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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/226055

 Unique pharmacodynamic properties and low abuse liability of the µ-opioid receptor ligand (S)-methadone

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(R,S)-methadone ((R,S)-MTD) is a µ-opioid receptor (MOR) agonist comprised of (R)-MTD and (S)-MTD enantiomers. (S)-MTD is being developed as an antidepressant and is considered an N-methyl-D-aspartate receptor (NMDAR) antagonist. We compared the pharmacology of (R)-MTD and (S)-MTD and found they bind to MORs, but not NMDARs, and induce full analgesia. Unlike (R)-MTD, (S)-MTD was a weak reinforcer that failed to affect extracellular dopamine or induce locomotor stimulation. Furthermore, (S)-MTD antagonized motor and dopamine releasing effects of (R)-MTD. (S)-MTD acted as a partial agonist at MOR, with complete loss of efficacy at the MOR-galanin Gal1 receptor (Gal1R) heteromer, a key mediator of the dopaminergic effects of opioids. In sum, we report novel and unique pharmacodynamic properties of (S)-MTD that are relevant to its potential mechanism of action and therapeutic use. One-sentence summary: (S)-MTD, like (R)-MTD, binds to and activates MORs in vitro, but (S)-MTD antagonizes the MOR-Gal1R heteromer, decreasing its abuse liability.

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WALTHER, Donna, GLATFELTER, Grant c., WEINSHENKER, David, ZARATE, Carlos a., CASADÓ, Vicent, BAUMANN, Michael h., PARDO, Leonardo, FERRÉ, Sergi, MICHAELIDES, Michael, LEVINSTEIN, Marjorie, DE OLIVEIRA, Paulo a., CASAJUANA-MARTIN, Nil, QUIROZ, César, BUDINICH, Reece c., RAIS, Rana, REA, William, VENTRIGLIA, Emilya, LLOPART, Natàlia, CASADÓ ANGUERA, Verònica, MORENO GUILLÉN, Estefanía.  Unique pharmacodynamic properties and low abuse liability of the µ-opioid receptor ligand (S)-methadone. _Molecular Psychiatry_. 2024. Vol. 29, núm. 3, pàgs. 624-632. [consulta: 28 de gener de 2026]. ISSN: 1359-4184. [Disponible a: https://hdl.handle.net/2445/226055]

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