Target intelligence / Profile preview

5-hydroxytryptamine receptor 2C (HTR2C) (HTR2C)

Target
HTR2C
Molecular classification
G protein-coupled receptor, Receptor
01

Overview

The 5-hydroxytryptamine receptor 2C (5-HT2C) is a G protein-coupled receptor (GPCR) primarily expressed in the central nervous system, particularly in the choroid plexus, hypothalamus, and limbic system (UniProt P28335). It plays a critical role in regulating various physiological processes, including appetite, mood, anxiety, and endocrine function (PubMed PMID: 21629138). Dysregulation of 5-HT2C signaling is implicated in several neuropsychiatric disorders such as depression, schizophrenia, and obesity (StatPearls: Serotonin Receptors). Pharmacologically, 5-HT2C is a significant therapeutic target; agonists like lorcaserin have been used for weight management by promoting satiety, while many atypical antipsychotics and antidepressants act as antagonists or inverse agonists at this site (NIH: PubChem). The receptor is also notable for its extensive post-transcriptional RNA editing, which can alter its G protein coupling efficiency and constitutive activity (PubMed PMID: 15554885). Furthermore, its modulation of dopaminergic and noradrenergic pathways makes it a key focus for developing treatments for addiction and impulse control disorders.

Other names
5-HT2C receptorSerotonin receptor 2C5-HT-2CHTR2C5-hydroxytryptamine receptor 2C5-HT2CR
02

Mechanism of action

The 5-HT2C receptor is a Gq-coupled GPCR that activates phospholipase C, leading to increased intracellular calcium. In the hypothalamus, 5-HT2C agonism stimulates POMC neurons to release alpha-MSH, which activates MC4 receptors to induce satiety (PubMed PMID: 21629138). Antagonism of 5-HT2C receptors in the prefrontal cortex and limbic system increases the synaptic availability of dopamine and norepinephrine, contributing to the efficacy of certain antidepressants and antipsychotics (StatPearls).

03

Biological functions

Signal transductionAppetite regulationMood regulationSleep-wake cycleEndocrine secretionLocomotor activity
04

Disease associations

ObesityDepressionAnxietySchizophreniaEpilepsyDrug addiction
05

Safety considerations

Potential for valvular heart disease due to cross-reactivity with 5-HT2B receptors (PubMed PMID: 20306471)Significant weight gain and metabolic syndrome associated with 5-HT2C antagonism (NIH: PubChem)Risk of serotonin syndrome when combined with other serotonergic agentsPossible increased risk of malignancy, which led to the withdrawal of the agonist lorcaserin (FDA)
06

Interacting drugs

Lorcaserin

9 more in the full profile.

07

Biomarkers

HTR2C rs6318 (Cys23Ser) polymorphism for predicting antipsychotic-induced weight gain (PubMed PMID: 17505453)RNA editing patterns of HTR2C mRNA in the prefrontal cortex as a potential indicator of depression or suicide risk (PubMed PMID: 15554885)

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