Improving in vivo analgesia through glycosylation of bilorphin, a biased μ-opioid derived from a novel tetrapeptide class found in an Australian fungus (#227)
We present the discovery of three novel tetrapeptides (bilaids) from an Australian estuarine Penicillium species, and their subsequent development into a pharmacologically unique opioid analgesic (bilorphin). The bilaids structurally resemble known opioid agonist peptides but have an unusual stereochemical arrangement of amino acids (LDLD). We found that they were indeed weak μ-opioid agonists (Ki low mM). Building on the bilaid scaffold led us to create bilorphin, a potent and selective μ-opioid receptor (MOPr) agonist (Ki in nM: μ = 1.1, δ = 190, κ = 770). Importantly, bilorphin is a G-protein biased MOPr agonist that weakly phosphorylates the MOPr, marginally recruits β-arrestin, and produces no receptor internalization, in contrast to all previously characterized natural opioid peptides. Agonists of the MOPr that are functionally selective for G-protein signaling promise to produce fewer opioid related side effects compared to those that efficaciously recruit β-arrestin. However, bilorphin only produced analgesia in mice when administered intrathecally and was systemically inactive, indicating an inability to reach the CNS. We therefore developed a glycosylated analogue, bilactorphin, that was an effective analgesic in vivo through either subcutaneous, intravenous as well as oral administration. In addition to providing a novel pharmacological tool for exploring MOPr signaling, bilorphin is a stable scaffold for the development of orally active analgesics with potentially minimal adverse effects.