Frontiers in Pain Research,
Journal Year:
2024,
Volume and Issue:
5
Published: Sept. 24, 2024
Purpose
Despite
their
dangerous
side
effects,
opioid
drugs
remain
a
standard
of
care
for
moderate
to
severe
pain
with
few
alternatives.
Strategies
maintain
the
analgesic
effects
opioids
while
minimizing
associated
risks
are
needed.
Pre-clinical
studies
have
shown
using
dopamine
3
receptor
(D3R)
agonist
as
an
adjuvant
morphine
provides
superior
analgesia
against
painful
stimuli
compared
alone.
Our
objective
was
test
if
adjunct
treatment
D3R
can
lead
reduction
in
use
maintaining
effective
analgesia.
Patients
and
methods
This
study
set
up
double-blinded,
placebo-controlled
randomized
trial.
Enrollment
included
acute
renal
colic
patients
presenting
emergency
department,
from
which
were
either
“control”
or
“study
arm”.
The
control
group
received
(morphine,
0.1
mg/kg;
i.v.)
oral
placebo
pill.
experimental
half-dosed
pramipexole
pill
(0.25
mg).
Pain
measurements
including
numerical
scale
visual
analog
collected
enrollees
at
baseline
every
subsequent
15
min.
Results
A
total
19
completed
study,
10
arm
9
arm.
During
period,
(50%
decrease
baseline)
achieved
80%
vs.
33.3%
Conclusion
pilot
clinical
trial
demonstrated
that
recruitment
serve
low-dose
potentially
other
conditions.
Clinical
Trial
Registration
ClinicalTrials.gov
,
identifier,
(NCT04160520).
Journal of Chemical Information and Modeling,
Journal Year:
2025,
Volume and Issue:
unknown
Published: May 29, 2025
Dysfunctions
of
the
dopamine
D2
and
D3
receptors
(D2
D3)
are
implicated
in
neuropsychiatric
conditions
such
as
Parkinson's
disease,
schizophrenia,
substance
use
disorders
(SUDs).
Evidence
indicates
that
D3-selective
ligands
can
effectively
modulate
reward
pathways,
offering
potential
treating
SUDs
with
reduced
side
effects.
However,
high
homology
between
presents
challenges
developing
subtype-selective
ligands,
crucial
for
elucidating
receptor-specific
functions
targeted
therapeutics.
Here,
to
facilitate
selective
ligand
discovery,
we
leveraged
ligand-based
quantitative
structure-activity
relationship
(QSAR)
modeling
approaches
predict
binding
affinity
at
D3,
well
selectivity
D3.
We
first
queried
training
data
from
ChEMBL
database
performed
a
systematic
curation
process
enhance
quality.
then
developed
QSAR
models
using
eXtreme
Gradient
Boosting,
random
forest,
deep
neural
network
(DNN)
algorithms,
DNN
benefiting
novel
hyperparameter
optimization
protocol.
All
exhibited
strong
predictive
performance,
DNN-based
slightly
but
consistently
outperforming
tree-based
models.
Integrating
predictions
all
algorithms
into
consensus
metric
further
improved
accuracy
robustness.
Notably,
our
outperformed
models,
likely
due
noise
cancellation
achieved
by
subtracting
affinities
two
receptors.
The
Shapley
Additive
explanations
analysis
revealed
key
pharmacophoric
physicochemical
features
critical
receptor
selectivity,
while
molecular
docking
representative
compounds
highlighted
structural
basis
selectivity.
These
findings
provide
robust
framework
QSARs
advancing
rational
design
therapeutics
these
ACS Pharmacology & Translational Science,
Journal Year:
2024,
Volume and Issue:
7(8), P. 2333 - 2349
Published: July 26, 2024
Bitopic
ligands
bind
both
orthosteric
and
allosteric
or
secondary
binding
sites
within
the
same
receptor,
often
resulting
in
an
improvement
of
receptor
selectivity,
potency,
efficacy.
In
particular,
for
agonists
antagonists
dopamine
D2
D3
receptors
(D2R
D3R),
primary
therapeutic
targets
several
neurological
neuropsychiatric
disorders,
bitopic
ligand
design
has
proved
advantageous
achieving
better
pharmacological
profiles
vitro.
Although
two
pharmacophores
a
are
typically
considered
main
drivers
conformational
change
role
linker
that
connects
not
yet
been
systematically
studied
its
relevance
activity
profiles.
Here,
we
present
comprehensive
analysis
sumanirole
PF592,379-based
indole-containing
compounds
agonist
at
D2R
D3R,
with
focus
on
chemical
space
stereochemistry
through
testing
six
distinct
chirally
resolved
linkers
simple
aliphatic
linker.
The
structure
relationships
(SARs)
these
examined
extensively,
beyond
conventional
level,
by
characterizing
activation
all
putative
transducers
over
44
min
time
course.
Our
multiparametric
reveals
previously
unappreciated
specific
linker-dependent
effects
pharmacophores,
receptors,
transducer
kinetics,
bias,
highlighting
utility
this
approach
significance
type
shaping
bias
Frontiers in Psychiatry,
Journal Year:
2023,
Volume and Issue:
14
Published: Dec. 4, 2023
Partial
dopamine
D2
receptor
agonists
are
used
for
psychotic
symptoms
in
adults
with
schizophrenia
spectrum
disorders.
Recently,
interest
surged
partial
substance
use
disorders
(SUDs).
Since
it
is
believed
that
SUDs
decrease
the
efficacy
of
pharmacotherapy
underlying
psychiatric
disorders,
we
tested
agonist
brexpiprazole
patients
who
were
either
comorbid
a
SUD
(SUD
group)
or
not
(non-SUD)
to
assess
treatment
response
and
effect
on
craving
SUD.We
included
DSM-5/DSM-5-TR
(using
SCID-5-CV)
aged
18-66
years
non-SUD
treat
4
mg/day
6
months
during
February-October
2022.
Patients
assessed
Clinical
Global
Impressions-Severity
(CGI-S)
scale,
24-item
Brief
Psychiatric
Rating
Scale
(BPRS),
Positive
And
Negative
Syndrome
(PANSS)
at
baseline,
weekly
first
2
monthly
next
four.
Furthermore,
visual
analog
scale
(VAScrav)
same
timepoints.The
total
sample
was
86
(85
analysable)
18-
64-year-old
(mean
39.32
±
14.09)
[51
men
(59.3%)
35
women
(40.7%)],
whom
48
(55.8%)
(37
11
women)
38
(44.2%)
(14
24
women).
No
serious
persistent
adverse
events
developed
over
study
period,
but
one
patient
dropped
out
subjective
akathisia.
Results
indicated
main
effects
time
improvements
course
CGI-S,
BPRS,
PANSS
both
groups
entire
sample,
VAScrav
SUD.
Brexpiprazole
associated
similar
significant
month
endpoint
compared
baseline.Treatment
improved
schizophrenia,
independently
from
whether
they
belonged
group;
hence,
comorbidity
did
confer
resistance
brexpiprazole.
group,
observed
reduced
craving.
Molecules,
Journal Year:
2022,
Volume and Issue:
28(1), P. 178 - 178
Published: Dec. 25, 2022
Allosteric
modulation
of
G
protein-coupled
receptors
(GPCRs)
is
nowadays
a
hot
topic
in
medicinal
chemistry.
modulators,
i.e.,
compounds
which
bind
receptor
site
topologically
distinct
from
orthosteric
sites,
exhibit
number
advantages.
They
are
more
selective,
safer
and
display
ceiling
effect
prevents
overdosing.
modulators
dopamine
D2
potential
drugs
against
psychiatric
neurological
diseases,
such
as
schizophrenia
Parkinson’s
disease.
In
this
review,
an
insightful
summary
current
research
on
presented,
ranging
their
pharmacology
structural
aspects
ligand-receptor
interactions
to
synthesis.
Journal of Medicinal Chemistry,
Journal Year:
2023,
Volume and Issue:
66(3), P. 1809 - 1834
Published: Jan. 20, 2023
Highly
selective
dopamine
D3
receptor
(D3R)
partial
agonists/antagonists
have
been
developed
for
the
treatment
of
psychostimulant
use
disorders
(PSUD).
However,
none
reached
clinic
due
to
insufficient
potency/efficacy
or
potential
cardiotoxicity.
Cariprazine,
an
FDA-approved
drug
schizophrenia
and
bipolar
disorder,
is
a
high-affinity
D3R
agonist
(Ki
=
0.22
nM)
with
3.6-fold
selectivity
over
homologous
D2
(D2R).
We
hypothesized
that
compounds
are
moderately
D3R/D2R-selective
may
be
effective
PSUD.
By
systematically
modifying
parent
molecule,
we
discovered
agonists/antagonists,
as
measured
in
bioluminescence
resonance
energy
transfer
(BRET)-based
assays,
high
affinities
0.14–50
moderate
(<100-fold)
D2R.
Cariprazine
two
lead
analogues,
13a
13e,
decreased
cocaine
self-administration
(FR2;
1–10
mg/kg,
i.p.)
rats,
suggesting
modest
D3R/D2R
treating
PSUD
potentially
comorbidities
other
affective
disorders.
Diabetes,
Journal Year:
2024,
Volume and Issue:
73(9), P. 1411 - 1425
Published: June 13, 2024
Dopamine
(DA)
D2-like
receptors
in
both
the
central
nervous
system
(CNS)
and
periphery
are
key
modulators
of
metabolism.
Moreover,
disruption
receptor
signaling
is
implicated
dysglycemia.
Yet,
respective
metabolic
contributions
CNS
versus
peripheral
receptors,
including
D2
(D2R)
D3
(D3R)
remain
poorly
understood.
To
address
this,
we
developed
new
pharmacological
tools,
agonists
with
diminished
delayed
blood-brain
barrier
capability,
to
selectively
manipulate
D2R/D3R
periphery.
We
designated
bromocriptine
methiodide
(BrMeI),
a
quaternary
analog
agonist
diabetes
drug
bromocriptine,
as
our
lead
compound
based
on
preservation
binding
functional
efficacy.
then
used
BrMeI
unmodified
dissect
relative
treating
Systemic
administration
unrestricted
access
targets,
significantly
improved
insulin
sensitivity
glucose
tolerance
obese,
dysglycemic
mice
vivo.
In
contrast,
improvements
were
attenuated
when
was
restricted
either
through
intracerebroventricular
or
via
BrMeI.
Our
findings
demonstrate
that
coordinated
actions
required
for
correcting
Ultimately,
development
first-generation
drugs
designed
target
provides
blueprint
dissecting
mechanisms
DA
paves
way
novel
strategies
treat
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Sept. 5, 2023
Abstract
Chronic
psychostimulant
use
can
cause
long
lasting
changes
to
neural
and
cognitive
function
that
persist
even
after
periods
of
abstinence.
As
cocaine
users
transition
from
drug
abstinence,
a
parallel
hyperactivity
hypoactivity
has
been
found
in
orbitofrontal-striatal
glucose
metabolism,
striatal
D2/D3
receptor
activity.
Targeting
these
pharmacologically,
using
highly
selective
dopamine
D3
(D
3
R)
antagonists
partial
agonists,
shown
significant
promise
reducing
drug-taking,
attenuating
relapse
animal
models
opioid
disorder.
However,
much
less
attention
focused
on
treating
inflexible
potentially
maladaptive
non-drug
behaviors
following
chronic
use.
Here
we
tested
the
D
R
antagonist
VK4-116
as
treatment
for
long-term
behavioral
inflexibility
abstinent
male
female
rats
with
prior
history
Rats
were
first
trained
self-administer
(0.75
mg/kg/reinforcer)
or
sucrose
liquid
(10%,
.04
mL/reinforcer)
2
weeks
(FR1
schedule,
max
60
reinforcers
hrs/
day),
followed
by
4
Cognitive
flexibilities
then
assessed
sensory
preconditioning
(SPC)
learning
paradigm.
given
an
(15
mg/kg,
i.p.)
vehicle
30
mins
each
SPC
training
session,
thus
creating
four
drug-treatment
groups:
sucrose-vehicle,
sucrose-VK4-116,
cocaine-vehicle,
cocaine-VK4-116.
The
control
groups
(sucrose-vehicle,
sucrose-VK4-116)
demonstrated
evidence
flexible
behavior,
whereas
(cocaine-vehicle)
disrupted
behavior.
Remarkably,
mitigated
this
deficit
cocaine-VK4-116
group,
demonstrating
levels
comparable
groups.
These
preclinical
findings
demonstrate
antagonists,
particularly
VK4-116,
show
pharmacological
negative
consequences