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Protein / target

Kappa-type opioid receptor

Encoded byOPRK1P41145Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
31
Approved medicines
Open Targets target-level
View by indication →
30
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

G protein-coupled opioid receptor

Strongest disease association

Alcoholism

Via encoding gene OPRK1 · Clinical evidence · score 0.62

Therapeutic position

Established drug target

Small molecules

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function overview

G protein-coupled opioid receptor that functions as a receptor for endogenous alpha-neoendorphins and dynorphins, but has low affinity for beta-endorphins.

View complete UniProt function annotation

G protein-coupled opioid receptor that functions as a receptor for endogenous alpha-neoendorphins and dynorphins, but has low affinity for beta-endorphins. Also functions as a receptor for various synthetic opioids and for the psychoactive diterpene salvinorin A. Ligand binding causes a conformation change that triggers signaling via guanine nucleotide-binding proteins (G proteins) and modulates the activity of down-stream effectors, such as adenylate cyclase. Signaling leads to the inhibition of adenylate cyclase activity. Inhibits neurotransmitter release by reducing calcium ion currents and increasing potassium ion conductance. Plays a role in the perception of pain. Plays a role in mediating reduced physical activity upon treatment with synthetic opioids. Plays a role in the regulation of salivation in response to synthetic opioids. May play a role in arousal and regulation of autonomic and neuroendocrine functions

Subcellular location

Cell membrane
Domains and Gene Ontology detail (46)

Gene Ontology

  • Caxon terminus
  • Cdendrite
  • Cmembrane
  • Cmitochondrion
  • Cneuron projection
  • Cperikaryon
  • Cplasma membrane
  • Cpostsynaptic membrane
  • Cpresynaptic membrane
  • Csarcoplasmic reticulum
  • Csynaptic vesicle membrane
  • CT-tubule

380 aa · 43 kDa · 2 isoforms

Biological roles

Reactome v97

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

Synaptic signallingGOIon channel gatingGOG protein-coupled signallingUniProt · GO
View supporting evidence

Synaptic signalling

  • ·postsynaptic membrane
  • ·presynaptic membrane
  • ·chemical synaptic transmission

Ion channel gating

  • ·positive regulation of potassium ion transmembrane transport

G protein-coupled signalling

  • ·G protein-coupled opioid receptor that functions as a receptor for endogenous alpha-neoe…
  • ·G protein-coupled opioid receptor activity
  • ·adenylate cyclase-inhibiting G protein-coupled receptor signaling pathway
  • ·G protein-coupled opioid receptor signaling pathway
View underlying pathways (3)

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Approved medicines with mapped indications

2 medicines · 7 areas

Approved therapies targeting this protein, grouped by what they are approved to treat — the disease-first view of the medicines below. Relationships come from the canonical approved-indication graph (ChEMBL phase-4), the same source as the drug cards.

Acute Pain1 medicine
Alcoholism1 medicine
Chronic Pain1 medicine
Drug Overdose1 medicine
Opioid-Related Disorders1 medicine
Pain1 medicine
Substance-Related Disorders1 medicine

31 medicines meet Open Targets' target-level approved-medicine definition; the 2 shown here are those on this page with a canonical approved disease indication in the graph. Approved indications from ChEMBL (phase-4), via the canonical drug→disease graph.

Drugs targeting this protein

3

How approved and investigational drugs engage this protein — mechanism and action type, direct vs complex targeting, and how broadly each acts across other targets. A drug-first view (the section above groups the approved ones disease-first); direct binders with few recorded targets are listed first.

Buprenorphine
Narrow target profileApprovedAgonist

Kappa opioid receptor agonist

Indicated for Acute Pain, Chronic Pain, Drug Overdose, Opioid-Related Disorders

Direct interaction with this protein · 1 of 2 recorded protein targets — narrow recorded profile

difelikefalin
Narrow target profileApprovedAgonist

Kappa opioid receptor agonist

Direct interaction with this protein · Only this protein recorded as a target

Naltrexone
ApprovedAntagonist

Opioid receptors; mu/kappa/delta antagonist

Indicated for Alcoholism

Acts on a complex — shared with OPRD1, OPRM1 · 1 of 3 recorded protein targets — narrow recorded profile

ChEMBL mechanism, action type, target identity and approved indications. Open Targets clinical status.

Translational evidence

Open Targets 26

Why this target matters therapeutically, strongest evidence first. Disease associations are gene-level (via the gene that encodes this protein) and open into the full confidence synthesis; the development universe, tractability and safety annotations are target-level, from Open Targets.

Strongest disease associations · via encoding gene OPRK1

Gene-level evidence surfaced through the gene OPRK1 that encodes this protein — not a direct protein–disease relationship. Ranked by Forefront's causal-directness weighting, so genetically- and clinically-evidenced diseases lead over ones that merely share the literature.

Alcoholism
0.76Well supported

Clinical evidence dominant · Open Targets 0.62

Opioid-Related Disorders
0.75Moderately supported

Clinical evidence dominant · Open Targets 0.61

Migraine Disorders
0.74Moderately supported

Clinical evidence dominant · Open Targets 0.60

Major depressive disorder
0.72Moderately supported

Clinical evidence dominant · Open Targets 0.58

Osteoarthritis
0.71Moderately supported

Clinical evidence dominant · Open Targets 0.57

View evidence synthesis (5)
AlcoholismWell supported
0.76
agreement 0.610.92
Clinical91%Literature9%

Open Targets aggregate 0.62 · 2 independent evidence families

Opioid-Related DisordersModerately supported
0.75
agreement 0.590.90
Clinical97%Literature3%

Open Targets aggregate 0.61 · 2 independent evidence families

Migraine DisordersModerately supported
0.74
agreement 0.580.89
Clinical96%Literature4%

Open Targets aggregate 0.60 · 2 independent evidence families

Major depressive disorderModerately supported
0.72
agreement 0.570.88
Clinical91%Literature9%

Open Targets aggregate 0.58 · 2 independent evidence families

OsteoarthritisModerately supported
0.71
agreement 0.550.86
Clinical96%Literature4%

Open Targets aggregate 0.57 · 2 independent evidence families

The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the per-type scores above show the calculation.

Show all associations
Alcoholism0.62
Opioid-Related Disorders0.61
Migraine Disorders0.60
Major depressive disorder0.58
Osteoarthritis0.57

Drug development

38 compounds recorded · 31 approved · 7 in clinical development

Open Targets' development universe — every compound recorded against the target at any stage, not all approved medicines. Distinct from the 3 drugs that target this protein in Forefront's canonical graph (2 with a mapped approved indication, shown above): these count different sets and are not a subset relation.

View all recorded compounds (10)
DIFELIKEFALINApproval
DEZOCINEApproval
HYDROCODONE BITARTRATEApproval
DEXTROMORAMIDEApproval
ANILERIDINE HYDROCHLORIDEApproval
SAMIDORPHAN L-MALATEApproval
NALOXONEApproval
HYDROCODONEApproval
BUTORPHANOLApproval
NALTREXONE HYDROCHLORIDEApproval

Open Targets known-drugs universe. Drug name and highest clinical stage only — the disease relationship is NOT read from this slice (it carries trial-context noise); approved indications come from the canonical graph above.

Tractability

Small moleculesStrong

Approved Drug and Structure with Ligand support this modality.

AntibodiesEmerging

Feasibility evidence (uniprot loc high conf and go cc high conf) — no clinical-stage drug of this modality recorded.

Protein degradersEmerging

Feasibility evidence (database ubiquitination and small molecule binder) — no clinical-stage drug of this modality recorded.

Other modalitiesStrong

Approved Drug support this modality.

View underlying tractability evidence (11)
SM · Approved DrugSM · Structure with LigandSM · High-Quality LigandSM · Druggable FamilyAB · UniProt loc high confAB · GO CC high confAB · UniProt SigP or TMHMMAB · Human Protein Atlas locPR · Database UbiquitinationPR · Small Molecule BinderOC · Approved Drug

Raw Open Targets tractability assessment buckets, by modality.

Safety-related annotations

dizzinessBowes et al. (2012)tachycardiaUrban et al. (2012)dizzinessLynch et al. (2017)interaction with dopaminergic transmission and hallucinationUrban et al. (2012)decreased/increased heart rateLynch et al. (2017)increased convulsionsLynch et al. (2017)increased/decreased eatingLynch et al. (2017)decreased body temperatureLynch et al. (2017)decreased eatingLynch et al. (2017)diuresisUrban et al. (2012)psychotomimetic effectsUrban et al. (2012)decreased convulsionsLynch et al. (2017)

Terms indexed against this target in Open Targets' safety data, with their datasource. These are annotations, not causal claims: the direction of effect (whether activation or inhibition is implicated), species and evidence strength are not captured here, so an entry does not mean that modulating this target is known to cause that condition.

Clinical trials

30

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein. Ranked by active status, then clinical phase and recency, and spread across the targeting drugs.

View all trials (26)

RECRUITING · via Buprenorphine · NCT06494904

ENROLLING_BY_INVITATION · via Naltrexone · NCT07221565

COMPLETED · via Buprenorphine · NCT04276259

COMPLETED · via Buprenorphine · NCT01733693

COMPLETED · via Buprenorphine · NCT02575664

COMPLETED · via Naltrexone · NCT02324725

ClinicalTrials.gov via the drug-target graph.

What's happening now

12

Recent therapeutic activity around this target — regulatory actions, clinical trials and safety signals for 2 drugs that target this protein, plus publications where such a drug is a genuine subject. Every item is reached indirectly through the drug, not the protein itself; incidental mentions (a paper that merely measures a drug) and press items are excluded.

  1. Supplemental approval2026-08-14

    Supplemental approval: BUPRENORPHINE (ANDA078633)

    fda · regulatory · fda · via Buprenorphine

  2. Supplemental approval2026-08-14

    Supplemental approval: BUPRENORPHINE (ANDA090819)

    fda · regulatory · fda · via Buprenorphine

  3. Supplemental approval2026-08-14

    Supplemental approval: BUPRENORPHINE (ANDA201760)

    fda · regulatory · fda · via Buprenorphine

  4. Supplemental approval2026-08-14

    Supplemental approval: BUPRENORPHINE (ANDA207276)

    fda · regulatory · fda · via Buprenorphine

  5. Supplemental approval2026-06-18

    Supplemental approval: BUPRENORPHINE (ANDA204937)

    fda · regulatory · fda · via Buprenorphine

  6. Supplemental approval2026-06-18

    Supplemental approval: BUPRENORPHINE (ANDA207490)

    fda · regulatory · fda · via Buprenorphine

  7. Supplemental approval2026-06-18

    Supplemental approval: BUPRENORPHINE (ANDA210162)

    fda · regulatory · fda · via Buprenorphine

  8. Supplemental approval2026-06-18

    Supplemental approval: BUPRENORPHINE (ANDA210272)

    fda · regulatory · fda · via Buprenorphine

  9. New publication2024-01-25
    Opioid use disorder: current trends and potential treatments.

    Frontiers in public health · 2023 · 24 citations · Europe PMC · via Buprenorphine

  10. New publication2023-09-26
    Naltrexone/bupropion for binge-eating disorder: A randomized, double-blind, placebo-controlled trial.

    Obesity (Silver Spring, Md.) · 2023 · 40 citations · Europe PMC · via Naltrexone

  11. New publication2022-08-24
    Open-label, rapid initiation pilot study for extended-release buprenorphine subcutaneous injection.

    The American journal of drug and alcohol abuse · 2023 · 11 citations · Europe PMC · via Buprenorphine

  12. New publication2015-05-01
    Naltrexone vs Placebo for the Treatment of Alcohol Dependence: A Randomized Clinical Trial.

    JAMA psychiatry · 2015 · 87 citations · Europe PMC · via Naltrexone

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.