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The Journal of Neuroscience, 2000, 20:RC110:1-5
RAPID COMMUNICATION
Heterodimerization of µ and Opioid Receptors: A Role in
Opiate Synergy
I.
Gomes,
B. A.
Jordan,
A.
Gupta,
N.
Trapaidze,
V.
Nagy, and
L. A.
Devi
Departments of Pharmacology and Anesthesiology, New York University
School of Medicine, New York, New York 10016
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ABSTRACT |
Opiate analgesics are widely used in the treatment of severe pain.
Because of their importance in therapy, different strategies have been
considered for making opiates more effective while curbing their
liability to be abused. Although most opiates exert their analgesic
effects primarily via µ opioid receptors, a number of studies have
shown that receptor-selective drugs can enhance their potency. The
molecular basis for these findings has not been elucidated previously.
In the present study, we examined whether heterodimerization of µ and
receptors could account for the cross-modulation previously
observed between these two receptors. We find that co-expression of µ and receptors in heterologous cells followed by selective
immunoprecipitation results in the isolation of µ- heterodimers.
Treatment of these cells with extremely low doses of certain
-selective ligands results in a significant increase in the binding
of a µ receptor agonist. Similarly, treatment with µ-selective
ligands results in a significant increase in the binding of a receptor agonist. This robust increase is also seen in SKNSH
cells that endogenously express both µ and receptors.
Furthermore, we find that a receptor antagonist enhances both the
potency and efficacy of the µ receptor signaling; likewise a µ antagonist enhances the potency and efficacy of the receptor
signaling. A combination of agonists (µ and receptor selective)
also synergistically binds and potentiates signaling by activating the
µ- heterodimer. Taken together, these studies show that
heterodimers exhibit distinct ligand binding and signaling characteristics. These findings have important clinical ramifications and may provide new foundations for more effective therapies.
Key words:
receptor subtypes; agonist; antagonist; enkephalin; Deltorphin II; DAMGO; DPDPE; TIPP ; G-protein-coupled receptor; oligomerization; MAP kinase
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INTRODUCTION |
Opioid
receptors can regulate several biological effects, including analgesia,
miosis, bradycardia, general sedation, feeding, and hypothermia (Herz,
1993 ). Morphine, a prototype opioid agonist, binds to µ and opioid receptors and inhibits neurotransmitter release (MacDonald and
Nelson, 1978 ; Yaksh, 1993 ). Studies with transgenic animals lacking µ receptors show that morphine functions primarily via µ receptors
(Matthes et al., 1996 ). Interestingly, ligand-mediated analgesia is
altered in these animals, suggesting an interaction between the two
receptors (Sora et al., 1997 ).
A number of pharmacological studies have suggested that µ and receptors interact and influence each other's properties (Traynor and
Elliot, 1993 ). For example, mice treated with antagonists exhibit
diminished development of morphine tolerance and dependence (Abdelhamid
et al., 1991 ; Zhu et al., 1999 ). Selective reduction of receptors
by antisense oligonucleotides attenuates the development of morphine
dependence (Sanchez-Blazquez et al., 1997 ). In receptor knockout
animals, the extent of dependence attributable to morphine administration is also selectively altered (Zhu et al., 1999 ). Ligand
binding studies show that µ-selective ligands inhibit the binding of
-selective ligands in both competitive and noncompetitive manners
(Rothman and Westfall, 1981 ; Rothman et al., 1983 ). Findings such as
these led to the proposal that receptors exist as two subtypes:
those that are associated with µ receptors and those that are not.
However, the biochemical basis for this association was not explored.
Early studies using radioligand binding and electrophysiology suggested
that both µ and receptors colocalize to cells in the dorsal root
ganglia (Fields et al., 1980 ; Egan and North, 1981 ; Zieglgansberger et
al., 1982 ). Immunohistochemical studies of the opioid receptor
distribution in the CNS have shown that µ and receptors
colocalize to the same axonal terminals of the superficial dorsal horn
(Arvidsson et al., 1995 ). Ultrastructural analysis of the dorsal horn
neurons also revealed colocalization of receptors with µ receptors in the plasmallema (Cheng et al., 1997 ). In addition, several
neuroblastomas have been shown to co-express these two opioid receptors
(Yu et al., 1986 ; Kazmi and Mishra, 1987 ; Baumhaker et al., 1993 ;
Palazzi et al., 1996 ). Taken together, these studies provide evidence
for colocalization of µ and receptors and suggest that the
existence of and µ receptor complexes is physically possible.
Receptor dimerization is a potential mechanism for modulation of their
function (Salahpour et al., 2000 ). Early studies showing that dimeric
analogs of oxymorphone and enkephalin exhibit higher affinity and
potency than their monomeric forms suggested that µ receptors could
function as dimers (Hazum et al., 1982 ). We have previously shown that
receptors exist as homodimers and undergo agonist-mediated
monomerization (Cvejic and Devi, 1997 ). Furthermore, receptors
heterodimerize with receptors, and heterodimerization affects their
ligand binding and signaling properties (Jordan and Devi, 1999 ).
Because receptors show significant sequence homology with µ receptors at the amino acid level (Miotto et al., 1995 ), we examined
whether receptors physically associate with µ receptors and
whether this interaction alters their properties. Here we show that µ and receptors associate to form a ~150 kDa heterodimer,
and these heterodimers exhibit distinct ligand binding and signaling
properties. Therefore, µ- heterodimerization represents a novel
mechanism that could modulate the function of these receptors.
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MATERIALS AND METHODS |
Materials.
Tyr-D-Ala-Gly-N-Me-Phe-Gly-ol (DAMGO),
Tyr-D-Ala-Phe-Glu-Val-Val-Gly (Deltorphin
II), and diprenorphine were from RBI (Natick, MA) and Sigma (St. Louis,
MO). Naltriben (NTB), benzylidenenaltrexone (BNTX), and SNC 80 were from Tocris Cookson.
D-Phe-Cys-Tyr-D-Trp-Orn-Thr-Pen-Thr-NH2 (CTOP) and [D-Pen2,
Pen5]enkephalin (DPDPE) were from Peninsula
Inc. 3H-DAMGO and
3H-deltorphin II were from NEN (DuPont).
Anti-myc, anti-Flag, and anti-tubulin antibodies were from
Sigma. Monoclonal antibody against pMAPK (E10) was from Cell Signaling
Technologies (New England Biolabs).
Tyr-Tic (CH2NH)-Phe-Phe (TIPP ) was a gift from Dr. Peter Schiller (Institut de Reserches Cliniques de Montreal, Canada).
Cell culture and transfection. Human embryonic kidney
(HEK)-293 cells expressing wild-type mouse myc- receptors
alone or wild-type mouse Flag-µ receptors alone, or co-expressing
wild-type myc- with wild-type Flag-µ receptors or
wild-type myc- with C-terminally truncated Flag-µ
receptors were generated as described previously (Jordan et al., 2000 ;
Trapaidze et al., 2000 ). Chinese hamster ovary (CHO) cells stably
expressing wild-type Flag-µ and wild type myc-
receptors were generated using Lipofectamine reagent (Life
Technologies) as described (Jordan and Devi, 1999 ). SKNSH cells
that express endogenous µ and receptors were grown in DMEM
containing 10% FBS.
Coimmunoprecipitation and Western blotting.
Immunoprecipitation and Western blotting analysis of receptors
expressed in HEK-293 cells were essentially as described previously
(Jordan and Devi, 1999 ). Briefly, cells were lysed for 1 hr in buffer G
(1% Triton X-100, 10% glycerol, 300 mM NaCl, 1.5 mM MgCl2, and 1 mM
CaCl2 and 50 mM Tris-Cl, pH 7.4)
containing 10-100 mM iodoacetamide and a protease
inhibitor mixture (Jordan and Devi, 1999 ). For immunoprecipitation,
100-200 µg of protein was incubated with 1-2 µg of polyclonal
anti-myc antibody overnight at 4°C. Immunocomplexes were
isolated by incubation with 10% v/v protein A-Sepharose for 2-3 hr.
The beads were washed three times with buffer G, resolved on a
nonreducing 8% SDS-PAGE, and subjected to Western blotting as
described using M1, monoclonal anti-Flag antibody.
Whole-cell binding assays. The binding assay was performed
essentially as described (Gomes et al., 2000 ). Briefly, cells were incubated with indicated concentrations of
3H-DAMGO or
3H-Deltorphin II in 50 mM
Tris-Cl buffer, pH 7.4, for 2 hr at 37°C in the absence or presence
of various ligands (at 10 nM). Under these conditions the
level of agonist-mediated receptor internalization is insignificant (I. Gomes and L. A. Devi, unpublished observations). Cells were washed
three times with cold buffer, and the radioactivity was determined
after solubilization as described (Gomes et al., 2000 ). Concentrations
of 3H-DAMGO or
3H-Deltorphin II were from 0.1 to 10 nM for saturation analysis, and
3H-DAMGO was 3 nM for the
determination of EC50 values. Nonspecific binding
was determined with 100 nM DAMGO, Deltorphin II, or Diprenorphine.
Functional assays. The opioid-induced increase in MAP kinase
phosphorylation in SKNSH cells or CHO cells co-expressing µ and receptors was essentially as described previously (Jordan et al., 2000 ;
Trapaidze et al., 2000 ). Briefly, cells were treated for 5 min at
37°C with indicated concentrations of either DAMGO ± 10 nM TIPP or Deltorphin II ± 10 nM CTOP.
The level of phosphorylated MAPK (p44/42 MAPK; Erk1/2) was determined
by Western blotting using anti-phospho-MAP kinase antibody and the
levels of tubulin using anti-tubulin antibody.
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RESULTS |
µ and receptors associate to form
detergent-stable heterodimers
A number of pharmacological studies have provided indirect
evidence for the interaction between µ and receptors (Traynor and
Elliot, 1993 ). We directly examined the association between these two
classic receptors by co-expressing myc-tagged receptors with Flag-tagged µ receptors. Myc-tagged receptors in
cell lysates were immunoprecipitated with polyclonal
anti-myc antibodies and the Flag-tagged µ receptors in the
immunoprecipitate were visualized with monoclonal anti-Flag antibody
(Cvejic and Devi, 1997 ). We find that µ receptors interact with receptors to form a ~150 kDa heterodimer only in cells co-expressing
both receptors (Fig. 1). We also see the
presence of higher molecular weight forms representing oligomers only
in cells co-expressing both receptors. Pretreatment of cells with a
reducing agent (1 mM DTT) results in the
destabilization of dimers (Fig. 1). These heterodimers are not induced
during solubilization/immunoprecipitation conditions because they are
not seen in immunoprecipitates from a mixture of cells individually
expressing µ and receptors (Fig. 1). Interestingly, when a mutant µ receptor lacking C-terminal 42 amino acids is co-expressed with
wild-type receptors, a band representing µ- heterodimer is
seen; the decrease in the size of the band is consistent with the size
of the truncated µ receptor (Fig. 1), suggesting that the C terminus
of µ receptors does not play an important role in the
heterodimerization of these two receptors.

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Figure 1.
µ and receptors interact with each other to
form heterodimers. Immunoprecipitation of cell lysates from HEK-293
cells individually expressing either myc-
(Myc ) or Flag-µ (Flagµ) receptors,
mixed cells individually expressing myc- or Flag-µ
receptors (Myc + Flagµ), or cells
co-expressing myc- and Flag-µ
(Myc -Flagµ) was performed using
anti-myc antibodies. Western blotting of these
immunocomplexes using anti-Flag antibodies shows a ~150 kDa protein
representing the µ- heterodimer only in cells co-expressing both
myc- and Flag-µ receptors. Pretreatment of cells
co-expressing µ and receptors with 1 mM DTT
(Myc -Flagµ + DTT)
results in the destabilization of dimers. µ- heterodimers are
also seen in cells co-expressing wild-type receptors and
C-terminally truncated µ receptors
(Myc -Flagµ 42).
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ligands are able to uncover a population of µ receptors
To explore whether heterodimerization affects the ligand binding
properties of the receptors, we examined the ability of a antagonist (TIPP ) to modulate the binding of a µ agonist,
3H-DAMGO. We find a substantial
increase (~100%) in the number of µ binding sites in the
presence of TIPP only in cells expressing both µ and receptors
(Fig. 2A, Table
1). This effect is also seen in SKNSH
cells, a neuroblastoma cell line that expresses endogenous µ and receptors (Fig. 2A, Table 1). An increase (~60%)
in ligand binding is also observed when the binding assay is performed
at 4°C for 5 hr (Gomes and Devi, unpublished observations), suggesting that one of the mechanisms for the observed drug effect could be the modulation of the µ binding site by direct interaction with receptors. Taken together, these results support the notion that TIPP is able to synergize with
3H-DAMGO to reveal a hidden population of
receptors in heterologous cells expressing µ and receptors as
well as in neuroblastoma cells endogenously expressing these two
receptors.

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Figure 2.
A, Binding of µ agonist to CHO
cells stably co-expressing µ and receptors (µ- ) or
neuroblastoma cells expressing endogenous µ and receptors
(SKNSH) in the absence or presence of antagonist. Cells were incubated with indicated concentrations of
3H-DAMGO in the absence (Control) or
presence of 10 nM TIPP (+TIPP ) as
described above. In both cell types, the population of µ receptors
increased in the presence of TIPP ; this increase is not seen in
cells expressing only µ receptors (B,
µ). Data represent mean ± SEM from seven independent
experiments performed in triplicate. Similar results were obtained in
additional clones expressing a lower number of µ and receptors.
B, µ agonist binding in the presence of agonists,
Deltorphin II, and DPDPE. CHO cells stably expressing µ-
heterodimers (µ- ) or µ receptors alone (µ) were incubated
with indicated concentrations of 3H-DAMGO in the absence
(Control) or presence of 10 nM
Deltorphin II (+Delt II) or 10 nM DPDPE
(+DPDPE) as described. The population of µ receptors is
increased in the presence of Deltorphin II but not DPDPE; this increase
is not seen in cells expressing only µ receptors (µ). Data
represent mean ± SEM from three to five independent experiments
performed in triplicate.
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We next examined whether two agonists are able to synergize in cells
expressing µ- heterodimers and whether this would lead to an
increase in µ binding sites. We find that treatment with Deltorphin
II, but not DPDPE, leads to a significant increase in µ agonist
binding; this increase is not seen in cells expressing only µ receptors (Fig. 2B, Table 1). Taken together, these
results show that both the -selective antagonist and the agonist can synergize with the µ receptor agonist and uncover a population of
receptors with unique binding properties. This property of the µ-
heterodimer is distinct from that of the - heterodimer because
in the latter case the antagonist was not able to synergize with
the agonist; only two agonists or two antagonists were able to show
synergistic effects (Jordan and Devi, 1999 ).
µ ligands can uncover a population of receptors
To examine whether µ receptor-selective ligands are able to
modulate the binding of a agonist, we examined the effect of a
µ-selective antagonist (CTOP) on the binding of a -selective agonist, 3H-Deltorphin II. We find that
there is a significant increase in the number of binding sites in
the presence of CTOP only in cells expressing µ- heterodimers and
not in cells expressing only receptors (Fig.
3, Table 1). Furthermore, a µ-selective agonist, DAMGO, is also able to increase the number of binding sites as seen in SKNSH cells (Table 1). These results suggest that
µ-selective ligands are able to uncover a hidden population of receptors in cells expressing µ and receptors.

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Figure 3.
A, Binding of a agonist,
3H-Deltorphin II, to CHO cells stably co-expressing µ and
receptors (µ- ) or receptor alone ( ) in the absence or
presence of µ antagonist, CTOP. Cells were incubated with indicated
concentrations of 3H-Deltorphin II in the absence
(Control) or presence of 10 nM CTOP
(+CTOP), and the extent of 3H-Deltorphin II
binding to cells was measured as described. The population of receptors is increased in the presence of CTOP; this increase is not
seen in cells expressing only receptors ( ). Data representing
mean ± SEM (n = 3) are shown.
B, Functional properties of µ- heterodimer. SKNSH
cells endogenously expressing µ and receptors were treated with
indicated concentrations of DAMGO in the absence or presence of 10 nM TIPP or 10 nM Deltorphin II.
Alternatively, cells were treated with indicated concentrations of
Deltorphin II in the absence or presence of 10 nM CTOP. The
extent of MAP kinase phosphorylation was determined using Western blot
analysis as described. The extent of phospho-MAP kinase
(pMAPK) in cells treated with individual
or a combination of ligands at a fixed concentration is shown in the
top panel. pMAPK/Tubulin refers to the
ratio of phospho-MAPK levels to the tubulin levels; the level in
untreated cells is taken as zero. Data represent mean ± SEM
(n = 4). Statistically significant differences
(Dunnett's test) from the control values are indicated by
*p = <0.005. EC50 = dose that
gives 50% of maximum response.
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µ- heterodimers have unique ligand binding properties
To further characterize the binding properties of the µ-
heterodimers, we took advantage of the availability of various receptor-selective ligands. Among the ligands tested, treatment with a
relatively low dose (picomole) of TIPP or Deltorphin II results in a substantial increase (approximately twofold) in
3H-DAMGO binding (data not shown). At a higher dose
(nanomole), BNTX is also able to increase
3H-DAMGO binding albeit to a lower extent
(~1.3-fold). Interestingly, neither DPDPE nor a structurally
unrelated agonist, SNC 80, is effective even at relatively high doses
(1 µM). These results suggest that the synergistic
binding exhibits ligand selectivity and that this cooperative binding
requires very low doses of a subset of selective ligands.
µ- heterodimers represent functional receptors
We also examined whether the heterodimer represents a functional
receptor and whether the synergistic binding leads to a potentiation of
effector function. The activation of opioid receptors results in an
increase in the level of phosphorylated MAP kinase (Trapaidze et al.,
2000 ). We examined whether the antagonist (TIPP ) or agonist
(Deltorphin II) could potentiate the µ agonist (DAMGO)-induced phosphorylation of p-42/44 MAP kinases (Erk1/2). Treatment with TIPP
or Deltorphin II leads to a significant increase in the potency (~6-
or 90-fold, respectively) and efficacy (approximately twofold) of MAP
kinase phosphorylation by DAMGO (Fig. 3B). In a reciprocal
experiment, we examined whether the µ antagonist (CTOP) could
potentiate the agonist (Deltorphin II)-induced signaling. As shown
in Figure 3B, treatment with CTOP significantly increases
the potency and efficacy of MAP kinase phosphorylation by Deltorphin II
(Fig. 3B). These results imply that µ- heterodimers represent functional receptors and that the selective ligands are able
to enhance signaling by opioid agonists.
 |
DISCUSSION |
µ receptors associate with receptors to form
µ- heterodimers
In this paper we provide biochemical, pharmacological, and
functional evidence for dimerization between µ and opioid
receptors. Previous studies using moderately selective ligands provided
indirect evidence for the interaction between these two receptors
(Traynor and Elliot, 1993 ). This led to alternate explanations of the
findings because these ligands could interact with both receptors. In
the present study, we used highly selective ligands and heterologous cells expressing both and µ receptors (or individually expressing these receptors) to demonstrate direct physical and functional interactions between these two classic opioid receptors.
Does the µ- heterodimer represent a receptor subtype?
The complexities of opioid receptor pharmacology have often been
attributed to two different phenomena: receptor-receptor interactions
and opioid receptor subtypes. A number of investigators have proposed
that receptor-receptor interactions could form the basis for some of
the opioid receptor subtypes (Porreca et al., 1992 ; Xu et al., 1993 ;
Jordan and Devi, 1999 ). It was shown that a subset of -selective
ligands enhanced µ receptor-mediated analgesia; these ligands were
thus proposed to bind to receptors complexed with µ receptors
(Traynor and Elliot, 1993 ). Two independent studies demonstrated that
the µ- -complexed receptors were sensitive to characteristic 2
selective ligands, suggesting that they represented the 2 receptor
subtype (Porreca et al., 1992 ; Xu et al., 1993 ). Interestingly, recent
work with antisense oligonucleotides to receptors and receptor
knockout mice showed a blockade of analgesia induced by a
2-selective ligand (Deltorphin II) but not that induced by a
1-selective ligand, DPDPE (Bilsky et al., 1996 ; Zhu et al., 1999 ).
Remarkably, no DPDPE or Deltorphin II binding could be observed in
either case. These results would then suggest that the cloned receptor may represent the 2 subtype and not the previously thought
1 subtype. However, when expressed in heterologous cells, the cloned
receptor is able to bind both 1- and 2-selective ligands with
high affinity. It is therefore unclear as to what represents a 2
(and a 1) binding site. We have shown previously that heterodimers
of and receptors reveal ligand binding sites that are virtually
identical to previously described 2 subtypes (Jordan and Devi,
1999 ). It is therefore likely that the heterodimers described here
represent a novel receptor subtype. Consistent with this notion, we
find that the µ- heterodimer is able to bind some 1 (BNTX)-
and 2 (Deltorphin II)-selective ligands and not others (DPDPE, NTB).
Direct interactions and G-proteins in receptor dimerization
One interesting observation is that only a subset of selective
ligands including antagonists are able to enhance µ agonist binding.
This effect is also seen (to a lesser extent) when the binding assay is
performed at 4°C. These findings strongly point to a phenomenon
occurring at the level of ligand binding. Because most, if not all,
cellular processes arrest at low temperatures and given the ability of
antagonists to synergize with agonists, it is apparent that neither
downstream effects nor receptor activation are required for this
phenomenon to occur. The simplest explanation is that
heterodimerization alters the binding pocket of both receptors and that
the binding of one ligand can "restore" the binding site of the other.
The possibility that G-proteins may be involved in the interactions
cannot be ignored. It is possible that G-protein switching between
receptors may cause these alterations in affinity and the number of
binding sites. In such a model, the binding of receptor selective
ligands (agonists and antagonists) could cause the selective uncoupling
of G-proteins that, if in limiting conditions, may significantly affect
the binding of ligands to a nearby receptor that uses a similar
G-protein. It is therefore possible that G-proteins could play a role
not only in determining ligand selectivities but also in mediating the
synergistic effects on downstream signaling observed as a potentiation
of function.
In summary, heterodimerization between µ and represents a novel
mechanism that could modulate receptor function and provides a new
strategy for the development of novel therapies.
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FOOTNOTES |
Received Aug. 17, 2000; accepted Aug. 30, 2000.
This work was supported in part by National Institutes of Health Grants
DA 08863 and DA 00458 to L.A.D. and National Research Service Award
Grant DA05885 to B.A.J. We thank Dr. Peter Schiller for the gift of
TIPP .
Correspondence should be addressed to Dr. Lakshmi A. Devi, Department
of Pharmacology, New York University School of Medicine, MSB 411, 550 First Avenue, New York, NY 10016. E-mail:
lakshmi.devi{at}med.nyu.edu.
This article is published in
The Journal of Neuroscience, Rapid Communications Section,
which publishes brief, peer-reviewed papers online, not in print. Rapid
Communications are posted online approximately one month earlier than
they would appear if printed. They are listed in the Table of Contents
of the next open issue of JNeurosci. Cite this article as:
JNeurosci, 2000, 20:RC110 (1-5). The
publication date is the date of posting online at
www.jneurosci.org.
 |
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