Target intelligence / Profile preview

Enkephalin

Molecular classification
Other (endogenous opioid peptide, neurotransmitter, peptide hormone)
01

Overview

Enkephalin" refers to a family of endogenous opioid pentapeptides primarily involved in modulating nociception (pain perception), stress responses, and other neurophysiological processes[9][10][3][1]. There are two main forms: **methionine-enkephalin** (Met-enkephalin) and **leucine-enkephalin** (Leu-enkephalin), both produced by cleavage of the proenkephalin precursor[3][6][7]. Enkephalins function as neurotransmitters and neuromodulators in the CNS and are major endogenous ligands for the delta-opioid receptor, with some activity at the mu-opioid receptor[1][4][5]. The term "Enkephalin pathway" is imprecise, as molecules or receptors—not functional pathways—are considered drug targets; more precise targets would be "delta-opioid receptor," "mu-opioid receptor," or "Opioid growth factor receptor." Enkephalins also play roles in stress adaptation, immune regulation, and cell proliferation. Dysregulation of enkephalin signaling is implicated in pain disorders, addiction, some cancers, neurodegenerative and inflammatory diseases[5][8][1]. Enkephalin levels can be potential biomarkers for certain pain conditions, and modulating their degradation (e.g., via enkephalinase inhibitors) is a therapeutic strategy under investigation. **Notes regarding this entry:** - "Enkephalin pathway" does **not** refer to a specific molecule or receptor, but rather to a functional axis or signaling network involving enkephalin peptides and their receptors. Thus, it is not a canonical therapeutic target by the criteria given—is_incorrect: true[1][3][9]. - To map to targets in drug discovery databases, use the terms "Delta-opioid receptor," "Mu-opioid receptor," or "Opioid growth factor receptor" as specific, actionable targets. Enkephalin itself is a ligand, not a receptor or drug target.

Other names
EnkephalinsMet-enkephalinLeu-enkephalinOpioid growth factor (OGF)MENKMet-enkMethionine-enkephalinLeucine-enkephalin
02

Mechanism of action

Activation of delta-opioid receptor and mu-opioid receptor (agonist activity); Upregulation of cell cycle inhibitors (via OGF-OGFr axis)

03

Biological functions

Nociception (pain regulation)NeurotransmissionImmune modulationRegulation of cell proliferation
04

Disease associations

Pain (nociceptive disorders)InflammationCancer (especially as Opioid growth factor axis in some cancers)Neurodegenerative diseaseSubstance use disorder/addiction
05

Safety considerations

Hypotension (dose-limiting in clinical trials of exogenous met-enkephalin)Potential for tolerance, dependence or dysregulation with chronic opioid receptor activation
06

Interacting drugs

Enkephalinase inhibitors (e.g., PL37, RB101)

1 more in the full profile.

07

Biomarkers

Met-enkephalin in plasma (for migraine and possibly other pain conditions as a potential biomarker)

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