The effects of GSK1521498, a new μ-opioid receptor antagonist, were imaged in the human brain using a combination of positron emission tomography and functional magnetic resonance imaging. (a) The occupancy of μ-opioid receptors by [11C]carfentanil, a radioligand for the opioid receptor, was measured with positron emission tomography at baseline and following the administration of GSK1521498 (50 mg). Compared with baseline, GSK1521498 significantly reduces radioligand binding, indicating that it has high affinity for the target in the human brain. (b) Brain activation by a palatable food stimulus was measured with functional magnetic resonance imaging after oral administration of GSK1521498 or naltrexone, another opioid antagonist. Yellow voxels show brain areas where GSK1521498 had significantly greater effects than naltrexone in attenuating reward-related activation; green voxels show areas where naltrexone had a greater effect than GSK1521498. z indicates the distance (mm), superior or inferior, to the intercommissural plane in standard stereotactic space. These results indicate that the pharmacodynamics of GSK1521498 can be measured, and differentiated from naltrexone, using functional magnetic resonance imaging. For more info on this topic, please refer to the article by Rabiner et al. on pages 826–835.
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Science China Life Sciences (2019)
Opposing neural effects of naltrexone on food reward and aversion: implications for the treatment of obesity
Imaging opioid analgesia in the human brain and its potential relevance for understanding opioid use in chronic pain