS functions, including memory acquisition, stress and movement. In conclusion, a natural product, morphine and a large number of synthetic organic molecules, useful as drugs, have been found to probe a previously unknown physiologic system. This is a unique development not only in the neuropeptide field, but in physiology in general.

Publication types

  • Review

MeSH terms

  • Amino Acid Sequence
  • Analgesics, Opioid / pharmacology*
  • Analgesics, Opioid / therapeutic use
  • Animals
  • Humans
  • Ligands
  • Molecular Sequence Data
  • Narcotics / pharmacology*
  • Narcotics / therapeutic use
  • Opioid Peptides / chemistry
  • Opioid Peptides / physiology*
  • Pain / drug therapy
  • Receptors, Opioid / physiology

Substances

  • Analgesics, Opioid
  • Ligands
  • Narcotics
  • Opioid Peptides
  • Receptors, Opioid