pe
pep-10448 v1 CC-BY-SA-4.0

Pain & nausea receptor blocker (CHEMBL2112246)

A lab-made peptide that blocks the substance P receptor, which carries pain, nausea, and stress signals in the brain, experimental, not yet an approved drug.

statusbioassayed targetTACR1 length11 aa refs1
status 5 / 5
prediction metrics boltz-2 2.2.1
ipTM0.965
pTM0.955
avg pLDDT67.3
ranking score0.731
STRUCTURE · PEP-10448 × TACR1
ranking0.731
target interface 4.5Å peptide drag rotate · ctrl+scroll zoom · right-click pan
boltz-2 2.2.1 · mmCIF ↓ download
sequence11 aa
151011
GACKNFFTFTS
in the news 1 article
overview readme

What this is

CHEMBL2112246 is a synthetic cyclic peptide designed to block the substance P receptor — a signalling protein in the brain and nervous system that plays a role in pain, nausea, and stress responses. Researchers at the University of Pennsylvania built it by grafting key recognition elements of substance P, the receptor's natural activating hormone, onto the structural backbone of somatostatin — a different but structurally related peptide scaffold. The goal was to convert an activating signal (agonist) into a blocking one (antagonist) by exploiting a striking geometric similarity between the two peptide families (Liu and colleagues, Journal of Medicinal Chemistry, 2000). The stored sequence GACKNFFTFTS is an 11-residue linear approximation; the actual compound is a 14-residue cyclic peptide that includes a disulfide bridge between Cys3 and Cys14, a D-tryptophan residue, and a non-standard amino acid — none of which are visible in the stored sequence.

History

The compound emerged from a structural biology programme led by Amos B. Smith III and Ralph Hirschmann at the University of Pennsylvania, in collaboration with pharmacologists at Merck Research Laboratories. The 2000 paper by Liu, Underwood, Cascieri, Rohrer, Cantin, Chicchi, Smith, and Hirschmann examined how placing substance P pharmacophore elements onto a somatostatin-like cyclic scaffold shifts a peptide from receptor activation toward receptor blockade — a conceptually important question in GPCR drug design. The study also interrogated the role of pseudosymmetry (the near-mirror-image structural relationship between substance P and somatostatin active-site elements) in determining whether a peptide acts as an agonist or antagonist at tachykinin receptors.

What it does

CHEMBL2112246 competes with the body's own substance P for binding to two closely related receptors: TACR1 (the neurokinin-1 receptor, or NK1R) and TACR2 (the neurokinin-2 receptor, or NK2R). By occupying the receptor without triggering the downstream signal, it blocks the effects that substance P and neurokinin A would otherwise produce — including pain transmission, pro-inflammatory signalling, and smooth muscle contraction. In cell-based binding assays using radiolabelled substance P as the competing tracer, the compound displaced the natural ligand from both receptors, with somewhat higher potency at NK2R than at NK1R (Liu and colleagues, 2000).

Evidence

  • Human: No human studies. This is a research-stage compound characterised in cell-based receptor binding assays only.
  • Animal: None reported for this compound.
  • In vitro: Radioligand displacement assays in CHO cells expressing human NK1R or NK2R confirmed competitive binding. IC50 = 220 nM at TACR1/NK1R (with [¹²⁵I]substance P as radioligand); IC50 = 27 nM at TACR2/NK2R; IC50 = 240 nM at wild-type human NK1R. Histidine-to-alanine mutagenesis at NK1R identified two residues critical for binding: H197A reduced affinity approximately 4-fold (IC50 950 nM) and H265A reduced it approximately 28-fold (IC50 6100 nM), implicating both positions in the ligand–receptor contact interface (Liu and colleagues, Journal of Medicinal Chemistry, 2000).

Mechanism

TACR1 and TACR2 are class A G protein-coupled receptors. Both are expressed in the central and peripheral nervous systems; TACR1 predominates in brain regions governing emesis, pain, and mood, while TACR2 is more prominent in peripheral smooth muscle of the airways, gut, and genitourinary tract (Bhatt and colleagues, BioMed Research International, 2015). The endogenous ligands are the tachykinin neuropeptides: substance P (11 amino acids, encoded by TAC1) preferentially activates TACR1, and neurokinin A (also TAC1-encoded) preferentially activates TACR2, though with some cross-reactivity. Somatostatin-family cyclic peptides can block NK1R because somatostatin and substance P share a pseudo-symmetric pharmacophore arrangement — the key side chains that contact the receptor can be displayed in the same spatial orientation from either scaffold. CHEMBL2112246 exploits this geometry to fit the tachykinin receptor binding pocket without triggering receptor activation. The mutagenesis data from Liu and colleagues (2000) indicate that histidine residues H197 and H265 on NK1R contribute meaningfully to this interaction, with H265 playing the larger role.

Known effects

  • TACR1 (NK1R) binding — In vitro, IC50 220–240 nM (CHO cell radioligand displacement)
  • TACR2 (NK2R) binding — In vitro, IC50 27 nM (CHO cell radioligand displacement)
  • Receptor blockade (antagonism) — Characterised as a substance P antagonist; no agonist activity described in the source publication
  • Mutagenesis sensitivity — Binding at NK1R substantially dependent on H197 and H265; loss of either histidine impairs affinity

Regulatory status

  • US: Not approved. Research compound only; no IND or clinical development record identified.
  • EU: Not approved.
  • WADA: No specific listing. Research compound with no established use in sport.

Related peptides

The substance P / somatostatin scaffold crossover approach sits at the intersection of two well-studied receptor families. Substance P itself is the reference endogenous ligand for TACR1. The somatostatin family includes vapreotide — a cyclic somatostatin analog that independently exhibits NK1R antagonist activity (IC50 ~330 nM in guinea-pig bronchial tissue; Bétoin and colleagues, European Journal of Pharmacology, 1995), demonstrating that this pharmacological crossover is not unique to designed chimeras. Among approved drugs targeting the same receptor pathway, aprepitant (a non-peptide NK1R antagonist, FDA-approved 2003) established proof-of-concept that NK1R blockade is clinically useful for chemotherapy-induced nausea and vomiting.

Hypotheses3 directions▾ collapse

Research directions for this peptide, selected from the current sources — hypotheses you can explore and model. None of it is proven yet; tap any one to see the full thinking.

openupdated 2026-06-11

Could the borrowed somatostatin backbone make this compound bind somatostatin receptors alongside its intended substance P targets?

If it does, doctors would need to watch for possible hormone-related side effects, but it could also open a path to treating pain together with certain gut or hormone conditions using one drug.

The hypothesis
The somatostatin-scaffold backbone of CHEMBL2112246 confers measurable affinity for somatostatin receptor subtypes (SSTR2/SSTR5) in addition to TACR1 and TACR2, making it a functionally promiscuous scaffold whose off-target SSTR activity could either limit therapeutic use or be exploited for dual-target indications such as pain with comorbid neuroendocrine dysfunction.
Why it’s plausible
The compound was explicitly built on a somatostatin-like cyclic backbone (somatostatin pseudosymmetry rationale in the 2000 Liu et al. paper). Somatostatin analogs such as octreotide retain SSTR2/5 binding through the cyclic disulfide-constrained scaffold. Grafting substance P pharmacophore elements may not fully abolish the scaffold's native SSTR recognition surface, particularly if the turn geometry is preserved.
Why it matters
If SSTR activity is confirmed, the compound's therapeutic window narrows for pure NK1R blockade but opens for dual NK1R/SSTR indications. Conversely, if SSTR binding is absent, it validates that pharmacophore grafting can cleanly reprogram scaffold-level receptor selectivity.
Plausibility.75
Novelty.30
Impact.50
Basis · grounding1 paper · 2 computed/notes
[1]
paper
Compound built by grafting substance P pharmacophore elements onto a somatostatin cyclic scaffold; pseudosymmetry between the two peptide families is the design rationale.
doi: 10.1021/jm000316h
[2]
noteActual compound is a 14-residue cyclic peptide with a disulfide bridge mirroring the somatostatin scaffold topology.
[3]
sequenceStored linear sequence GACKNFFTFTS retains Cys and the Phe-Phe motif found in somatostatin pharmacophore positions.
openupdated 2026-06-11

Might this peptide control the full wave of chemotherapy nausea, including the later phase that current single-receptor drugs can miss?

If it works against both nausea receptors, some cancer patients might manage severe chemo nausea with fewer drugs, improving their quality of life during treatment.

The hypothesis
CHEMBL2112246 has underexplored potential as a dual NK1R/NK2R antagonist for chemotherapy-induced nausea and vomiting (CINV) refractory to current NK1R-selective antiemetics such as aprepitant, because co-blocking NK2R (which mediates delayed emesis via peripheral enteric circuits) could suppress the late-phase emetic response that escapes single-target treatment.
Why it’s plausible
The compound is annotated against both TACR1 (NK1R) and TACR2 (NK2R). NK1R blockade alone (aprepitant class) leaves a gap in control of delayed CINV, which is partially NK2R-mediated in the enteric nervous system. A single agent hitting both receptors would address complementary phases of the emetic reflex. The 2000 study focused on receptor binding mechanistics, not the antiemetic indication specifically.
Why it matters
CINV remains a major quality-of-life barrier in cancer treatment. A dual NK1R/NK2R blocker could reduce the polypharmacy burden on chemotherapy patients and improve adherence to treatment protocols.
Plausibility.55
Novelty.35
Impact.60
Basis · grounding1 paper · 2 computed/notes
[1]
noteCompound designed to block substance P receptor involved in pain, nausea, and stress responses; targets annotated as TACR1 and TACR2.
[2]
paper
Liu et al. 2000 paper characterized binding at NK1 and NK2 receptors; dual-target profile documented in original study.
doi: 10.1021/jm000316h
[3]
sequence11-aa linear sequence retains Phe-Phe motif shared between NK1 and NK2 binding pharmacophores, consistent with dual-receptor engagement.
openupdated 2026-06-11

Could blocking the receptors that carry pain signals also reduce the nerve-triggered inflammation seen in conditions like asthma or inflammatory bowel disease?

If it pans out, some patients with hard-to-control asthma or IBD driven by nerve signalling might benefit from a compound first explored for pain and nausea.

The hypothesis
CHEMBL2112246 could suppress neurogenic inflammation in conditions such as asthma or inflammatory bowel disease (IBD) through peripheral NK1R/NK2R blockade in the enteric and pulmonary nervous systems, given that substance P released from sensory nerve endings drives mast cell degranulation, vasodilation, and cytokine release in these tissues.
Why it’s plausible
NK1R and NK2R mediate neurogenic inflammation in both the airways and gut wall via substance P and neurokinin A signalling. Current NK1R antagonists have been tested in asthma but with variable results, possibly because single-target blockade is insufficient. A compound blocking both TACR1 and TACR2 could more completely interrupt the tachykinin-driven inflammatory cascade in peripheral tissues beyond CNS pain circuits.
Why it matters
Neurogenic inflammation contributes to airway hyperresponsiveness in asthma and mucosal inflammation in IBD. If dual NK1R/NK2R blockade outperforms single-target drugs in these tissues, it could repurpose this class of compound for chronic inflammatory diseases where tachykinin signalling is a significant driver.
Plausibility.50
Novelty.30
Impact.50
Basis · grounding1 paper · 2 computed/notes
[1]
noteCompound targets TACR1 and TACR2, both of which are expressed in peripheral sensory neurons, airway epithelium, and enteric nervous system where substance P drives neurogenic inflammation.
[2]
paper
Liu et al. characterized antagonist activity at NK1 and NK2 receptors; peripheral expression of these receptors supports tissue-level inflammation hypothesis.
doi: 10.1021/jm000316h
[3]
sequenceThe cyclic disulfide-constrained scaffold (as noted in readme) would confer protease resistance relevant to peripheral tissue exposure, supporting activity beyond the CNS.
details expand to inspect
full evidence table1 metrics
metricvaluetool
IC50 220 nM GPCRDB/ChEMBL
3-letter notation
Gly-Ala-Cys-Lys-Asn-Phe-Phe-Thr-Phe-Thr-Ser
recipeboltz-2 2.2.1
parametervalue
modelboltz-2 2.2.1
weights
hardwarevast_v100_32gb
mlx version
python
random seed1
msa strategycolabfold_local
runtime
predicted by
predicted at2026-05-22
citationbibtex
peptidemodel (2026). Pain & nausea receptor blocker (CHEMBL2112246) (pep-10448, v1). PeptideModel. https://peptidemodel.com/card/pep-10448
@peptide{pep10448,
  sequence = {GACKNFFTFTS},
  target   = {tacr1},
  author   = {peptidemodel},
  year     = {2026},
  status   = {bioassayed}
}
related peptides 3 by signal overlap
clinical trials 0 trials · checked 2026-05-22
0
no registered clinical trials as of 2026-05-22; we'll re-check periodically
references 1 papers
discussion no comments
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