SR-17018 is a next-generation opioid analgesic candidate known for its biased agonism at the μ-opioid receptor (MOR). Unlike traditional opioids like morphine or oxycodone, which activate both G protein and β-arrestin 2 pathways, SR-17018 selectively favors the G protein signaling pathway. This novel pharmacological bias has been associated with reduced side effects, particularly respiratory depression, tolerance, and dependence, making SR-17018 a promising compound in the field of pain management and neuropharmacology.
Mechanism of Action
SR-17018 exhibits G protein-biased agonism, meaning it preferentially stimulates intracellular G protein signaling over the β-arrestin 2 pathway. Research has shown that many adverse effects of opioids—such as sedation, constipation, and respiratory depression—are mediated by β-arrestin 2 recruitment. By avoiding this pathway, SR-17018 seeks to preserve analgesia while minimizing toxicity.
Key mechanisms include:
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High MOR selectivity
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Minimal β-arrestin recruitment
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Potent activation of Gαi/o signaling
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Reduced internalization of MOR, potentially limiting tolerance development
Pharmacokinetics
While human data are limited, preclinical studies in rodents demonstrate:
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High oral bioavailability
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Central nervous system (CNS) penetration
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Hepatic metabolism with CYP involvement
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Half-life of approximately 6–8 hours
These parameters support the feasibility of oral dosing, a major advantage over injectable or transdermal analgesics.
Preclinical Evidence and Efficacy
In multiple in vivo models of pain, including tail-flick, hot-plate, and chemotherapy-induced neuropathic pain, SR-17018 consistently outperformed morphine with:
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Prolonged analgesic effects
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Little to no development of tolerance after repeated dosing
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Comparable potency to morphine on Day 1 and Day 7
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Improved performance in chronic pain models, including paclitaxel-induced neuropathy
SR-17018 even demonstrated efficacy in morphine-tolerant animals, highlighting its potential use in opioid rotation strategies or in patients who no longer respond well to first-line opioids.
Dosage Guidelines (Preclinical Reference)
In rodent studies, effective oral doses range from 12 mg/kg to 48 mg/kg/day. While this does not translate directly to human dosing, it provides a foundation for future clinical dosing studies.
Side Effects and Safety Profile
Compared to classical opioids, SR-17018 has demonstrated a reduced side effect burden:
Side Effect | Morphine | SR-17018 |
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Respiratory Depression | High | Low |
Constipation | Common | Rare |
Tolerance Development | Rapid | Minimal |
Dependence/Withdrawal | Severe | Milder |
Reviews
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