The -opioid receptor displays basal signaling activity, which seems to be enhanced by exposure to opioid agonists. This study assesses the in vivo pharmacology of the putative "neutral" antagonist 6-naltrexol in comparison to other ligands with varying efficacy, such as naloxone, an inverse agonist in the opioid-dependent state. ICR mice were used to generate full antagonist dose-response curves for naloxone, naltrexone, nalbuphine, and 6-naltrexol in blocking acute antinociceptive effects of morphine and precipitating opioid withdrawal in models of physical dependence. 6-Naltrexol was roughly equipotent to naloxone and between 4.5-and 10-fold less potent than naltrexone in blocking morphine-induced antinociception and locomotor activity, showing that 6-naltrexol enters the central nervous system. In contrast to naloxone and naltrexone, 6-naltrexol precipitated only minimal withdrawal at high doses in an acute dependence model and was ϳ77-and 30-fold less potent than naltrexone and naloxone, respectively, in precipitating withdrawal in a chronic dependence model. 6-Naltrexol reduced the inverse agonist effects of naloxone in vitro and in vivo, as expected for a neutral antagonist. Therefore, the pharmacological effects of 6-naltrexol differ markedly from those of naloxone and naltrexone in the opioid-dependent state. A reduction of withdrawal effects associated with neutral -opioid receptor antagonists may offer advantages in treating opioid overdose and addiction.Basal signaling/constitutive activity of G-protein coupled receptors is now firmly established largely on the basis of in vitro results (Kenakin, 2003(Kenakin, , 2004a, with receptor ligands displaying a range of efficacies from full agonists to full inverse agonists. However, for receptor systems that display constitutive activity, many questions remain to be resolved. 1) Do the in vitro observations translate into changes that can be measured in vivo? 2) Are there clinical applications for inverse agonists versus neutral antagonists? 3) How is basal receptor activity regulated, and how does disease and/or chronic drug exposure alter levels of basal signaling and ligand efficacy? Studies on -adrenergic receptors, for example, suggest that these issues may contribute to patient outcomes in diseases such as congestive heart failure and asthma (Maack et al., 2000;Callaerts-Vegh et al., 2004).We and others have established that the -and ␦-opioid receptors display basal signaling, which is altered by exposure to opioid agonists (Costa and