Evidence map›Paper›PMID 29149605›Full record

ArticleCell2017

Bias Factor and Therapeutic Window Correlate to Predict Safer Opioid Analgesics.

Cullen L Schmid, Nicole M Kennedy, Nicolette C Ross, Kimberly M Lovell, Zhizhou Yue, Jenny Morgenweck, Michael D Cameron, Thomas D Bannister, Laura M Bohn

Abstract read
In one paragraph

Article in Cell, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 281 papers.

0numbers the graph read from it
0cells of the map it votes in
281citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

281 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Sufentanil in Intensive Care: A Narrative Review.Journal of clinical medicine · 2026
    Review
  8. Article
  9. Triazole 187 is a biased KOR agonist that suppresses itch without sedation and induces anxiolytic-like behaviors in mice.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Structure-Bias Relationship of μ-Opioid Receptor Agonists.Handbook of experimental pharmacology · 2026
    Review
  20. Article

221 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Cullen L SchmidDepartments of Molecular Medicine and Neuroscience, The Scripps Research Institute, Jupiter, FL 33458, USA.
Nicole M KennedyDepartment of Chemistry, The Scripps Research Institute, Jupiter, FL 33458, USA.
Nicolette C RossDepartments of Molecular Medicine and Neuroscience, The Scripps Research Institute, Jupiter, FL 33458, USA; Department of Chemistry, The Scripps Research Institute, Jupiter, FL 33458, USA.
Kimberly M LovellDepartments of Molecular Medicine and Neuroscience, The Scripps Research Institute, Jupiter, FL 33458, USA; Department of Chemistry, The Scripps Research Institute, Jupiter, FL 33458, USA.
Zhizhou YueDepartment of Chemistry, The Scripps Research Institute, Jupiter, FL 33458, USA.
Jenny MorgenweckDepartments of Molecular Medicine and Neuroscience, The Scripps Research Institute, Jupiter, FL 33458, USA.
Michael D CameronDepartments of Molecular Medicine and Neuroscience, The Scripps Research Institute, Jupiter, FL 33458, USA.
Thomas D BannisterDepartment of Chemistry, The Scripps Research Institute, Jupiter, FL 33458, USA.
Laura M BohnDepartments of Molecular Medicine and Neuroscience, The Scripps Research Institute, Jupiter, FL 33458, USA. Electronic address: lbohn@scripps.edu.

Funding

Synthesis and Evaluation of Functionally Biased Opioid AnalgesicsR01DA033073 · NIDA · UNIVERSITY OF FLORIDA · PI BANNISTER, THOMAS D, BOHN, LAURA M. · 2012 to 2022
$6.9M
NIDA NIH HHS R01 DA033073
6 · The paper itself

Abstract

Biased agonism has been proposed as a means to separate desirable and adverse drug responses downstream of G protein-coupled receptor (GPCR) targets. Herein, we describe structural features of a series of mu-opioid-receptor (MOR)-selective agonists that preferentially activate receptors to couple to G proteins or to recruit βarrestin proteins. By comparing relative bias for MOR-mediated signaling in each pathway, we demonstrate a strong correlation between the respiratory suppression/antinociception therapeutic window in a series of compounds spanning a wide range of signaling bias. We find that βarrestin-biased compounds, such as fentanyl, are more likely to induce respiratory suppression at weak analgesic doses, while G protein signaling bias broadens the therapeutic window, allowing for antinociception in the absence of respiratory suppression.

Indexed as

Analgesics, OpioidAnimalsbeta-ArrestinsFentanylGTP-Binding ProteinsMiceMorphineReceptors, Opioid, muRespiratory SystemSignal TransductionAnalgesics, Opioidbeta-ArrestinsFentanylGTP-Binding ProteinsMorphineReceptors, Opioid, mubiased agonismfentanylfunctional selectivityG protein-coupled receptor (GPCR)morphinemu opioid receptorpainrespirationside effectsβarrestin

Identifiers

PMID29149605
PMCPMC5731250

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.