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G protein-biased signaling at the μ opioid receptor (MOR) refers to the phenomenon where certain ligands preferentially activate G protein-mediated intracellular pathways over β-arrestin-mediated pathways after binding to MOR. This functional selectivity, also known as biased agonism, aims to retain analgesic efficacy while reducing adverse effects linked with β-arrestin pathway activation. However, recent evidence suggests many therapeutic and adverse effects may still be mediated through the G protein pathway itself; some drugs labeled as "biased" might simply have low intrinsic efficacy rather than true bias.
Selective activation of Gi/o protein signaling pathway over β-arrestin pathway, leading to inhibition of adenylate cyclase and modulation of ion channels.
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