# Leveraging Functional Selectivity in the Neurotensin Receptor 1-Mediated Treatment of Addiction

> **NIH NIH K99** · DUKE UNIVERSITY · 2021 · $121,905

## Abstract

Abstract: Opioid and psychostimulant addictions are large and growing public health concerns that are
inadequately managed with available therapeutics. The objective of this proposal directly addresses this unmet
clinical need, as it includes the evaluation of a novel anti-addiction therapeutic strategy. A shared feature of
addictive drugs is their ability to induce inappropriate activation of the mesolimbic dopamine system. Restoration
of dopamine signaling homeostasis may be achieved by targeting the G protein-coupled receptor (GPCR)
neurotensin receptor 1 (NTR1). NTR1 modulates dopamine signaling via action at putative NTR1/dopamine
receptor D2 (D2R) complexes. The efficacy of peptide NTR1 agonists in animal models of addiction have made
clinically useful, small molecule NTR1 ligands highly desirable. NTR1, like other GPCRs, signals through both
G protein- and β-arrestin-mediated pathways. Recently, we have developed and characterized a novel class of
small molecule NTR1 ligands, typified by compound SBI-553, which activate β-arrestin without stimulating G
protein signaling. This type of functional selectivity/biased siganling presents an opportunity to produce more
directed physiological action and reduce unwanted side effects. My promising initial findings suggest that SBI-
553 attenuates drug-associated behaviors in mice without the hypotension and hypothermia characteristic of
unbiased NTR1 agonism. The objectives of this application are to elucidate the mechanism by which β-
arrestin biased NTR1 ligands attenuate drug-associated behaviors and validate their therapeutic potential by
integrating murine self-administration and functional neuroimaging. My central hypothesis is that selective β-
arrestin activation at NTR1 attenuates addiction-like behaviors and associated changes in regional brain
metabolism through antagonism of D2R function. This hypothesis will be tested by pursuing three specific aims,
using SBI-553 as a tool compound. I will first (1) K99) define the behavioral effects of β-arrestin biased NTR1
ligands by conducting self-administration studies in genetically engineered mice. I will then (2) K99) determine
the physiological effects of β-arrestin biased NTR1 ligands using state-of-the-art small animal positron emission
tomography/computed tomography (PET/CT). Finally, I will use my new training in murine self-administration
and PET/CT to independently (3) R00) evaluate the contribution of D2R to the effects of β-arrestin biased NTR1
ligands. Pursuit of these aims requires interdisciplinary training in animal models of addiction and
neuroimaging to complement my previous studies in molecular biology. Therefore, I have assembled expert
collaborators into an interdisciplinary mentoring committee, chaired by Drs. Marc Caron (Mentor) and Lawrence
Barak (Co-Mentor). The Caron laboratory at Duke University is uniquely well-positioned to answer questions
regarding biased GPCR signaling in addiction. Together, we have crafted an in...

## Key facts

- **NIH application ID:** 10395890
- **Project number:** 3K99DA048970-02S1
- **Recipient organization:** DUKE UNIVERSITY
- **Principal Investigator:** Lauren M Slosky
- **Activity code:** K99 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $121,905
- **Award type:** 3
- **Project period:** 2019-06-15 → 2021-10-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10395890

## Citation

> US National Institutes of Health, RePORTER application 10395890, Leveraging Functional Selectivity in the Neurotensin Receptor 1-Mediated Treatment of Addiction (3K99DA048970-02S1). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10395890. Licensed CC0.

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