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Publication - Professor Eamonn Kelly

    The novel μ-opioid receptor agonist PZM21 depresses respiration and induces tolerance to antinociception


    Hill, R, Disney, A, Conibear, A, Sutcliffe, K, Dewey, W, Husbands, S, Bailey, C, Kelly, E & Henderson, G, 2018, ‘The novel μ-opioid receptor agonist PZM21 depresses respiration and induces tolerance to antinociception’. British Journal of Pharmacology, vol 175., pp. 2653-2661


    Background and Purpose: PZM21 is a novel μ-opioid receptor ligand that has been reported to induce minimal arrestin recruitment and be devoid of the respiratory depressant effects characteristic of classical μ receptor ligands such as morphine. We have re-examined the signalling profile of PZM21 and its ability to depress respiration.

    Experimental Approach: G protein (Gi) activation and arrestin-3 translocation were measured in vitro, using BRET assays, in HEK 293 cells expressing μ receptors. Respiration (rate and tidal volume) was measured in awake, freely moving mice by whole-body plethysmography, and antinociception was measured by the hot plate test.

    Key Results: PZM21 (10−9 – 3 × 10−5 M) produced concentration-dependent Gi activation and arrestin-3 translocation. Comparison with responses evoked by morphine and DAMGO revealed that PZM21 was a low efficacy agonist in both signalling assays. PZM21 (10–80 mg·kg−1) depressed respiration in a dose-dependent manner. The respiratory depression was due to a decrease in the rate of breathing not a decrease in tidal volume. On repeated daily administration of PZM21 (twice daily doses of 40 mg·kg−1), complete tolerance developed to the antinociceptive effect of PZM21 over 3 days but no tolerance developed to its respiratory depressant effect.

    Conclusion and Implications: These data demonstrate that PZM21 is a low efficacy μ receptor agonist for both G protein and arrestin signalling. Contrary to a previous report, PZM21 depresses respiration in a manner similar to morphine, the classical opioid receptor agonist.

    Full details in the University publications repository