Abstract
Background and Purpose The development of biased agonism provides a
promising avenue to improve the pharmacological properties of fentanyl
derivatives, but the molecular mechanism underlying ligand bias still
remains ambiguous. Therefore, we sought to find out the critical sites
of μ-receptor governing ligand bias and clarify corresponding molecular
mechanism for designing and synthesizing effective analgesics with
reduced adverse effects. Experimental Approach Critical sites governing
ligand bias were identified both by computational prediction and cell
assay-based bias analysis on wild-type and site-directed mutant μ-opioid
receptor. Then molecular dynamics simulations of wild-type and mutant
μ-opioid receptor were conducted to investigate the mechanism of bias
activation. Key Results D3.32A and H6.52L mutation disrupted the binding
of fentanyl derivatives with μ-opioid receptor. W6.48L mutation drove
most fentanyl derivatives to β-arrestin-bias but promote sufentanil to
cAMP signaling-bias. The result of molecular dynamics simulation showed
that W6.48 and Y7.43 were paired activation switches of ligand bias at
μ-opioid receptor. Conclusion and Implications D3.32 and H6.52 were
critical residues in driving morphine and fentanyl derivatives to bind
with μ-opioid receptor. W6.48 was a pivotal residue in governing the
bias signaling and the interactions of ligands with W6.48 and Y7.43 were
the structural determinants for the signaling bias of μ-opioid receptor,
which will be conducive for better design and synthesis of effective
opioid analgesics with the reduced adverse effects.