Evidence map›Paper›PMID 40393456›Full record

ArticleCell2025

Arrestin-biased allosteric modulator of neurotensin receptor 1 alleviates acute and chronic pain.

Ran Guo, Ouyang Chen, Yang Zhou, Sangsu Bang, Sharat Chandra, Yize Li, Gang Chen, Rou-Gang Xie, Wei He, Jing Xu and 13 more

Abstract read
In one paragraph

Article in Cell, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Molecular mechanism of allosteric modulation of opioid receptors.Signal transduction and targeted therapy · 2026
    Article
  3. Article
  4. Article
  5. Biased Allosteric Modulation in GPCR Drug Discovery.Handbook of experimental pharmacology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. 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

23 authors.

Ran GuoCenter for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27705, USA.
Ouyang ChenCenter for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27705, USA; Department of Cell Biology, Duke University Medical Center, Durham, NC 27710, USA.
Yang ZhouDepartment of Cell Biology, Duke University Medical Center, Durham, NC 27710, USA.
Sangsu BangCenter for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27705, USA.
Sharat ChandraCenter for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27705, USA.
Yize LiCenter for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27705, USA.
Gang ChenCenter for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27705, USA.
Rou-Gang XieCenter for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27705, USA.
Wei HeCenter for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27705, USA.
Jing XuCenter for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27705, USA.
Richard ZhouCenter for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27705, USA.
Shaoyong SongCenter for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27705, USA.
Kelsey L PersonDepartment of Pharmacology, University of Minnesota Medical School, Minneapolis, MN 55455, USA.
Madelyn N MooreDepartment of Pharmacology, University of Minnesota Medical School, Minneapolis, MN 55455, USA.
Abigail R AlwinDepartment of Pharmacology, University of Minnesota Medical School, Minneapolis, MN 55455, USA.
Ivan SpasojevicDepartment of Medicine, Duke University Medical Center, Durham, NC 27710, USA; Pharmacokinetics/Pharmacodynamics Core Laboratory, Duke Cancer Institute, Duke University School of Medicine, Durham, NC 27710, USA.
Michael R JacksonSanford Burnham Prebys Medical Discovery Institute, La Jolla, CA 92037, USA.
Steven H OlsonSanford Burnham Prebys Medical Discovery Institute, La Jolla, CA 92037, USA.
Marc G CaronDepartment of Cell Biology, Duke University Medical Center, Durham, NC 27710, USA.
Lauren M SloskyDepartment of Pharmacology, University of Minnesota Medical School, Minneapolis, MN 55455, USA.
William C WetselDepartment of Cell Biology, Duke University Medical Center, Durham, NC 27710, USA; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27710, USA; Mouse Behavioral and Neuroendocrine Analysis Core Facility, Duke University Medical Center, Durham, NC 27710, USA; Department of Neurobiology, Duke University Medical Center, Durham, NC 27710, USA.
Lawrence S BarakDepartment of Cell Biology, Duke University Medical Center, Durham, NC 27710, USA.
Ru-Rong JiCenter for Translational Pain Medicine, Department of Anesthesiology, Duke University Medical Center, Durham, NC 27705, USA; Department of Cell Biology, Duke University Medical Center, Durham, NC 27710, USA; Department of Neurobiology, Duke University Medical Center, Durham, NC 27710, USA. Electronic address: ru-rong.ji@duke.edu.

Funding

Targeting checkpoint inhibitors for pain controlRF1NS131812 · NINDS · DUKE UNIVERSITY · PI RU-RONG JI · 2023 to 2026
$4.4M
Neurotensin receptor 1 as a novel target for opioid use disorder and discovery of new small molecule probesR01DA061773 · NIDA · UNIVERSITY OF MINNESOTA · PI Steven H Olson, Lauren M Slosky · 2024 to 2026
$2.1M
Developing equilibrative nucleoside transporter inhibitors as non-opioid pain therapeuticsR61NS138215 · NINDS · DUKE UNIVERSITY · PI HONG, JIYONG, JI, RU-RONG · 2024 to 2024
$1.6M
Leveraging Functional Selectivity in the Neurotensin Receptor 1-Mediated Treatment of AddictionR00DA048970 · NIDA · UNIVERSITY OF MINNESOTA · PI SLOSKY, LAUREN M · 2022 to 2024
$747k
Regulation of Methamphetamine-Induced Behaviors by the Neurotensin Receptor 1F31DA062411 · NIDA · UNIVERSITY OF MINNESOTA · PI Madelyn Moore · 2025 to 2026
$75k
NIDA NIH HHS F31 DA062411NIDA NIH HHS R00 DA048970NIDA NIH HHS R01 DA061773NINDS NIH HHS R61 NS138215NINDS NIH HHS RF1 NS131812
6 · The paper itself

Abstract

G-protein-biased agonists have been shown to enhance opioid analgesia by circumventing β-arrestin-2 (βarr2) signaling. We previously reported that SBI-553, a neurotensin receptor 1 (NTSR1)-positive allosteric modulator biased toward βarr2 signaling, attenuates psychostimulant effects in mice. Here, we demonstrate that its analog, SBI-810, exhibits potent antinociceptive properties in rodent models of postoperative pain, inflammatory pain, and neuropathic pain via systemic and local administration. SBI-810's analgesic effects require NTSR1 and βarr2 but not NTSR2 or βarr1. Mechanistically, SBI-810 suppresses excitatory synaptic transmission, inhibits NMDA receptor and extracellular-regulated signal kinase (ERK) signaling in spinal cord nociceptive neurons, reduces Nav1.7 surface expression and action potential firing in primary sensory neurons, and dampens C-fiber responses. Behaviorally, it reduces opioid-induced conditioned place preference, alleviates constipation, and mitigates chronic opioid withdrawal symptoms. These findings highlight NTSR1-biased allosteric modulators as a promising, non-addictive therapeutic strategy for acute and chronic pain management, acting through both peripheral and central mechanisms.

Indexed as

Acute PainAnalgesicsChronic PainReceptors, NeurotensinAllosteric RegulationAnimalsbeta-Arrestin 2HumansMaleMiceMice, Inbred C57BLNeuralgiaRatsAnalgesicsbeta-Arrestin 2neurotensin type 1 receptorReceptors, Neurotensinacute painbeta-arrestin-2biased allosteric modulatorchronic paindorsal root ganglionneurotensin receptor 1NTSR1opioidprimary sensory neuronsspinal cord

Identifiers

PMID40393456
PMCPMC12335375

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Registered trials

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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.