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Review
. 2021 Nov 30;22(23):12956.
doi: 10.3390/ijms222312956.

Role of Nociceptin/Orphanin FQ-NOP Receptor System in the Regulation of Stress-Related Disorders

Affiliations
Review

Role of Nociceptin/Orphanin FQ-NOP Receptor System in the Regulation of Stress-Related Disorders

Massimo Ubaldi et al. Int J Mol Sci. .

Abstract

Nociceptin/orphanin FQ (N/OFQ) is a 17-residue neuropeptide that binds the nociceptin opioid-like receptor (NOP). N/OFQ exhibits nucleotidic and aminoacidics sequence homology with the precursors of other opioid neuropeptides but it does not activate either MOP, KOP or DOP receptors. Furthermore, opioid neuropeptides do not activate the NOP receptor. Generally, activation of N/OFQ system exerts anti-opioids effects, for instance toward opioid-induced reward and analgesia. The NOP receptor is widely expressed throughout the brain, whereas N/OFQ localization is confined to brain nuclei that are involved in stress response such as amygdala, BNST and hypothalamus. Decades of studies have delineated the biological role of this system demonstrating its involvement in significant physiological processes such as pain, learning and memory, anxiety, depression, feeding, drug and alcohol dependence. This review discusses the role of this peptidergic system in the modulation of stress and stress-associated psychiatric disorders in particular drug addiction, mood, anxiety and food-related associated-disorders. Emerging preclinical evidence suggests that both NOP agonists and antagonists may represent a effective therapeutic approaches for substances use disorder. Moreover, the current literature suggests that NOP antagonists can be useful to treat depression and feeding-related diseases, such as obesity and binge eating behavior, whereas the activation of NOP receptor by agonists could be a promising tool for anxiety.

Keywords: NOP receptor; addiction; nociceptin/orphanin FQ; stress.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Schematic representantion of the relationship of the N/OFQ-NOP system with other neurocircuitries within the mesocorticolimbic reward system. Prefrontal Cortex (PFC); Nucleus Accumbens (NAc); Ventral Tegmental Area (VTA).
Figure 2
Figure 2
Schematic representantion of the relationship of the N/OFQ-NOP system with other neurocircuitries within the extrahypothalamic stress system. Prefrontal Cortex (PFC); Bed Nucleus of the Stria Terminalis (BNST); Central Nucleus of Amygdala (CeA); BasoLateral Nucleus of Amygdala (BLA); Locus Coeruleus (LC); Dorsal Raphe Nucleus (DRN).
Figure 3
Figure 3
Schematic representantion of the relationship of the N/OFQ-NOP system with other neurocircuitries within the HPA stress axis. Paraventricular Nucleus of the Hypothalamus (PVN).

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