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多巴胺受體D2(Dopamine receptor D2,簡稱D2R),為轉譯自 DRD2 基因的一種多巴胺受體蛋白。D2R最早於1975年為Philip Seeman所發現,並將其命名為「抗精神疾患性多巴胺受體」(antipsychotic dopamine receptor)[8]。D2R為所有抗精神病藥物的作用標的。
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D2R屬於一種多巴胺受體,並會與Gi結合。Gi為G蛋白偶聯受體的一種亞型,會抑制腺苷酸環化酶的活性[9]。
在小鼠模式中,齒狀回的neuronal calcium sensor-1(NCS-1)會影響D2R在細胞膜的表現量。這項機制會影響突觸可塑性及記憶形成[10]。
在蒼蠅模式中,多巴胺性神經元上的D2R自體受器能避免神經元死亡,進而引發類帕金森氏症的症狀[11]。
此基因的選擇性剪接產生三種不同編碼亞型的轉錄變體。[12]
長形式(D2Lh)具有"規範"的序列,並作為經典突觸後蛋白發揮作用。[13]短形式(D2Sh)在突觸前作為調節突觸間隙中多巴胺水平的自身受體發揮作用。[13]D2Sh受體激動時抑制多巴胺釋放,拮抗時增加多巴胺釋放。[13]第三種D2(更長)的形式不同於270V被VVQ取代的規範序列。[14]
等位基因變異:
- A-241G
- C132T、G423A、T765C、C939T、C957T,以及G1101A[15]
- Cys311Ser
- -141C insertion/deletion[16]The polymorphisms have been investigated with respect to association with schizophrenia.[17]
Some researchers have previously associated the polymorphism Taq 1A (rs1800497) to the DRD2 gene.
However, the polymorphism resides in exon 8 of the ANKK1 gene.[18]DRD2 TaqIA polymorphism has been reported to be associated with an increased risk for developing motor
fluctuations but not hallucinations in Parkinson's disease.[19][20]
大多數較老的抗精神病藥如氯丙嗪或氟哌啶醇是多巴胺D2受體的非選擇性拮抗劑,最多僅對"D2樣家族"受體具有選擇性,因此與D2、D3、D4以及許多其他受體都可以結合,例如血清素和組織胺受體,導致一系列副作用使得它們不適合科學研究。類似,用於治療巴金森氏症的較舊的多巴胺促效劑例如溴隱亭和卡麥角林,對一種多巴胺受體的選擇性較差,儘管這些藥物中大多數確實能起到D2促效劑的作用,但它們也會影響其他多巴胺受體,亞型也是。現今有幾種選擇性D2配體 (生物化學)可以使用,並且隨著進一步的研究,這個數字可能會增加。
- 溴隱亭(Bromocriptine):完全受體致活劑
- Cabergoline(Caberl)
- N,N-Propyldihydrexidine:D1/D5受體制活劑dihydrexidine的類似物,對節後神經元的D2R親和性比節前神經元的D2自體受器高。
- Piribedil:同時也是 D3 受體致活劑及腎上腺素α2受體拮抗劑
- Pramipexole:同時也是D3、D4受體致活劑
- Quinelorane:affinity for D2 > D3
- Quinpirole:同時也是D3受體致活劑
- Ropinirole:完全受體致活劑
- Sumanirole:高選擇性完全受體致活劑
- Talipexole:對D2的親和性高於其他的多巴胺受體,但同時也是腎上腺素α2受體制活劑及5-HT3受體拮抗劑。
- Aplindore
- 阿立哌唑(Aripiprazole,在美國合法)[21]
- Brexpiprazole/OPC-34712
- Cariprazine
- RP5063
- GSK-789,472 – Also D3 antagonist, with good selectivity over other receptors [22]
- 氯胺酮(Ketamine,同時也為NMDA受體拮抗劑)
- LSD – in vitro, LSD was found to be a partial agonist and potentiates dopamine-mediated prolactin secretion in lactotrophs.[23]LSD is also a 5-HT2A agonist.
- 莫達非尼(Modafinil)
- Roxindole (only at the D2 autoreceptors)
- OSU-6162:亦為5-HT2A部分受體致活劑,acts as "dopamine stabilizer"
- Salvinorin A:亦為κ-鴉片類受體致活劑。
- Atypical antipsychotics
- Desmethoxyfallypride
- Domperidone – D2 and D3 antagonist; does not cross the blood-brain barrier
- Eticlopride
- Fallypride
- Hydroxyzine (Vistaril, Atarax)
- Itopride
- L-741,626 – highly selective D2 antagonist
- C11 Raclopride radiolabled – commonly employed in positron emission tomography studies[24]
- Typical antipsychotics
- SV 293[25]
- Yohimbine
- D2sh selective (presynaptic autoreceptors)
多巴胺受體 D2 已被證明與EPB41L1、[32]PPP1R9B[33] 和 NCS-1 相互作用。[34]
The D2 receptor forms receptor heterodimers in vivo (in living animals) with other G protein-coupled receptors; these include:[35]
The D2 receptor has been shown to form hetorodimers in vitro (and possibly in vivo) with DRD3,[38]DRD5,[39]and 5-HT2A.[40]
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Duan J, Wainwright MS, Comeron JM, Saitou N, Sanders AR, Gelernter J, Gejman PV. Synonymous mutations in the human dopamine receptor D2 (DRD2) affect mRNA stability and synthesis of the receptor. Human Molecular Genetics. Feb 2003, 12 (3): 205–16. PMID 12554675. doi:10.1093/hmg/ddg055.
Arinami T, Gao M, Hamaguchi H, Toru M. A functional polymorphism in the promoter region of the dopamine D2 receptor gene is associated with schizophrenia. Human Molecular Genetics. Apr 1997, 6 (4): 577–82. PMID 9097961. doi:10.1093/hmg/6.4.577.
Glatt SJ, Faraone SV, Tsuang MT. DRD2 -141C insertion/deletion polymorphism is not associated with schizophrenia: results of a meta-analysis. American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics. Jul 2004, 128B (1): 21–3. PMID 15211624. doi:10.1002/ajmg.b.30007.
Wang J, Liu ZL, Chen B. Association study of dopamine D2, D3 receptor gene polymorphisms with motor fluctuations in PD. Neurology. Jun 2001, 56 (12): 1757–9. PMID 11425949. doi:10.1212/WNL.56.12.1757.
Wang J, Zhao C, Chen B, Liu ZL. Polymorphisms of dopamine receptor and transporter genes and hallucinations in Parkinson's disease. Neuroscience Letters. Jan 2004, 355 (3): 193–6. PMID 14732464. doi:10.1016/j.neulet.2003.11.006.
Holmes IP, Blunt RJ, Lorthioir OE, Blowers SM, Gribble A, Payne AH, Stansfield IG, Wood M, Woollard PM, Reavill C, Howes CM, Micheli F, Di Fabio R, Donati D, Terreni S, Hamprecht D, Arista L, Worby A, Watson SP. The identification of a selective dopamine D2 partial agonist, D3 antagonist displaying high levels of brain exposure. Bioorganic & Medicinal Chemistry Letters. Mar 2010, 20 (6): 2013–6. PMID 20153647. doi:10.1016/j.bmcl.2010.01.090.
Giacomelli S, Palmery M, Romanelli L, Cheng CY, Silvestrini B. Lysergic acid diethylamide (LSD) is a partial agonist of D2 dopaminergic receptors and it potentiates dopamine-mediated prolactin secretion in lactotrophs in vitro. Life Sciences. 1998, 63 (3): 215–22. PMID 9698051. doi:10.1016/S0024-3205(98)00262-8.
Huang R, Griffin SA, Taylor M, Vangveravong S, Mach RH, Dillon GH, Luedtke RR. The effect of SV 293, a D2 dopamine receptor-selective antagonist, on D2 receptor-mediated GIRK channel activation and adenylyl cyclase inhibition. Pharmacology. 2013, 92 (1–2): 84–9. PMID 23942137. doi:10.1159/000351971.
Agnati LF, Ferré S, Genedani S, Leo G, Guidolin D, Filaferro M, Carriba P, Casadó V, Lluis C, Franco R, Woods AS, Fuxe K. Allosteric modulation of dopamine D2 receptors by homocysteine. Journal of Proteome Research. Nov 2006, 5 (11): 3077–83. PMID 17081059. doi:10.1021/pr0601382.
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Silvano E, Millan MJ, Mannoury la Cour C, Han Y, Duan L, Griffin SA, Luedtke RR, Aloisi G, Rossi M, Zazzeroni F, Javitch JA, Maggio R. The tetrahydroisoquinoline derivative SB269,652 is an allosteric antagonist at dopamine D3 and D2 receptors. Molecular Pharmacology. Nov 2010, 78 (5): 925–34. PMC 2981362 . PMID 20702763. doi:10.1124/mol.110.065755.
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Smith FD, Oxford GS, Milgram SL. Association of the D2 dopamine receptor third cytoplasmic loop with spinophilin, a protein phosphatase-1-interacting protein. The Journal of Biological Chemistry. Jul 1999, 274 (28): 19894–900. PMID 10391935. doi:10.1074/jbc.274.28.19894.
Kabbani N, Negyessy L, Lin R, Goldman-Rakic P, Levenson R. Interaction with neuronal calcium sensor NCS-1 mediates desensitization of the D2 dopamine receptor. The Journal of Neuroscience. Oct 2002, 22 (19): 8476–86. PMID 12351722.
Grandy DK, Miller GM, Li JX. "TAARgeting Addiction"-The Alamo Bears Witness to Another Revolution: An Overview of the Plenary Symposium of the 2015 Behavior, Biology and Chemistry Conference. Drug Alcohol Depend. February 2016, 159: 9–16. PMID 26644139. doi:10.1016/j.drugalcdep.2015.11.014. This original observation of TAAR1 and DA D2R interaction has subsequently been confirmed and expanded upon with observations that both receptors can heterodimerize with each other under certain conditions ... Additional DA D2R/TAAR1 interactions with functional consequences are revealed by the results of experiments demonstrating that in addition to the cAMP/PKA pathway (Panas et al., 2012) stimulation of TAAR1-mediated signaling is linked to activation of the Ca++/PKC/NFAT pathway (Panas et al.,2012) and the DA D2R-coupled, G protein-independent AKT/GSK3 signaling pathway (Espinoza et al., 2015; Harmeier et al., 2015), such that concurrent TAAR1 and DA DR2R activation could result in diminished signaling in one pathway (e.g. cAMP/PKA) but retention of signaling through another (e.g., Ca++/PKC/NFA)
Harmeier A, Obermueller S, Meyer CA, Revel FG, Buchy D, Chaboz S, Dernick G, Wettstein JG, Iglesias A, Rolink A, Bettler B, Hoener MC. Trace amine-associated receptor 1 activation silences GSK3β signaling of TAAR1 and D2R heteromers. Eur Neuropsychopharmacol. 2015, 25 (11): 2049–61. PMID 26372541. doi:10.1016/j.euroneuro.2015.08.011. Interaction of TAAR1 with D2R altered the subcellular localization of TAAR1 and increased D2R agonist binding affinity.
Maggio R, Millan MJ. Dopamine D2-D3 receptor heteromers: pharmacological properties and therapeutic significance. Current Opinion in Pharmacology. Feb 2010, 10 (1): 100–7. PMID 19896900. doi:10.1016/j.coph.2009.10.001.
多巴胺受體D2引用了美國國家醫學圖書館提供的資料,這些資料屬於公共領域。
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