Evidence map›Paper›PMID 36906681›Full record

ArticleNature communications2023

Molecular mechanism of biased signaling at the kappa opioid receptor.

Amal El Daibani, Joseph M Paggi, Kuglae Kim, Yianni D Laloudakis, Petr Popov, Sarah M Bernhard, Brian E Krumm, Reid H J Olsen, Jeffrey Diberto, F Ivy Carroll and 4 more

Open access · goldFull text read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
16.9field-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

53 citing papers in PubMed, 94 citations in OpenAlex.

  1. Article
  2. Molecular mechanism of allosteric modulation of opioid receptors.Signal transduction and targeted therapy · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Structural Basis of GPCR-Biased Modulation.Handbook of experimental pharmacology · 2026
    Review
  11. Article
  12. Nalfurafine is Aversive at Antinociceptive Doses in Mice.Pharmacology research & perspectives · 2025
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

14 authors at 7 institutions in 4 countries.

Amal El Daibani *Department of Anesthesiology, Washington University School of Medicine, Saint Louis, MO, USA.
Joseph M Paggi *Department of Computer Science, Stanford University, Stanford, CA, USA.
Kuglae Kim *Department of Pharmacology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Yianni D Laloudakis *Department of Computer Science, Stanford University, Stanford, CA, USA.
Petr PopoviMolecule, Skolkovo Institute of Science and Technology, Moscow, Russia.
Sarah M BernhardDepartment of Anesthesiology, Washington University School of Medicine, Saint Louis, MO, USA.ORCID 0000-0001-8549-0413
Brian E KrummDepartment of Pharmacology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.ORCID 0000-0001-6039-4767
Reid H J OlsenDepartment of Pharmacology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Jeffrey DibertoDepartment of Pharmacology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
F Ivy CarrollResearch Triangle Institute, P.O. Box 12194, Research Triangle Park, NC, 27709, USA.
Vsevolod KatritchDepartment of Biological Sciences, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0003-3883-4505
Bernhard WünschInstitut für Pharmazeutische und Medizinische Chemie, Universität Münster, Corrensstraße 48, 48149, Münster, Germany.ORCID 0000-0002-9030-8417
Ron O DrorDepartment of Computer Science, Stanford University, Stanford, CA, USA. ron.dror@stanford.edu.ORCID 0000-0002-6418-2793
Tao CheDepartment of Anesthesiology, Washington University School of Medicine, Saint Louis, MO, USA. taoche@wustl.edu.ORCID 0000-0002-1620-3027
University of North Carolina at Chapel Hill · USStanford University · USUniversity of Health Sciences and Pharmacy · USRTI International · USSkolkovo Institute of Science and Technology · RUUniversity of Münster · DEUniversity of Southern California · US

Funding

Structural Determinants of Kappa Opioid Receptor SignalingR35GM143061 · NIGMS · WASHINGTON UNIVERSITY · PI Tao Che · 2021 to 2026
$2.1M
Discovering the mechanism of GPCR-mediated arrestin stimulation to enable effective drug therapiesR01GM127359 · NIGMS · STANFORD UNIVERSITY · PI DROR, RON · 2018 to 2022
$1.5M
Regulation of Adult Hippocampal Neurogenesis by Cholecystokinin-Expressing InterneuronsF31NS093917 · NINDS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI OLSEN, REID HANS JOHNSON · 2015 to 2017
$103k
NIGMS NIH HHS R01 GM127359NIGMS NIH HHS R35 GM143061NINDS NIH HHS F31 NS093917
6 · The paper itself

Abstract

The κ-opioid receptor (KOR) has emerged as an attractive drug target for pain management without addiction, and biased signaling through particular pathways of KOR may be key to maintaining this benefit while minimizing side-effect liabilities. As for most G protein-coupled receptors (GPCRs), however, the molecular mechanisms of ligand-specific signaling at KOR have remained unclear. To better understand the molecular determinants of KOR signaling bias, we apply structure determination, atomic-level molecular dynamics (MD) simulations, and functional assays. We determine a crystal structure of KOR bound to the G protein-biased agonist nalfurafine, the first approved KOR-targeting drug. We also identify an arrestin-biased KOR agonist, WMS-X600. Using MD simulations of KOR bound to nalfurafine, WMS-X600, and a balanced agonist U50,488, we identify three active-state receptor conformations, including one that appears to favor arrestin signaling over G protein signaling and another that appears to favor G protein signaling over arrestin signaling. These results, combined with mutagenesis validation, provide a molecular explanation of how agonists achieve biased signaling at KOR.

Indexed as

MorphinansReceptors, Opioid, kappaAnalgesics, OpioidArrestinGTP-Binding ProteinsSpiro CompoundsAnalgesics, OpioidArrestinGTP-Binding ProteinsMorphinansReceptors, Opioid, kappaSpiro CompoundsTRK 820

Identifiers

PMID36906681
PMCPMC10008561
OpenAlexW4323925120

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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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.