Opiate antagonists pharmacology

Opiates iateract with three principal classes of opioid GPCRs )J.-selective for the endorphiQS,5-selective for enkephalins, and K-selective for dynorphias (51). AU. three receptors have been cloned. Each inhibits adenylate cyclase, can activate potassium channels, and inhibit A/-type calcium channels. The classical opiates, morphine and its antagonists naloxone (144) and naltrexone (145), have moderate selectivity for the. -receptor. Pharmacological evidence suggests that there are two subtypes of the. -receptor and three subtypes each of the 5- and K-receptor. An s-opiate receptor may also exist. 

The pharmacological and/or adverse effects of a drug can be reversed by co-administration of drugs which compete for the same receptor. For example, an opioid receptor antagonist naloxone is used to reverse the effects of opiates. Drugs acting at the same site with opposite effects also can affect each other, e.g. the reduction in the anticoagulant effect of warfarin by vitamin K. 

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The pharmacological properties of the cloned opiate receptors are similar to the characteristics of the endogenously expressed receptors [9, 36, 45]. The binding of opiates to the cloned receptors is stereoselective and the antagonist naloxone interacts with all three of the cloned receptors, although naloxone had much lower af-... 

Profound effects on pharmacological activity are exerted when the N-substituent is varied (p 117) These changes in opioid responses parallel those seen in other rigid opiates Groups such as N-allyl, N-CPM, and N-CBM tend to endow the molecule with antagonist properties, whereas N-Me and N-phenethyl are endowed with agonist properties... 

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