EDUCATION on OPIATE ReCEPTORS & RAPID DETOX

Opioid receptors are a group of G-protein coupled receptors with opioids as ligands. The endogenous opioids are dynorphins, enkephalins, endorphins, endomorphins and nociceptin. The opioid receptors are ~40% identical to somatostatin receptors (SSTRs).


Discovery

By the mid-1960s, it had become apparent from pharmacologic studies that opiate drugs were likely to exert their actions at specific receptor sites, and that there were likely to be multiple such sites.[1] The receptors were first identified as specific molecules through the use of binding studies, in which opiates that had been labeled with radioisotopes were found to bind to brain membrane homogenates. The first such study was published in 1971, using 3H-levorphanol.[2] In 1973, Candace Pert and Solomon H. Snyder published the first detailed binding study of what would turn out to be the μ opioid receptor, using 3H-naloxone.[3] That study has been widely credited as the first definitive finding of an opioid receptor, although two other studies followed shortly after.[4][5]
[edit] Major subtypes

There are four major subtypes of opioid receptors:[6]
Receptor Subtypes Location[7] Function [7]
delta (δ)
OP1 (I) δ1, δ2

* Brain
o pontine nuclei
o amygdala
o olfactory bulbs
o deep cortex



* analgesia
* antidepressant effects
* physical dependence

kappa (κ)
OP2 (I) κ1, κ2, κ3

* Brain
o hypothalamus
o periaqueductal gray
o claustrum
* spinal cord
o substantia gelatinosa



* Spinal analgesia
* sedation
* miosis
* inhibition of ADH release

mu (μ)
OP3 (I) μ1, μ2, μ3

* Brain
o cortex (laminae III and IV)
o thalamus
o striosomes
o periaqueductal gray
* spinal cord
o substantia gelatinosa
* intestinal tract

μ1:

* Supraspinal analgesia
* physical dependence

μ2:

* respiratory depression
* miosis
* euphoria
* reduced GI motility
* physical dependence

μ3:

* ?

Nociceptin receptor
OP4 ORL1

* Brain
o cortex
o amygdala
o hippocampus
o septal nuclei
o habenula
o hypothalamus
* spinal cord



* anxiety
* depression
* appetite
* development of tolerance to μ agonists

(I). Name based on order of discovery

The receptors were named using the first letter of the first ligand that was found to bind to them. Morphine was the first chemical shown to bind to mu receptors. The first letter of the drug morphine is `m', but in biochemistry there is a tendency to use Greek letters, thus turning the 'm' to μ. Similarly a drug known as ketocyclazocine was first shown to attach itself to kappa receptors,[8] while the delta receptor was named after the mouse vas deferens tissue in which the receptor was first characterised.[9] An additional opioid receptor was later identified and cloned based on homology with the cDNA. This receptor is known as the nociceptin receptor or ORL 1 receptor.

The opioid receptor types are ~70% identical with differences located at N and C termini. The μ receptor (the μ represents morphine) is perhaps the most important. It is thought that the G protein binds to the third intracellular loop of the opioid receptors. Both in mice and humans the genes for the various receptor subtypes are located on different chromosomes.

Separate subtypes have been identified in human tissue. Research has so far failed to identify the genetic evidence of the subtypes, and it is thought that they arise from post-translational modification of cloned receptor types.[10]

An IUPHAR subcommittee[11][12] has recommended that appropriate terminology for the 3 classical (μ, δ, κ) receptors, and the non-classical (nociceptin) receptor, should be MOP, DOP, KOP and NOP respectively.
[edit] Additional receptors

Sigma receptors (σ) were once considered to be opioid receptors due to the antitussive actions of many opioid drugs being mediated via sigma receptors, and the first selective sigma agonists being derivatives of opioid drugs (e.g. allylnormetazocine), however sigma receptors were found to not be activated by endogenous opioid peptides, and are quite different from the other opioid receptors in both function and gene sequence, so they are now not usually classified with the opioid receptors.

The existence of further opioid receptors has also been suggested, due to pharmacological evidence of actions produced by endogenous opioid peptides but shown not to be mediated through any of the four known opioid receptor subtypes.[13][14][15] The only one of these additional receptors to have been definitively identified is the zeta (ζ) opioid receptor, which has been shown to be a cellular growth factor modulator with met-enkephalin being the endogenous ligand. This receptor is now most commonly referred to as the opioid growth factor receptor (OGFr).[16][17]

Another putative opioid receptor is the epsilon (ε) opioid receptor. The existence of this receptor was suspected after the endogenous opioid peptide beta-endorphin was shown to produce additional actions which did not seem to be mediated through any of the known opioid receptors.[18][19] Activation of this receptor produces strong analgesia and release of met-enkephalin, and a number of widely used opioid antagonists such as the μ antagonist etorphine and the κ antagonist bremazocine have been shown to act as antagonists for this effect (even in the presence of antagonists to their more well known targets),[20] while buprenorphine has been shown to act as an epsilon antagonist. Several selective antagonists and antagonists are now available for the putative epsilon receptor,[21][22] however efforts to locate a gene for this receptor have been unsuccessful, and epsilon-mediated effects were absent in μ/δ/κ "triple knockout" mice,[23] suggesting the epsilon receptor is likely to be either a splice variant derived from alternate post-translational modification, or a heteromer derived from hybridization of two or more of the known opioid receptors.
[edit] Pathology

Some forms of mutations in δ-opioid receptors have resulted in constant receptor activation.

Call us today to discuss how the V.I.P. Way can free you from your opiate dependency and get your life back. Call today: (800)276-7021 or (702)308-6353 Email: info@rapiddetoxlasvegas.com Medical Director: Board-Certified by American Board of Anesthesiology 1994, former chief of cardiac anesthesia, University of Nevada School of Medicine. Board-Certified by American Board of Pain Medicine 1997, Clinical Assistant Professor University Nevada School of Medicine.

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Get The Help You Need & Take Control of Your Life again, do it Right THE 1st Time. 8 Hours of Rapid Detox, no Foley Catheter, V.I.P. all the way through it. We take the 8 days of Withdrawals in 8hrs. While You Sleep Comfortably.

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You're Hotel Stay With The Nurse is Included. No Problem because some Patient's Feel Anxiety Seeing Other People or Paranoid, Blurred Vision Extreme Exhaution & Meds are given to help Keep you Comfortable & allowing you to Socialize Slowly.

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So, In All It's Your Choice, Get Your Life Back for the New Year or for yourself & Family.

Rapid Detox Really Works Our Way, Because of the 8 Hours of Taking the Opiates out, takes that Long, because Opiates are also stored in you're Fat Cells. So No way, any other can offer what we can at the Price & V.I.P. Treatment. Trust!...Not Marketing, Just Educating. No Fancy Website, Dr Yee Answers all Calls, instead of a Marketer Promising to Get All Addictions Out???...Mission Impossible...

Here, an interesting Read on the Doctors Perspective that He Wrote: