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Depression is a widespread disorder with a significant burden on individuals and society. There are various available treatments for patients with depression. However, not all patients respond adequately to their treatment. Recently, the opioid system has regained interest in depression studies. Research in animals and humans suggest that blocking the kappa opioid receptor (KOR) may potentially alleviate the symptoms of depression. The mechanism behind this effect is not fully understood. Stress and alterations in hypothalamic-pituitary-adrenal axis (HPA-axis) activity are thought to play a crucial role in depression. This study aimed to characterize stress hormones and stress-related protein expression following activation of KOR using a selective agonist. The longitudinal effect was investigated 24 h after KOR activation using the selective agonist U50,488 in Sprague Dawley rats. Stress-related hormones and protein expression patterns were explored using multiplex bead-based assays and western blotting. We found that KOR activation caused an increase in both adrenocorticotropic hormone (ACTH) and corticosterone (CORT) in serum. Regarding protein assays in different brain regions, phosphorylated glucocorticoid receptors also increased significantly in thalamus (THL), hypothalamus (HTH), and striatum (STR). C-Fos increased time-dependently in THL following KOR activation, extracellular signal-regulated kinases 1/2 (ERK1/2) increased significantly in STR and amygdala (AMG), while phosphorylated ERK1/2 decreased during the first 2 h and then increased again in AMG and prefrontal cortex (PFC). This study shows that KOR activation alters the HPA axis and ERK signaling which may cause to develop mood disorders.
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http://dx.doi.org/10.1016/j.euroneuro.2023.03.010 | DOI Listing |
Bioorg Med Chem
August 2025
Department of Medicinal Chemistry, School of Pharmacy, Fudan University, No. 826 Zhangheng Road, Shanghai 201203, China. Electronic address:
The delta opioid receptor (DOR) is a promising target for developing analgesics with fewer side effects compared to mu opioid receptor (MOR) agonists. However, non-peptidyl DOR-selective agonists remain limited. Using the "message-address" concept in opioid ligand design, we designed and synthesized a series of para-substituted N-cyclopropylmethyl-7α-phenyl-6,14-endoetheno-tetrahydronorthebaines to explore their binding affinity and selectivity for DOR over MOR and kappa opioid receptor (KOR).
View Article and Find Full Text PDFCureus
July 2025
Family Medicine, Dr. Na Family Medicine Clinic, Seoul, KOR.
Introduction: Pneumonia is a major cause of mortality, and its association with diabetes mellitus (DM) remains underexplored. Understanding this relationship is essential to identifying high-risk populations and developing targeted public health interventions.
Aim: To analyze mortality trends and demographic disparities in pneumonia with DM as a contributing cause using the Centers for Disease Control (CDC) Multiple Causes of Death (MCD) database from 1999 to 2020.
Cureus
August 2025
Physical Medicine and Rehabilitation, Brian D. Allgood Army Community Hospital, Pyeongtaek, KOR.
A primary goal of rehabilitative care for individuals with lower limb amputation (LLA) is to restore safe, effective gait. Traditional gait analysis, both observational and quantitative, assesses gait deviations in individuals with LLA to inform clinical management. Observational gait analysis performed in clinical settings can be highly subjective, whereas quantitative gait analysis is often costly, time-consuming, and therefore impractical to perform in point-of-care clinical settings.
View Article and Find Full Text PDFCureus
August 2025
Bioresource Engineering, Sejong University, Seoul, KOR.
Background Type 2 diabetes (T2D) is a complex metabolic disorder characterized by impaired glucose regulation and insulin resistance and frequently accompanied by obesity and dyslipidemia. The search for novel therapeutic agents to manage these metabolic parameters remains ongoing. Pepper fruit (cv.
View Article and Find Full Text PDFACS Cent Sci
August 2025
Department of Chemistry, Scripps Research, La Jolla, California 92037, United States.
We report a bidirectional diversification and optimization campaign of the newly identified - and -opioid receptor antagonist GB18, a naturally occurring alkaloid. First, we find that replacement of the GB18 piperidine with pyridine alters the pharmacology from antagonism to partial agonism, with reduced potency but markedly higher receptor selectivity for over . Second, we optimize this hit via development of a mutually chemoselective cross-coupling of an alkyl iodide/vinyl triflate pair that leads to a series of low- and sub-nanomolar KOR-selective full agonists, some of which demonstrate bias for G protein activation over β-arrestin2 recruitment.
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