The Xenopus oocyte expression system was used to test the hypothesis that homologous opioid receptor desensitization results from receptor phosphorylation by G protein-coupled receptor kinases. Activation of ␦ (DOR), (MOR) opioid, or  2 -adrenergic receptors increased K ؉ conductance in oocytes coexpressing the G protein-gated inwardly rectifying K ؉ channel subunits GIRK1 and GIRK4, and the intrinsic rate of desensitization was small. Coexpression of -adrenergic receptor kinase 2 (-ARK2) and -arrestin 2 (-arr2) synergistically produced a rapid desensitization of both DOR and 2-adrenergic receptor signaling with a t1 ⁄2 < 4 min. -ARK2 and -arr2 more slowly desensitized MOR responses; a similar synergistic effect on MOR required 2-3 h of agonist treatment. DOR mutants lacking serine and threonine residues at the end of the cytoplasmic tail coupled effectively to GIRK channels but were insensitive to -ARK2 and -arr2. However, a DOR mutant having serine residues mutated to alanine in the third cytoplasmic loop was indistinguishable in coupling and desensitization from the wild type DOR. These studies establish that opioid receptors can be regulated by -ARK2 and -arr2 and that a portion of the COOH terminus of DOR enhances sensitivity to this modulation.Opioid agonists are the drugs of choice in the management of severe and chronic pain; however, continuous use of opioids can cause undesirable side effects including drug tolerance and addiction. The processes underlying tolerance are complex and involve learning mechanisms, compensatory changes in neuronal circuits, and desensitization of signal transduction mechanisms (1). Three classes of opioid receptors: , ␦, and , have been defined pharmacologically, shown to couple to G proteins of the G i /G o family, and cloned (2, 3). Previous studies have examined the molecular mechanisms underlying opiate tolerance. Chronic treatment of animals with opiates has not revealed a functionally significant change in opioid receptor number (4, 5) or mRNA levels (Ref. 6, but see also Refs. 7 and 8). However, opioid receptor desensitization has been consistently implicated as one of the molecular events accompanying tolerance (9). Continuous infusion of guinea pigs or rats with morphine results in an uncoupling of opioid receptors from associated G proteins as measured biochemically (10, 11). Recordings from single rat brain neurons of the locus coeruleus show a homologous desensitization to opioid-induced increases in potassium conductance after chronic morphine treatment (12). Prolonged morphine administration reduced the ability of DAMGO, 1 a selective opioid agonist, to stimulate [ 35 S]GTP␥S binding in distinct rat brain areas (13). Chronic morphine treatment of rats also led to a homologous (e.g. receptor-specific) desensitization of either ␦ or opioid receptor activity as measured by the ability of specific agonists to inhibit adenylyl cyclase in several brain structures (14).Termination of signaling of other G protein-coupled receptors results from agonist-depe...