Stereoselective Interaction of Ketamine with Recombinant [micro sign], [small kappa, Greek], and [small delta, Greek] Opioid Receptors Expressed in Chinese Hamster Ovary Cells
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Background: The authors examined the interaction of ketamine with recombinant mu, kappa, and delta opioid receptors and recombinant orphan opioid receptors expressed in Chinese hamster ovary cells (CHO-mu, CHO-kappa, CHO-delta, and CHO(ORL1), respectively). Methods: CHO-mu, CHO-kappa, and CHO-delta membranes were incubated with the opioid receptor radioligand [3H]diprenorphine at room temperature. Ketamine (racemic, R(-) and S(+)) was included at concentrations covering the clinical range. CHO(ORL1) membranes were incubated with [125I]Tyr(14)nociceptin and racemic ketamine at room temperature. The effects of racemic ketamine and selective opioid receptor agonists (mu: [D-Ala2, MePhe4, Gly(ol)5] enkephalin (DAMGO); kappa: spiradoline or delta: [D-pen2, D-pen5] enkephalin (DPDPE)) on forskolin-stimulated cyclic adenosine monophosphate formation also were examined. Data are mean +/- SEM. Results: Racemic ketamine increased the radioligand equilibrium dissociation constant for [3H]diprenorphine from 85+/-5 to 273+/-11, 91+/-6 to 154+/-16, and 372+/-15 to 855+/-42 pM in CHO-mu, CHO-kappa, and CHO-delta, respectively. The concentration of radioligand bound at saturation was unaffected. In CHO-mu and CHO-kappa cells, racemic ketamine did not slow the rate of naloxone-induced [3H]diprenorphine dissociation. Ketamine and its isomers also displaced [3H]diprenorphine binding to mu, kappa, and delta receptors in a dose-dependent manner, with pKi values for racemic ketamine of 4.38+/-0.02, 4.55+/-0.04, and 3.57+/-0.02, respectively. S(+)-ketamine was two to three times more potent than R(-)-ketamine at mu and kappa receptors. Racemic ketamine displaced [125I]Tyr(14)nociceptin with an estimated affinity constant of 0.5 mM. Racemic ketamine inhibited the formation of cyclic adenosine monophosphate (naloxone insensitive) in a dose-dependent manner (concentration producing 50% inhibition approximately 2 mM) in all cell lines, including untransfected CHO cells. Ketamine (100 microM) reversed DAMGO (mu) and spiradoline (kappa) inhibition of formation of cyclic adenosine monophosphate. Conclusions: Ketamine interacts stereoselectively with recombinant mu and kappa opioid receptors.
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The Joseph et al. conclusions depend on computational predictions, and their reported affinities and G protein recruitment values conflict with earlier work.
“However, this study’s main findings rely on computational analysis and the predicted affinity and G protein recruitment values it reports are not consistent with several prior publications (Bonaventura et al., 2021; Hirota et al., 1999; Nemeth et al., 2010).”
From Mechanisms of ketamine and its metabolites as antidepressants (2022) · cites this paper as Hirota et al., 1999
Table 2 (Discussion, p. 5) reports measured ketamine affinities at μ, κ, and δ opioid receptors, providing earlier values against which predictions could be compared. The Discussion (p. 8) reports effects on cAMP signaling, but the paper does not measure G protein recruitment or compare its results with Joseph et al.’s predictions. It therefore cannot establish the claimed inconsistency in recruitment values. (LLM, conf=0.82)
Experimental — accuracy not yet measuredUsing recombinant human opioid receptors in CHO cells, (S)-ketamine showed greater affinity than (R)-ketamine at μ, κ, and δ receptors, indicating stereoselectivity.
“Another study reported similar observations that ketamine interactions are stereoselective for recombinant human opioid receptors expressed in Chinese hamster ovary cells (Hirota et al., 1999).”
From Mechanisms of ketamine and its metabolites as antidepressants (2022) · cites this paper as Hirota et al., 1999
The Results (p. 5) report greater binding potency for S(+)- than R(−)-ketamine at μ, κ, and δ receptors in CHO cells. But the Discussion (pp. 6–7) limits the δ finding to a small effect at supraclinical concentrations, rather than the stereoselectivity observed at μ and κ. Our copy identifies the μ, κ, and δ receptors as recombinant, but does not establish that those receptors were human. (LLM, conf=0.86)
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- Authors
- Hirota, K., Okawa, H., Appadu, B. L., Grandy, D. K., Devi, L. A., & Lambert, D. G.
- Affiliations
- Leicester Royal Infirmary (GB)
- Oregon Health & Science University (US)
- NYU Langone Health (US)
- Venue
- Anesthesiology
- Published
- 1999-01-01
- Volume
- 90
- Issue
- 1
- Pages
- 174-182
- ISSN
- 0003-3022 (ISSN-L)
- OpenAlex
- W2035312998
- Cited by
- 130
- References
- 27
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 15 · 2023: 8 · 2022: 12 · 2021: 7 · 2020: 7 · 2019: 6 · 2018: 8 · 2017: 2 · 2015: 2 · 2014: 4 · 2013: 7 · 2012: 2
- FWCI
- 1.21
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Anesthesiology (publishedVersion)
- PubMed (publishedVersion)
- Leicester Research Archive (University of Leicester) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Receptor Mechanisms and Signaling
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- ketamine, opioid receptors, mu-opioid receptor, kappa opioid receptor, delta opioid receptor, nociceptin receptor, stereoselectivity, enantiomers, receptor binding affinity, diprenorphine, nociceptin, naloxone, enkephalin, antipsychotic drugs
- MeSH terms
- Cyclic AMP, Animals, Binding, Competitive, Diprenorphine, Colforsin, Cricetinae, Ketamine, Naloxone, Narcotic Antagonists, Radioligand Assay, Recombinant Proteins, Stereoisomerism, CHO Cells, Receptors, Opioid, mu, Receptors, Opioid, delta, Receptors, Opioid, kappa, Excitatory Amino Acid Antagonists, Opioid Peptides
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