Structure-Kinetics Relationships of Opioids from Metadynamics and Machine Learning Analysis

J Chem Inf Model. 2023 Apr 10;63(7):2196-2206. doi: 10.1021/acs.jcim.3c00069. Epub 2023 Mar 28.

Abstract

The nation's opioid overdose deaths reached an all-time high in 2021. The majority of deaths are due to synthetic opioids represented by fentanyl. Naloxone, which is a FDA-approved reversal agent, antagonizes opioids through competitive binding at the μ-opioid receptor (mOR). Thus, knowledge of the opioid's residence time is important for assessing the effectiveness of naloxone. Here, we estimated the residence times (τ) of 15 fentanyl and 4 morphine analogs using metadynamics and compared them with the most recent measurement of the opioid kinetic, dissociation, and naloxone inhibitory constants (Mann et al. Clin. Pharmacol. Therapeut. 2022, 120, 1020-1232). Importantly, the microscopic simulations offered a glimpse at the common binding mechanism and molecular determinants of dissociation kinetics for fentanyl analogs. The insights inspired us to develop a machine learning approach to analyze the kinetic impact of fentanyl's substituents based on the interactions with mOR residues. This proof-of-concept approach is general; for example, it may be used to tune ligand residence times in computer-aided drug discovery.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Analgesics, Opioid* / pharmacology
  • Fentanyl / metabolism
  • Fentanyl / pharmacology
  • Morphine / chemistry
  • Naloxone* / metabolism
  • Naloxone* / pharmacology
  • Narcotic Antagonists
  • Receptors, Opioid, mu / metabolism

Substances

  • Analgesics, Opioid
  • Naloxone
  • Fentanyl
  • Morphine
  • Receptors, Opioid, mu
  • Narcotic Antagonists