Evidence map›Paper›PMID 36411392›Full record

ArticleNature chemical biology2023

Insights into distinct signaling profiles of the µOR activated by diverse agonists.

Qianhui Qu, Weijiao Huang, Deniz Aydin, Joseph M Paggi, Alpay B Seven, Haoqing Wang, Soumen Chakraborty, Tao Che, Jeffrey F DiBerto, Michael J Robertson and 7 more

Open access · greenAbstract read
In one paragraph

Article in Nature chemical biology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 1 pooled it
22.4field-weighted citation impact, top 1% of its field
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

78 citing papers in PubMed, 1 synthesis or guideline pooled it, 117 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Structural basis of opioid receptor activation by PCP and ketamine.Nature structural & molecular biology · 2026
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  7. Atypical respiration patterns of kratom alkaloids.The Journal of pharmacology and experimental therapeutics · 2026
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  11. Slow Dissociation of Nitazenes from thebioRxiv : the preprint server for biology · 2026
    Article
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  13. Indole Alkaloids as Biased Opioid Receptor Modulators.Pharmaceuticals (Basel, Switzerland) · 2026
    Review
  14. Article
  15. Article
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  17. Article
  18. Article
  19. Review
  20. Article

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 4 countries.

Qianhui Qu *Department of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0002-5753-2599
Weijiao Huang *Department of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, USA.
Deniz Aydin *Department of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, USA.
Joseph M Paggi *Department of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, USA.
Alpay B Seven *Department of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, USA.
Haoqing WangDepartment of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, USA.
Soumen ChakrabortyCenter for Clinical Pharmacology, University of Health Sciences & Pharmacy at St. Louis and Washington University School of Medicine, St. Louis, MO, USA.
Tao CheDepartment of Anesthesiology, Washington University School of Medicine, Saint Louis, MO, USA.ORCID 0000-0002-1620-3027
Jeffrey F DiBertoDepartment of Pharmacology, School of Medicine, University of North Carolina, Chapel Hill, NC, USA.ORCID 0000-0002-8227-2071
Michael J RobertsonDepartment of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0003-2610-680X
Asuka InoueGraduate School of Pharmaceutical Sciences, Tohoku University, Sendai, Japan.ORCID 0000-0003-0805-4049
Carl-Mikael SuomivuoriDepartment of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0002-2445-8791
Bryan L RothDepartment of Pharmacology, School of Medicine, University of North Carolina, Chapel Hill, NC, USA.ORCID 0000-0002-0561-6520
Susruta MajumdarCenter for Clinical Pharmacology, University of Health Sciences & Pharmacy at St. Louis and Washington University School of Medicine, St. Louis, MO, USA. susrutam@wustl.edu.ORCID 0000-0002-2931-3823
Ron O DrorDepartment of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, USA. ron.dror@stanford.edu.ORCID 0000-0002-6418-2793
Brian K KobilkaDepartment of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, USA. kobilka@stanford.edu.ORCID 0000-0001-5958-3990
Georgios SkiniotisDepartment of Molecular and Cellular Physiology, Stanford University School of Medicine, Stanford, CA, USA. yiorgo@stanford.edu.ORCID 0000-0003-0238-7846
Stanford University · USUniversity of North Carolina at Chapel Hill · USUniversity of Health Sciences and Pharmacy · USShanghai Medical College of Fudan University · CNStanford Medicine · USTohoku University · JP

Funding

Structure and dynamics of G protein coupled receptor-G protein complexesR01GM083118 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KOBILKA, BRIAN K, SKINIOTIS, GEORGIOS · 2008 to 2023
$8.3M
Structural Basis of Opioid Receptor FunctionR37DA036246 · NIDA · STANFORD UNIVERSITY · PI KOBILKA, BRIAN K · 2013 to 2020
$4.2M
Discovering the mechanism of GPCR-mediated arrestin stimulation to enable effective drug therapiesR01GM127359 · NIGMS · STANFORD UNIVERSITY · PI DROR, RON · 2018 to 2022
$1.5M
Pharmacological Probes based on mitragynine pseudoindoxylR33DA045884 · NIDA · ST. LOUIS COLLEGE OF PHARMACY · PI MAJUMDAR, SUSRUTA, SAMES, DALIBOR · 2020 to 2021
$792k
Pharmacological Probes based on mitragynine pseudoindoxylR21DA045884 · NIDA · ST. LOUIS COLLEGE OF PHARMACY · PI MAJUMDAR, SUSRUTA, SAMES, DALIBOR · 2018 to 2019
$437k
NIDA NIH HHS R21 DA045884NIDA NIH HHS R33 DA045884NIDA NIH HHS R37 DA036246NIGMS NIH HHS R01 GM083118NIGMS NIH HHS R01 GM127359U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) R01GM127359U.S. Department of Health & Human Services | NIH | National Institute on Drug Abuse (NIDA) R37DA036246
6 · The paper itself

Abstract

Drugs targeting the μ-opioid receptor (μOR) are the most effective analgesics available but are also associated with fatal respiratory depression through a pathway that remains unclear. Here we investigated the mechanistic basis of action of lofentanil (LFT) and mitragynine pseudoindoxyl (MP), two μOR agonists with different safety profiles. LFT, one of the most lethal opioids, and MP, a kratom plant derivative with reduced respiratory depression in animal studies, exhibited markedly different efficacy profiles for G protein subtype activation and β-arrestin recruitment. Cryo-EM structures of μOR-Gi1 complex with MP (2.5 Å) and LFT (3.2 Å) revealed that the two ligands engage distinct subpockets, and molecular dynamics simulations showed additional differences in the binding site that promote distinct active-state conformations on the intracellular side of the receptor where G proteins and β-arrestins bind. These observations highlight how drugs engaging different parts of the μOR orthosteric pocket can lead to distinct signaling outcomes.

Indexed as

Analgesics, OpioidSignal TransductionAnimalsbeta-ArrestinsBinding SitesGTP-Binding ProteinsAnalgesics, Opioidbeta-ArrestinsGTP-Binding Proteins

Identifiers

PMID36411392
PMCPMC11098091
OpenAlexW4309660299

What OpenQuestion holds

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Read underepoch 390

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.