fbpx
Wikipedia

δ-opioid receptor

The δ-opioid receptor, also known as delta opioid receptor or simply delta receptor, abbreviated DOR or DOP, is an inhibitory 7-transmembrane G-protein coupled receptor coupled to the G protein Gi/G0 and has enkephalins as its endogenous ligands.[5] The regions of the brain where the δ-opioid receptor is largely expressed vary from species model to species model. In humans, the δ-opioid receptor is most heavily expressed in the basal ganglia and neocortical regions of the brain.[6]

OPRD1
Available structures
PDBOrtholog search: PDBe RCSB
Identifiers
AliasesOPRD1, OPRD, Δ-opioid receptor, opioid receptor delta 1, DOP, DOR1, DOR
External IDsOMIM: 165195 MGI: 97438 HomoloGene: 20252 GeneCards: OPRD1
Orthologs
SpeciesHumanMouse
Entrez
Ensembl
UniProt
RefSeq (mRNA)

NM_000911

NM_013622

RefSeq (protein)

NP_000902

NP_038650

Location (UCSC)Chr 1: 28.81 – 28.87 MbChr 4: 131.84 – 131.87 Mb
PubMed search[3][4]
Wikidata
View/Edit HumanView/Edit Mouse

Function edit

The endogenous system of opioid receptors is well known for its analgesic potential; however, the exact role of δ-opioid receptor activation in pain modulation is largely up for debate. This also depends on the model at hand since receptor activity is known to change from species to species. Activation of delta receptors produces analgesia, perhaps as significant potentiators of μ-opioid receptor agonists. However, it seems like delta agonism provides heavy potentiation to any mu agonism. Therefore, even selective mu agonists can cause analgesia under the right conditions, whereas under others can cause none whatsoever.[7][8] It is also suggested however that the pain modulated by the μ-opioid receptor and that modulated by the δ-opioid receptor are distinct types, with the assertion that DOR modulates the nociception of chronic pain, while MOR modulates acute pain.[9]

Evidence for whether delta agonists produce respiratory depression is mixed; high doses of the delta agonist peptide DPDPE produced respiratory depression in sheep,[10] but in tests on mice the non-peptide delta agonist SNC-80 produced respiratory depression only at the very high dose of 40 mg/kg.[11] In contrast both the peptide delta agonist Deltorphin II and the non-peptide delta agonist (+)-BW373U86 actually stimulated respiratory function and blocked the respiratory depressant effect of the potent μ-opioid agonist alfentanil, without affecting pain relief.[12] It thus seems likely that while δ-opioid agonists can produce respiratory depression at very high doses, at lower doses they have the opposite effect, a fact that may make mixed mu/delta agonists such as DPI-3290 potentially very useful drugs that might be much safer than the μ agonists currently used for pain relief. Many delta agonists may also cause seizures at high doses, although not all delta agonists produce this effect.[13]

Of additional interest is the potential for delta agonists to be developed for use as a novel class of antidepressant drugs, following robust evidence of both antidepressant effects[14] and also upregulation of BDNF production in the brain in animal models of depression.[15] These antidepressant effects have been linked to endogenous opioid peptides acting at δ- and μ-opioid receptors,[16] and so can also be produced by enkephalinase inhibitors such as RB-101.[17] ] However, in human models the data for antidepressant effects remains inconclusive. In the 2008 Phase 2 clinical trial by Astra Zeneca, NCT00759395, 15 patients were treated with the selective delta agonist AZD 2327. The results showed no significant effect on mood suggesting that δ-opioid receptor modulation might not participate in the regulation of mood in humans. However, doses were administered at low doses and the pharmacological data also remains inconclusive.[18][19] Further trials are required.

Another interesting aspect of δ-opioid receptor function is the suggestion of μ/δ-opioid receptor interactions. At the extremes of this suggestion lies the possibility of a μ/δ opioid receptor oligomer. The evidence for this stems from the different binding profiles of typical mu and delta agonists such as morphine and DAMGO respectively, in cells that coexpress both receptors compared to those in cells that express them individually. In addition, work by Fan and coworkers shows the restoration of the binding profiles when distal carboxyl termini are truncated at either receptor, suggesting that the termini play a role in the oligomerization.[20] While this is exciting, rebuttal by the Javitch and coworkers suggest the idea of oligomerization may be overplayed. Relying on RET, Javitch and coworkers showed that RET signals were more characteristic of random proximity between receptors, rather than an actual bond formation between receptors, suggesting that discrepancies in binding profiles may be the result of downstream interactions, rather than novel effects due to oligomerization.[21] Nevertheless, coexpression of receptors remains unique and potentially useful in the treatment of mood disorders and pain.

Recent work indicates that exogenous ligands that activate the delta receptors mimic the phenomenon known as ischemic preconditioning.[22] Experimentally, if short periods of transient ischemia are induced the downstream tissues are robustly protected if longer-duration interruption of the blood supply is then affected. Opiates and opioids with DOR activity mimic this effect. In the rat model, introduction of DOR ligands results in significant cardioprotection.[23]

Ligands edit

Until comparatively recently, there were few pharmacological tools for the study of δ receptors. As a consequence, our understanding of their function is much more limited than those of the other opioid receptors for which selective ligands have long been available.

However, there are now several selective δ-opioid receptor agonists available, including peptides such as DPDPE and deltorphin II, and non-peptide drugs such as SNC-80,[24] the more potent (+)-BW373U86,[25] a newer drug DPI-287, which does not produce the problems with convulsions seen with the earlier agents,[26] and the mixed μ/δ agonist DPI-3290, which is a much more potent analgesic than the more highly selective δ agonists.[27] Selective antagonists for the δ receptor are also available, with the best known being the opiate derivative naltrindole.[28]

 

Agonists edit

 
A showing of selective delta opioid ligands. Blue represents a common phenolic moiety, yellow a basic nitrogen, and red a diethyl amide moiety which is not set in stone, but rather a bulky region that fits into a hydrophobic pocket.
Peptides
Non-peptides

Antagonists edit

Interactions edit

δ-opioid receptors have been shown to interact with β2 adrenergic receptors,[32] arrestin β1[33] and GPRASP1.[34]

See also edit

References edit

  1. ^ a b c GRCh38: Ensembl release 89: ENSG00000116329 - Ensembl, May 2017
  2. ^ a b c GRCm38: Ensembl release 89: ENSMUSG00000050511 - Ensembl, May 2017
  3. ^ "Human PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
  4. ^ "Mouse PubMed Reference:". National Center for Biotechnology Information, U.S. National Library of Medicine.
  5. ^ Quock RM, Burkey TH, Varga E, Hosohata Y, Hosohata K, Cowell SM, Slate CA, Ehlert FJ, Roeske WR, Yamamura HI (Sep 1999). "The delta-opioid receptor: molecular pharmacology, signal transduction, and the determination of drug efficacy". Pharmacological Reviews. 51 (3): 503–32. PMID 10471416.
  6. ^ Peppin, J.F.; Raffa, R.B. (2015). "Delta Opioid Agonists: A Concise Update on Potential Therapeutic Applications". J. Clin. Pharm. Ther. 40 (2): 155–166. doi:10.1111/jcpt.12244. PMID 25726896. S2CID 25483387.
  7. ^ Varga EV, Navratilova E, Stropova D, Jambrosic J, Roeske WR, Yamamura HI (Dec 2004). "Agonist-specific regulation of the delta-opioid receptor". Life Sciences. 76 (6): 599–612. doi:10.1016/j.lfs.2004.07.020. PMID 15567186.
  8. ^ Alvimopan
  9. ^ Berrocoso, E.; Sánchez-Blázquez, P. (2009). "Opiates as Antidepressants". Curr. Pharm. Des. 15 (14): 1612–1622. doi:10.2174/138161209788168100. hdl:10261/62156. PMID 19442177.
  10. ^ Clapp JF, Kett A, Olariu N, Omoniyi AT, Wu D, Kim H, Szeto HH (Feb 1998). "Cardiovascular and metabolic responses to two receptor-selective opioid agonists in pregnant sheep". American Journal of Obstetrics and Gynecology. 178 (2): 397–401. doi:10.1016/S0002-9378(98)80032-X. PMID 9500506.
  11. ^ Gallantine EL, Meert TF (Jul 2005). "A comparison of the antinociceptive and adverse effects of the mu-opioid agonist morphine and the delta-opioid agonist SNC80". Basic & Clinical Pharmacology & Toxicology. 97 (1): 39–51. doi:10.1111/j.1742-7843.2005.pto_07.x. PMID 15943758.
  12. ^ Su YF, McNutt RW, Chang KJ (Dec 1998). "Delta-opioid ligands reverse alfentanil-induced respiratory depression but not antinociception". The Journal of Pharmacology and Experimental Therapeutics. 287 (3): 815–23. PMID 9864259.
  13. ^ Jutkiewicz EM, Baladi MG, Folk JE, Rice KC, Woods JH (Jun 2006). "The convulsive and electroencephalographic changes produced by nonpeptidic delta-opioid agonists in rats: comparison with pentylenetetrazol". The Journal of Pharmacology and Experimental Therapeutics. 317 (3): 1337–48. doi:10.1124/jpet.105.095810. PMID 16537798. S2CID 21838231.
  14. ^ Broom DC, Jutkiewicz EM, Rice KC, Traynor JR, Woods JH (Sep 2002). "Behavioral effects of delta-opioid receptor agonists: potential antidepressants?". Japanese Journal of Pharmacology. 90 (1): 1–6. doi:10.1254/jjp.90.1. PMID 12396021.
  15. ^ Torregrossa MM, Jutkiewicz EM, Mosberg HI, Balboni G, Watson SJ, Woods JH (Jan 2006). "Peptidic delta opioid receptor agonists produce antidepressant-like effects in the forced swim test and regulate BDNF mRNA expression in rats". Brain Research. 1069 (1): 172–81. doi:10.1016/j.brainres.2005.11.005. PMC 1780167. PMID 16364263.
  16. ^ Zhang H, Torregrossa MM, Jutkiewicz EM, Shi YG, Rice KC, Woods JH, Watson SJ, Ko MC (Feb 2006). "Endogenous opioids upregulate brain-derived neurotrophic factor mRNA through delta- and micro-opioid receptors independent of antidepressant-like effects". The European Journal of Neuroscience. 23 (4): 984–94. doi:10.1111/j.1460-9568.2006.04621.x. PMC 1462954. PMID 16519663.
  17. ^ Jutkiewicz EM, Torregrossa MM, Sobczyk-Kojiro K, Mosberg HI, Folk JE, Rice KC, Watson SJ, Woods JH (Feb 2006). "Behavioral and neurobiological effects of the enkephalinase inhibitor RB101 relative to its antidepressant effects". European Journal of Pharmacology. 531 (1–3): 151–9. doi:10.1016/j.ejphar.2005.12.002. PMC 1828120. PMID 16442521.
  18. ^ Hudzik TJ, Maciag C, Smith MA, Caccese R, Pietras MR, Bui KH, Coupal M, Adam L, Payza K, Griffin A, Smagin G, Song D, Swedberg MD, Brown W (Jul 2011). "Preclinical pharmacology of AZD2327: a highly selective agonist of the δ-opioid receptor". The Journal of Pharmacology and Experimental Therapeutics. 338 (1): 195–204. doi:10.1124/jpet.111.179432. PMID 21444630. S2CID 10313748.
  19. ^ "Study of Antidepressant Efficacy of a Selective, High Affinity Enkephalinergic Agonist in Anxious Major Depressive Disorder (AMDD) - Full Text View - ClinicalTrials.gov". clinicaltrials.gov. 10 October 2012. Retrieved 2015-12-11.
  20. ^ Fan T, Varghese G, Nguyen T, Tse R, O'Dowd BF, George SR (Nov 2005). "A role for the distal carboxyl tails in generating the novel pharmacology and G protein activation profile of mu and delta opioid receptor hetero-oligomers" (PDF). The Journal of Biological Chemistry. 280 (46): 38478–88. doi:10.1074/jbc.M505644200. PMID 16159882. S2CID 32785318.
  21. ^ Lambert, Nevin A; Javitch, Jonathan A (2014). "Rebuttal from Nevin A. Lambert and Jonathan A. Javitch". The Journal of Physiology. 592 (12): 2449. doi:10.1113/jphysiol.2014.274241. PMC 4080929. PMID 24931947.
  22. ^ Zhang J, Qian H, Zhao P, Hong SS, Xia Y (Apr 2006). "Rapid hypoxia preconditioning protects cortical neurons from glutamate toxicity through delta-opioid receptor". Stroke: A Journal of Cerebral Circulation. 37 (4): 1094–9. doi:10.1161/01.STR.0000206444.29930.18. PMID 16514101. S2CID 21120257.
  23. ^ Guo L, Zhang L, Zhang DC (Oct 2005). "[Mechanisms of delta-opioids cardioprotective effects in ischemia and its potential clinical applications]". Sheng Li Ke Xue Jin Zhan [Progress in Physiology] (in Chinese). 36 (4): 333–6. PMID 16408774.
  24. ^ Calderon SN, Rothman RB, Porreca F, Flippen-Anderson JL, McNutt RW, Xu H, Smith LE, Bilsky EJ, Davis P, Rice KC (Jul 1994). "Probes for narcotic receptor mediated phenomena. 19. Synthesis of (+)-4-[(alpha R)-alpha-((2S,5R)-4-allyl-2,5-dimethyl-1-piperazinyl)-3- methoxybenzyl]-N,N-diethylbenzamide (SNC 80): a highly selective, nonpeptide delta opioid receptor agonist". Journal of Medicinal Chemistry. 37 (14): 2125–8. doi:10.1021/jm00040a002. PMID 8035418.
  25. ^ Calderon SN, Rice KC, Rothman RB, Porreca F, Flippen-Anderson JL, Kayakiri H, Xu H, Becketts K, Smith LE, Bilsky EJ, Davis P, Horvath R (Feb 1997). "Probes for narcotic receptor mediated phenomena. 23. Synthesis, opioid receptor binding, and bioassay of the highly selective delta agonist (+)-4-[(alpha R)-alpha-((2S,5R)-4-Allyl-2,5-dimethyl-1-piperazinyl)-3-methoxybenzyl]- N,N-diethylbenzamide (SNC 80) and related novel nonpeptide delta opioid receptor ligands". Journal of Medicinal Chemistry. 40 (5): 695–704. doi:10.1021/jm960319n. PMID 9057856.
  26. ^ Jutkiewicz EM (Jun 2006). "The antidepressant -like effects of delta-opioid receptor agonists". Molecular Interventions. 6 (3): 162–9. doi:10.1124/mi.6.3.7. PMID 16809477.
  27. ^ Ananthan S (2006). "Opioid ligands with mixed mu/delta opioid receptor interactions: an emerging approach to novel analgesics". The AAPS Journal. 8 (1): E118-25. doi:10.1208/aapsj080114. PMC 2751430. PMID 16584118.
  28. ^ Portoghese PS, Sultana M, Takemori AE (Jan 1988). "Naltrindole, a highly selective and potent non-peptide delta opioid receptor antagonist". European Journal of Pharmacology. 146 (1): 185–6. doi:10.1016/0014-2999(88)90502-X. PMID 2832195.
  29. ^ Le Bourdonnec B, Windh RT, Ajello CW, Leister LK, Gu M, Chu GH, Tuthill PA, Barker WM, Koblish M, Wiant DD, Graczyk TM, Belanger S, Cassel JA, Feschenko MS, Brogdon BL, Smith SA, Christ DD, Derelanko MJ, Kutz S, Little PJ, DeHaven RN, DeHaven-Hudkins DL, Dolle RE (Oct 2008). "Potent, orally bioavailable delta opioid receptor agonists for the treatment of pain: discovery of N,N-diethyl-4-(5-hydroxyspiro[chromene-2,4'-piperidine]-4-yl)benzamide (ADL5859)". Journal of Medicinal Chemistry. 51 (19): 5893–6. doi:10.1021/jm8008986. PMID 18788723.
  30. ^ Onali, Pierluigi; Dedoni, Simona; Olianas, Maria C. (2010-01-01). "Direct Agonist Activity of Tricyclic Antidepressants at Distinct Opioid Receptor Subtypes". Journal of Pharmacology and Experimental Therapeutics. 332 (1): 255–265. doi:10.1124/jpet.109.159939. PMID 19828880. S2CID 18893305.
  31. ^ a b Kathmann M, Flau K, Redmer A, Tränkle C, Schlicker E (Feb 2006). "Cannabidiol is an allosteric modulator at mu- and delta-opioid receptors". Naunyn-Schmiedeberg's Archives of Pharmacology. 372 (5): 354–61. doi:10.1007/s00210-006-0033-x. PMID 16489449. S2CID 4877869.
  32. ^ McVey M, Ramsay D, Kellett E, Rees S, Wilson S, Pope AJ, Milligan G (Apr 2001). "Monitoring receptor oligomerization using time-resolved fluorescence resonance energy transfer and bioluminescence resonance energy transfer. The human delta -opioid receptor displays constitutive oligomerization at the cell surface, which is not regulated by receptor occupancy". The Journal of Biological Chemistry. 276 (17): 14092–9. doi:10.1074/jbc.M008902200. PMID 11278447. S2CID 25191463.
  33. ^ Cen B, Yu Q, Guo J, Wu Y, Ling K, Cheng Z, Ma L, Pei G (Mar 2001). "Direct binding of beta-arrestins to two distinct intracellular domains of the delta opioid receptor". Journal of Neurochemistry. 76 (6): 1887–94. doi:10.1046/j.1471-4159.2001.00204.x. PMID 11259507. S2CID 83485138.
  34. ^ Whistler JL, Enquist J, Marley A, Fong J, Gladher F, Tsuruda P, Murray SR, Von Zastrow M (Jul 2002). "Modulation of postendocytic sorting of G protein-coupled receptors". Science. 297 (5581): 615–20. doi:10.1126/science.1073308. PMID 12142540. S2CID 1219372.

Further reading edit

  • Narita M, Funada M, Suzuki T (Jan 2001). "Regulations of opioid dependence by opioid receptor types". Pharmacology & Therapeutics. 89 (1): 1–15. doi:10.1016/S0163-7258(00)00099-1. PMID 11316510.
  • Evans CJ, Keith DE, Morrison H, Magendzo K, Edwards RH (Dec 1992). "Cloning of a delta opioid receptor by functional expression". Science. 258 (5090): 1952–5. Bibcode:1992Sci...258.1952E. doi:10.1126/science.1335167. PMID 1335167.
  • Offermanns S, Schultz G, Rosenthal W (Feb 1991). "Evidence for opioid receptor-mediated activation of the G-proteins, Go and Gi2, in membranes of neuroblastoma x glioma (NG108-15) hybrid cells". The Journal of Biological Chemistry. 266 (6): 3365–8. doi:10.1016/S0021-9258(19)67799-9. PMID 1671672.
  • Simonin F, Befort K, Gavériaux-Ruff C, Matthes H, Nappey V, Lannes B, Micheletti G, Kieffer B (Dec 1994). "The human delta-opioid receptor: genomic organization, cDNA cloning, functional expression, and distribution in human brain". Molecular Pharmacology. 46 (6): 1015–21. PMID 7808419.
  • Befort K, Mattéi MG, Roeckel N, Kieffer B (Mar 1994). "Chromosomal localization of the delta opioid receptor gene to human 1p34.3-p36.1 and mouse 4D bands by in situ hybridization". Genomics. 20 (1): 143–5. doi:10.1006/geno.1994.1146. PMID 8020949.
  • Knapp RJ, Malatynska E, Fang L, Li X, Babin E, Nguyen M, Santoro G, Varga EV, Hruby VJ, Roeske WR (1994). "Identification of a human delta opioid receptor: cloning and expression". Life Sciences. 54 (25): PL463-9. doi:10.1016/0024-3205(94)90138-4. PMID 8201839.
  • Georgoussi Z, Carr C, Milligan G (Jul 1993). "Direct measurements of in situ interactions of rat brain opioid receptors with the guanine nucleotide-binding protein Go". Molecular Pharmacology. 44 (1): 62–9. PMID 8393523.
  • Bzdega T, Chin H, Kim H, Jung HH, Kozak CA, Klee WA (Oct 1993). "Regional expression and chromosomal localization of the delta opiate receptor gene". Proceedings of the National Academy of Sciences of the United States of America. 90 (20): 9305–9. Bibcode:1993PNAS...90.9305B. doi:10.1073/pnas.90.20.9305. PMC 47556. PMID 8415697.
  • Ho MK, Wong YH (Jun 1997). "Functional role of amino-terminal serine16 and serine27 of G alphaZ in receptor and effector coupling". Journal of Neurochemistry. 68 (6): 2514–22. doi:10.1046/j.1471-4159.1997.68062514.x. PMID 9166747. S2CID 24703413.
  • Hedin KE, Bell MP, Kalli KR, Huntoon CJ, Sharp BM, McKean DJ (Dec 1997). "Delta-opioid receptors expressed by Jurkat T cells enhance IL-2 secretion by increasing AP-1 complexes and activity of the NF-AT/AP-1-binding promoter element". Journal of Immunology. 159 (11): 5431–40. PMID 9548483.
  • Jordan BA, Devi LA (Jun 1999). "G-protein-coupled receptor heterodimerization modulates receptor function". Nature. 399 (6737): 697–700. Bibcode:1999Natur.399..697J. doi:10.1038/21441. PMC 3125690. PMID 10385123.
  • Petaja-Repo UE, Hogue M, Laperriere A, Walker P, Bouvier M (May 2000). "Export from the endoplasmic reticulum represents the limiting step in the maturation and cell surface expression of the human delta opioid receptor". The Journal of Biological Chemistry. 275 (18): 13727–36. doi:10.1074/jbc.275.18.13727. PMID 10788493. S2CID 8293320.
  • Gelernter J, Kranzler HR (Jul 2000). "Variant detection at the delta opioid receptor (OPRD1) locus and population genetics of a novel variant affecting protein sequence". Human Genetics. 107 (1): 86–8. doi:10.1007/s004390050016. PMID 10982041.
  • Guo J, Wu Y, Zhang W, Zhao J, Devi LA, Pei G, Ma L (Nov 2000). "Identification of G protein-coupled receptor kinase 2 phosphorylation sites responsible for agonist-stimulated delta-opioid receptor phosphorylation". Molecular Pharmacology. 58 (5): 1050–6. doi:10.1124/mol.58.5.1050. PMID 11040053.
  • Gomes I, Jordan BA, Gupta A, Trapaidze N, Nagy V, Devi LA (Nov 2000). "Heterodimerization of mu and delta opioid receptors: A role in opiate synergy". The Journal of Neuroscience. 20 (22): RC110. doi:10.1523/JNEUROSCI.20-22-j0007.2000. PMC 3125672. PMID 11069979.
  • Xu W, Chen C, Huang P, Li J, de Riel JK, Javitch JA, Liu-Chen LY (Nov 2000). "The conserved cysteine 7.38 residue is differentially accessible in the binding-site crevices of the mu, delta, and kappa opioid receptors". Biochemistry. 39 (45): 13904–15. doi:10.1021/bi001099p. PMID 11076532.
  • Hartley JL, Temple GF, Brasch MA (Nov 2000). "DNA cloning using in vitro site-specific recombination". Genome Research. 10 (11): 1788–95. doi:10.1101/gr.143000. PMC 310948. PMID 11076863.
  • Saeed RW, Stefano GB, Murga JD, Short TW, Qi F, Bilfinger TV, Magazine HI (Dec 2000). "Expression of functional delta opioid receptors in vascular smooth muscle". International Journal of Molecular Medicine. 6 (6): 673–7. doi:10.3892/ijmm.6.6.673. PMID 11078827.
  • Xiang B, Yu GH, Guo J, Chen L, Hu W, Pei G, Ma L (Feb 2001). "Heterologous activation of protein kinase C stimulates phosphorylation of delta-opioid receptor at serine 344, resulting in beta-arrestin- and clathrin-mediated receptor internalization". The Journal of Biological Chemistry. 276 (7): 4709–16. doi:10.1074/jbc.M006187200. PMID 11085981. S2CID 84945988.
  • Yeo A, Samways DS, Fowler CE, Gunn-Moore F, Henderson G (Mar 2001). "Coincident signalling between the Gi/Go-coupled delta-opioid receptor and the Gq-coupled m3 muscarinic receptor at the level of intracellular free calcium in SH-SY5Y cells". Journal of Neurochemistry. 76 (6): 1688–700. doi:10.1046/j.1471-4159.2001.00185.x. PMID 11259487. S2CID 2755275.

External links edit

  • "Opioid Receptors: δ". IUPHAR Database of Receptors and Ion Channels. International Union of Basic and Clinical Pharmacology.
  • delta+Opioid+Receptor at the U.S. National Library of Medicine Medical Subject Headings (MeSH)

opioid, receptor, also, known, delta, opioid, receptor, simply, delta, receptor, abbreviated, inhibitory, transmembrane, protein, coupled, receptor, coupled, protein, enkephalins, endogenous, ligands, regions, brain, where, largely, expressed, vary, from, spec. The d opioid receptor also known as delta opioid receptor or simply delta receptor abbreviated DOR or DOP is an inhibitory 7 transmembrane G protein coupled receptor coupled to the G protein Gi G0 and has enkephalins as its endogenous ligands 5 The regions of the brain where the d opioid receptor is largely expressed vary from species model to species model In humans the d opioid receptor is most heavily expressed in the basal ganglia and neocortical regions of the brain 6 OPRD1Available structuresPDBOrtholog search PDBe RCSBList of PDB id codes4N6H 4RWA 4RWDIdentifiersAliasesOPRD1 OPRD D opioid receptor opioid receptor delta 1 DOP DOR1 DORExternal IDsOMIM 165195 MGI 97438 HomoloGene 20252 GeneCards OPRD1Gene location Human Chr Chromosome 1 human 1 Band1p35 3Start28 812 170 bp 1 End28 871 267 bp 1 Gene location Mouse Chr Chromosome 4 mouse 2 Band4 D2 3 4 64 78 cMStart131 838 037 bp 2 End131 871 797 bp 2 RNA expression patternBgeeHumanMouse ortholog Top expressed inendothelial cellislet of Langerhansprefrontal cortexmiddle temporal gyrussuperior frontal gyrusBrodmann area 23dorsolateral prefrontal cortexBrodmann area 9postcentral gyruscingulate gyrusTop expressed inpituitary stalksecondary oocytesuperior frontal gyrusouter nuclear layerinner nuclear layercerebellar cortexglobus pallidustrigeminal ganglionrespiratory epitheliumnoseMore reference expression dataBioGPSMore reference expression dataGene ontologyMolecular functionG protein coupled enkephalin receptor activity G protein coupled receptor activity neuropeptide binding signal transducer activity G protein coupled opioid receptor activity protein binding receptor serine threonine kinase binding peptide bindingCellular componentcytoplasm axon terminus integral component of membrane vesicle postsynaptic membrane membrane intrinsic component of plasma membrane plasma membrane integral component of plasma membrane dendrite membrane membrane raft neuron projection integral component of synaptic vesicle membrane spine apparatus neuronal dense core vesicle integral component of presynaptic membrane integral component of postsynaptic density membraneBiological processregulation of calcium ion transport adenylate cyclase inhibiting G protein coupled receptor signaling pathway regulation of sensory perception of pain eating behavior adult locomotory behavior negative regulation of protein oligomerization cellular response to growth factor stimulus G protein coupled receptor signaling pathway coupled to cyclic nucleotide second messenger cellular response to toxic substance negative regulation of gene expression positive regulation of peptidyl serine phosphorylation regulation of mitochondrial membrane potential phospholipase C activating G protein coupled receptor signaling pathway positive regulation of CREB transcription factor activity G protein coupled opioid receptor signaling pathway immune response neuropeptide signaling pathway cellular response to hypoxia signal transduction chemical synaptic transmission sensory perception of pain G protein coupled receptor signaling pathway cytokine mediated signaling pathwaySources Amigo QuickGOOrthologsSpeciesHumanMouseEntrez498518386EnsemblENSG00000116329ENSMUSG00000050511UniProtP41143P32300RefSeq mRNA NM 000911NM 013622RefSeq protein NP 000902NP 038650Location UCSC Chr 1 28 81 28 87 MbChr 4 131 84 131 87 MbPubMed search 3 4 WikidataView Edit HumanView Edit Mouse Contents 1 Function 2 Ligands 2 1 Agonists 2 2 Antagonists 3 Interactions 4 See also 5 References 6 Further reading 7 External linksFunction editThe endogenous system of opioid receptors is well known for its analgesic potential however the exact role of d opioid receptor activation in pain modulation is largely up for debate This also depends on the model at hand since receptor activity is known to change from species to species Activation of delta receptors produces analgesia perhaps as significant potentiators of m opioid receptor agonists However it seems like delta agonism provides heavy potentiation to any mu agonism Therefore even selective mu agonists can cause analgesia under the right conditions whereas under others can cause none whatsoever 7 8 It is also suggested however that the pain modulated by the m opioid receptor and that modulated by the d opioid receptor are distinct types with the assertion that DOR modulates the nociception of chronic pain while MOR modulates acute pain 9 Evidence for whether delta agonists produce respiratory depression is mixed high doses of the delta agonist peptide DPDPE produced respiratory depression in sheep 10 but in tests on mice the non peptide delta agonist SNC 80 produced respiratory depression only at the very high dose of 40 mg kg 11 In contrast both the peptide delta agonist Deltorphin II and the non peptide delta agonist BW373U86 actually stimulated respiratory function and blocked the respiratory depressant effect of the potent m opioid agonist alfentanil without affecting pain relief 12 It thus seems likely that while d opioid agonists can produce respiratory depression at very high doses at lower doses they have the opposite effect a fact that may make mixed mu delta agonists such as DPI 3290 potentially very useful drugs that might be much safer than the m agonists currently used for pain relief Many delta agonists may also cause seizures at high doses although not all delta agonists produce this effect 13 Of additional interest is the potential for delta agonists to be developed for use as a novel class of antidepressant drugs following robust evidence of both antidepressant effects 14 and also upregulation of BDNF production in the brain in animal models of depression 15 These antidepressant effects have been linked to endogenous opioid peptides acting at d and m opioid receptors 16 and so can also be produced by enkephalinase inhibitors such as RB 101 17 However in human models the data for antidepressant effects remains inconclusive In the 2008 Phase 2 clinical trial by Astra Zeneca NCT00759395 15 patients were treated with the selective delta agonist AZD 2327 The results showed no significant effect on mood suggesting that d opioid receptor modulation might not participate in the regulation of mood in humans However doses were administered at low doses and the pharmacological data also remains inconclusive 18 19 Further trials are required Another interesting aspect of d opioid receptor function is the suggestion of m d opioid receptor interactions At the extremes of this suggestion lies the possibility of a m d opioid receptor oligomer The evidence for this stems from the different binding profiles of typical mu and delta agonists such as morphine and DAMGO respectively in cells that coexpress both receptors compared to those in cells that express them individually In addition work by Fan and coworkers shows the restoration of the binding profiles when distal carboxyl termini are truncated at either receptor suggesting that the termini play a role in the oligomerization 20 While this is exciting rebuttal by the Javitch and coworkers suggest the idea of oligomerization may be overplayed Relying on RET Javitch and coworkers showed that RET signals were more characteristic of random proximity between receptors rather than an actual bond formation between receptors suggesting that discrepancies in binding profiles may be the result of downstream interactions rather than novel effects due to oligomerization 21 Nevertheless coexpression of receptors remains unique and potentially useful in the treatment of mood disorders and pain Recent work indicates that exogenous ligands that activate the delta receptors mimic the phenomenon known as ischemic preconditioning 22 Experimentally if short periods of transient ischemia are induced the downstream tissues are robustly protected if longer duration interruption of the blood supply is then affected Opiates and opioids with DOR activity mimic this effect In the rat model introduction of DOR ligands results in significant cardioprotection 23 Ligands editUntil comparatively recently there were few pharmacological tools for the study of d receptors As a consequence our understanding of their function is much more limited than those of the other opioid receptors for which selective ligands have long been available However there are now several selective d opioid receptor agonists available including peptides such as DPDPE and deltorphin II and non peptide drugs such as SNC 80 24 the more potent BW373U86 25 a newer drug DPI 287 which does not produce the problems with convulsions seen with the earlier agents 26 and the mixed m d agonist DPI 3290 which is a much more potent analgesic than the more highly selective d agonists 27 Selective antagonists for the d receptor are also available with the best known being the opiate derivative naltrindole 28 nbsp Agonists edit nbsp A showing of selective delta opioid ligands Blue represents a common phenolic moiety yellow a basic nitrogen and red a diethyl amide moiety which is not set in stone but rather a bulky region that fits into a hydrophobic pocket PeptidesLeu enkephalin Met enkephalin Deltorphins DADLE DPDPENon peptidesADL 5859 29 BU 48 BW373U86 DPI 221 DPI 287 DPI 3290 RWJ 394674 SNC 80 TAN 67 Amoxapine partial agonist 30 Cannabidiol allosteric modulator non selective 31 Desmethylclozapine Mitragynine Mitragynine pseudoindoxyl Norbuprenorphine peripherally restricted N Phenethyl 14 ethoxymetopon 7 Spiroindanyloxymorphone Tetrahydrocannabinol allosteric modulator non selective 31 XorphanolAntagonists edit Buprenorphine Naltriben Naltrindole Mitragynine 7 HydroxymitragynineInteractions editd opioid receptors have been shown to interact with b2 adrenergic receptors 32 arrestin b1 33 and GPRASP1 34 See also editk opioid receptor m opioid receptorReferences edit a b c GRCh38 Ensembl release 89 ENSG00000116329 Ensembl May 2017 a b c GRCm38 Ensembl release 89 ENSMUSG00000050511 Ensembl May 2017 Human PubMed Reference National Center for Biotechnology Information U S National Library of Medicine Mouse PubMed Reference National Center for Biotechnology Information U S National Library of Medicine Quock RM Burkey TH Varga E Hosohata Y Hosohata K Cowell SM Slate CA Ehlert FJ Roeske WR Yamamura HI Sep 1999 The delta opioid receptor molecular pharmacology signal transduction and the determination of drug efficacy Pharmacological Reviews 51 3 503 32 PMID 10471416 Peppin J F Raffa R B 2015 Delta Opioid Agonists A Concise Update on Potential Therapeutic Applications J Clin Pharm Ther 40 2 155 166 doi 10 1111 jcpt 12244 PMID 25726896 S2CID 25483387 Varga EV Navratilova E Stropova D Jambrosic J Roeske WR Yamamura HI Dec 2004 Agonist specific regulation of the delta opioid receptor Life Sciences 76 6 599 612 doi 10 1016 j lfs 2004 07 020 PMID 15567186 Alvimopan Berrocoso E Sanchez Blazquez P 2009 Opiates as Antidepressants Curr Pharm Des 15 14 1612 1622 doi 10 2174 138161209788168100 hdl 10261 62156 PMID 19442177 Clapp JF Kett A Olariu N Omoniyi AT Wu D Kim H Szeto HH Feb 1998 Cardiovascular and metabolic responses to two receptor selective opioid agonists in pregnant sheep American Journal of Obstetrics and Gynecology 178 2 397 401 doi 10 1016 S0002 9378 98 80032 X PMID 9500506 Gallantine EL Meert TF Jul 2005 A comparison of the antinociceptive and adverse effects of the mu opioid agonist morphine and the delta opioid agonist SNC80 Basic amp Clinical Pharmacology amp Toxicology 97 1 39 51 doi 10 1111 j 1742 7843 2005 pto 07 x PMID 15943758 Su YF McNutt RW Chang KJ Dec 1998 Delta opioid ligands reverse alfentanil induced respiratory depression but not antinociception The Journal of Pharmacology and Experimental Therapeutics 287 3 815 23 PMID 9864259 Jutkiewicz EM Baladi MG Folk JE Rice KC Woods JH Jun 2006 The convulsive and electroencephalographic changes produced by nonpeptidic delta opioid agonists in rats comparison with pentylenetetrazol The Journal of Pharmacology and Experimental Therapeutics 317 3 1337 48 doi 10 1124 jpet 105 095810 PMID 16537798 S2CID 21838231 Broom DC Jutkiewicz EM Rice KC Traynor JR Woods JH Sep 2002 Behavioral effects of delta opioid receptor agonists potential antidepressants Japanese Journal of Pharmacology 90 1 1 6 doi 10 1254 jjp 90 1 PMID 12396021 Torregrossa MM Jutkiewicz EM Mosberg HI Balboni G Watson SJ Woods JH Jan 2006 Peptidic delta opioid receptor agonists produce antidepressant like effects in the forced swim test and regulate BDNF mRNA expression in rats Brain Research 1069 1 172 81 doi 10 1016 j brainres 2005 11 005 PMC 1780167 PMID 16364263 Zhang H Torregrossa MM Jutkiewicz EM Shi YG Rice KC Woods JH Watson SJ Ko MC Feb 2006 Endogenous opioids upregulate brain derived neurotrophic factor mRNA through delta and micro opioid receptors independent of antidepressant like effects The European Journal of Neuroscience 23 4 984 94 doi 10 1111 j 1460 9568 2006 04621 x PMC 1462954 PMID 16519663 Jutkiewicz EM Torregrossa MM Sobczyk Kojiro K Mosberg HI Folk JE Rice KC Watson SJ Woods JH Feb 2006 Behavioral and neurobiological effects of the enkephalinase inhibitor RB101 relative to its antidepressant effects European Journal of Pharmacology 531 1 3 151 9 doi 10 1016 j ejphar 2005 12 002 PMC 1828120 PMID 16442521 Hudzik TJ Maciag C Smith MA Caccese R Pietras MR Bui KH Coupal M Adam L Payza K Griffin A Smagin G Song D Swedberg MD Brown W Jul 2011 Preclinical pharmacology of AZD2327 a highly selective agonist of the d opioid receptor The Journal of Pharmacology and Experimental Therapeutics 338 1 195 204 doi 10 1124 jpet 111 179432 PMID 21444630 S2CID 10313748 Study of Antidepressant Efficacy of a Selective High Affinity Enkephalinergic Agonist in Anxious Major Depressive Disorder AMDD Full Text View ClinicalTrials gov clinicaltrials gov 10 October 2012 Retrieved 2015 12 11 Fan T Varghese G Nguyen T Tse R O Dowd BF George SR Nov 2005 A role for the distal carboxyl tails in generating the novel pharmacology and G protein activation profile of mu and delta opioid receptor hetero oligomers PDF The Journal of Biological Chemistry 280 46 38478 88 doi 10 1074 jbc M505644200 PMID 16159882 S2CID 32785318 Lambert Nevin A Javitch Jonathan A 2014 Rebuttal from Nevin A Lambert and Jonathan A Javitch The Journal of Physiology 592 12 2449 doi 10 1113 jphysiol 2014 274241 PMC 4080929 PMID 24931947 Zhang J Qian H Zhao P Hong SS Xia Y Apr 2006 Rapid hypoxia preconditioning protects cortical neurons from glutamate toxicity through delta opioid receptor Stroke A Journal of Cerebral Circulation 37 4 1094 9 doi 10 1161 01 STR 0000206444 29930 18 PMID 16514101 S2CID 21120257 Guo L Zhang L Zhang DC Oct 2005 Mechanisms of delta opioids cardioprotective effects in ischemia and its potential clinical applications Sheng Li Ke Xue Jin Zhan Progress in Physiology in Chinese 36 4 333 6 PMID 16408774 Calderon SN Rothman RB Porreca F Flippen Anderson JL McNutt RW Xu H Smith LE Bilsky EJ Davis P Rice KC Jul 1994 Probes for narcotic receptor mediated phenomena 19 Synthesis of 4 alpha R alpha 2S 5R 4 allyl 2 5 dimethyl 1 piperazinyl 3 methoxybenzyl N N diethylbenzamide SNC 80 a highly selective nonpeptide delta opioid receptor agonist Journal of Medicinal Chemistry 37 14 2125 8 doi 10 1021 jm00040a002 PMID 8035418 Calderon SN Rice KC Rothman RB Porreca F Flippen Anderson JL Kayakiri H Xu H Becketts K Smith LE Bilsky EJ Davis P Horvath R Feb 1997 Probes for narcotic receptor mediated phenomena 23 Synthesis opioid receptor binding and bioassay of the highly selective delta agonist 4 alpha R alpha 2S 5R 4 Allyl 2 5 dimethyl 1 piperazinyl 3 methoxybenzyl N N diethylbenzamide SNC 80 and related novel nonpeptide delta opioid receptor ligands Journal of Medicinal Chemistry 40 5 695 704 doi 10 1021 jm960319n PMID 9057856 Jutkiewicz EM Jun 2006 The antidepressant like effects of delta opioid receptor agonists Molecular Interventions 6 3 162 9 doi 10 1124 mi 6 3 7 PMID 16809477 Ananthan S 2006 Opioid ligands with mixed mu delta opioid receptor interactions an emerging approach to novel analgesics The AAPS Journal 8 1 E118 25 doi 10 1208 aapsj080114 PMC 2751430 PMID 16584118 Portoghese PS Sultana M Takemori AE Jan 1988 Naltrindole a highly selective and potent non peptide delta opioid receptor antagonist European Journal of Pharmacology 146 1 185 6 doi 10 1016 0014 2999 88 90502 X PMID 2832195 Le Bourdonnec B Windh RT Ajello CW Leister LK Gu M Chu GH Tuthill PA Barker WM Koblish M Wiant DD Graczyk TM Belanger S Cassel JA Feschenko MS Brogdon BL Smith SA Christ DD Derelanko MJ Kutz S Little PJ DeHaven RN DeHaven Hudkins DL Dolle RE Oct 2008 Potent orally bioavailable delta opioid receptor agonists for the treatment of pain discovery of N N diethyl 4 5 hydroxyspiro chromene 2 4 piperidine 4 yl benzamide ADL5859 Journal of Medicinal Chemistry 51 19 5893 6 doi 10 1021 jm8008986 PMID 18788723 Onali Pierluigi Dedoni Simona Olianas Maria C 2010 01 01 Direct Agonist Activity of Tricyclic Antidepressants at Distinct Opioid Receptor Subtypes Journal of Pharmacology and Experimental Therapeutics 332 1 255 265 doi 10 1124 jpet 109 159939 PMID 19828880 S2CID 18893305 a b Kathmann M Flau K Redmer A Trankle C Schlicker E Feb 2006 Cannabidiol is an allosteric modulator at mu and delta opioid receptors Naunyn Schmiedeberg s Archives of Pharmacology 372 5 354 61 doi 10 1007 s00210 006 0033 x PMID 16489449 S2CID 4877869 McVey M Ramsay D Kellett E Rees S Wilson S Pope AJ Milligan G Apr 2001 Monitoring receptor oligomerization using time resolved fluorescence resonance energy transfer and bioluminescence resonance energy transfer The human delta opioid receptor displays constitutive oligomerization at the cell surface which is not regulated by receptor occupancy The Journal of Biological Chemistry 276 17 14092 9 doi 10 1074 jbc M008902200 PMID 11278447 S2CID 25191463 Cen B Yu Q Guo J Wu Y Ling K Cheng Z Ma L Pei G Mar 2001 Direct binding of beta arrestins to two distinct intracellular domains of the delta opioid receptor Journal of Neurochemistry 76 6 1887 94 doi 10 1046 j 1471 4159 2001 00204 x PMID 11259507 S2CID 83485138 Whistler JL Enquist J Marley A Fong J Gladher F Tsuruda P Murray SR Von Zastrow M Jul 2002 Modulation of postendocytic sorting of G protein coupled receptors Science 297 5581 615 20 doi 10 1126 science 1073308 PMID 12142540 S2CID 1219372 Further reading editNarita M Funada M Suzuki T Jan 2001 Regulations of opioid dependence by opioid receptor types Pharmacology amp Therapeutics 89 1 1 15 doi 10 1016 S0163 7258 00 00099 1 PMID 11316510 Evans CJ Keith DE Morrison H Magendzo K Edwards RH Dec 1992 Cloning of a delta opioid receptor by functional expression Science 258 5090 1952 5 Bibcode 1992Sci 258 1952E doi 10 1126 science 1335167 PMID 1335167 Offermanns S Schultz G Rosenthal W Feb 1991 Evidence for opioid receptor mediated activation of the G proteins Go and Gi2 in membranes of neuroblastoma x glioma NG108 15 hybrid cells The Journal of Biological Chemistry 266 6 3365 8 doi 10 1016 S0021 9258 19 67799 9 PMID 1671672 Simonin F Befort K Gaveriaux Ruff C Matthes H Nappey V Lannes B Micheletti G Kieffer B Dec 1994 The human delta opioid receptor genomic organization cDNA cloning functional expression and distribution in human brain Molecular Pharmacology 46 6 1015 21 PMID 7808419 Befort K Mattei MG Roeckel N Kieffer B Mar 1994 Chromosomal localization of the delta opioid receptor gene to human 1p34 3 p36 1 and mouse 4D bands by in situ hybridization Genomics 20 1 143 5 doi 10 1006 geno 1994 1146 PMID 8020949 Knapp RJ Malatynska E Fang L Li X Babin E Nguyen M Santoro G Varga EV Hruby VJ Roeske WR 1994 Identification of a human delta opioid receptor cloning and expression Life Sciences 54 25 PL463 9 doi 10 1016 0024 3205 94 90138 4 PMID 8201839 Georgoussi Z Carr C Milligan G Jul 1993 Direct measurements of in situ interactions of rat brain opioid receptors with the guanine nucleotide binding protein Go Molecular Pharmacology 44 1 62 9 PMID 8393523 Bzdega T Chin H Kim H Jung HH Kozak CA Klee WA Oct 1993 Regional expression and chromosomal localization of the delta opiate receptor gene Proceedings of the National Academy of Sciences of the United States of America 90 20 9305 9 Bibcode 1993PNAS 90 9305B doi 10 1073 pnas 90 20 9305 PMC 47556 PMID 8415697 Ho MK Wong YH Jun 1997 Functional role of amino terminal serine16 and serine27 of G alphaZ in receptor and effector coupling Journal of Neurochemistry 68 6 2514 22 doi 10 1046 j 1471 4159 1997 68062514 x PMID 9166747 S2CID 24703413 Hedin KE Bell MP Kalli KR Huntoon CJ Sharp BM McKean DJ Dec 1997 Delta opioid receptors expressed by Jurkat T cells enhance IL 2 secretion by increasing AP 1 complexes and activity of the NF AT AP 1 binding promoter element Journal of Immunology 159 11 5431 40 PMID 9548483 Jordan BA Devi LA Jun 1999 G protein coupled receptor heterodimerization modulates receptor function Nature 399 6737 697 700 Bibcode 1999Natur 399 697J doi 10 1038 21441 PMC 3125690 PMID 10385123 Petaja Repo UE Hogue M Laperriere A Walker P Bouvier M May 2000 Export from the endoplasmic reticulum represents the limiting step in the maturation and cell surface expression of the human delta opioid receptor The Journal of Biological Chemistry 275 18 13727 36 doi 10 1074 jbc 275 18 13727 PMID 10788493 S2CID 8293320 Gelernter J Kranzler HR Jul 2000 Variant detection at the delta opioid receptor OPRD1 locus and population genetics of a novel variant affecting protein sequence Human Genetics 107 1 86 8 doi 10 1007 s004390050016 PMID 10982041 Guo J Wu Y Zhang W Zhao J Devi LA Pei G Ma L Nov 2000 Identification of G protein coupled receptor kinase 2 phosphorylation sites responsible for agonist stimulated delta opioid receptor phosphorylation Molecular Pharmacology 58 5 1050 6 doi 10 1124 mol 58 5 1050 PMID 11040053 Gomes I Jordan BA Gupta A Trapaidze N Nagy V Devi LA Nov 2000 Heterodimerization of mu and delta opioid receptors A role in opiate synergy The Journal of Neuroscience 20 22 RC110 doi 10 1523 JNEUROSCI 20 22 j0007 2000 PMC 3125672 PMID 11069979 Xu W Chen C Huang P Li J de Riel JK Javitch JA Liu Chen LY Nov 2000 The conserved cysteine 7 38 residue is differentially accessible in the binding site crevices of the mu delta and kappa opioid receptors Biochemistry 39 45 13904 15 doi 10 1021 bi001099p PMID 11076532 Hartley JL Temple GF Brasch MA Nov 2000 DNA cloning using in vitro site specific recombination Genome Research 10 11 1788 95 doi 10 1101 gr 143000 PMC 310948 PMID 11076863 Saeed RW Stefano GB Murga JD Short TW Qi F Bilfinger TV Magazine HI Dec 2000 Expression of functional delta opioid receptors in vascular smooth muscle International Journal of Molecular Medicine 6 6 673 7 doi 10 3892 ijmm 6 6 673 PMID 11078827 Xiang B Yu GH Guo J Chen L Hu W Pei G Ma L Feb 2001 Heterologous activation of protein kinase C stimulates phosphorylation of delta opioid receptor at serine 344 resulting in beta arrestin and clathrin mediated receptor internalization The Journal of Biological Chemistry 276 7 4709 16 doi 10 1074 jbc M006187200 PMID 11085981 S2CID 84945988 Yeo A Samways DS Fowler CE Gunn Moore F Henderson G Mar 2001 Coincident signalling between the Gi Go coupled delta opioid receptor and the Gq coupled m3 muscarinic receptor at the level of intracellular free calcium in SH SY5Y cells Journal of Neurochemistry 76 6 1688 700 doi 10 1046 j 1471 4159 2001 00185 x PMID 11259487 S2CID 2755275 External links edit Opioid Receptors d IUPHAR Database of Receptors and Ion Channels International Union of Basic and Clinical Pharmacology delta Opioid Receptor at the U S National Library of Medicine Medical Subject Headings MeSH Retrieved from https en wikipedia org w index php title D opioid receptor amp oldid 1185531998, wikipedia, wiki, book, books, library,

article

, read, download, free, free download, mp3, video, mp4, 3gp, jpg, jpeg, gif, png, picture, music, song, movie, book, game, games.