Target intelligence / Profile preview

5-hydroxytryptamine receptor 3C (5-HT3C)

Target
5-HT3C
Molecular classification
Ligand-gated ion channel, Cys-loop receptor subunit, Receptor subunit, Ion channel component
01

Overview

5-hydroxytryptamine receptor 3C (5-HT3C) is a protein subunit forming part of the pentameric serotonin-gated ion channels (5-HT3 receptors) in the nervous and enteric systems. While the 5-HT3A subunit is essential for forming functional homomeric channels, 5-HT3C can heteropentamerize only in combination with 5-HT3A, modifying the assembly, signaling, and pharmacological properties of the receptor complex. HTR3C is coexpressed in tissues such as myenteric neurons, impacting functions like gastrointestinal motility and central neurotransmission. Genetic variants in HTR3C can influence patient susceptibility and response to therapeutic 5-HT3 antagonists, especially in chemotherapy-induced nausea/vomiting, irritable bowel syndrome, and selected neuropsychiatric disorders, underscoring its relevance both as a constituent of drug targets and as a potential biomarker.

Other names
HTR3C5-HT3C subunitSerotonin receptor 3C subunit
02

Mechanism of action

Competitive antagonists block serotonin binding to the orthosteric site in the 5-HT3 receptor complex, preventing channel opening and subsequent neuronal depolarization. Variants in HTR3C may alter efficacy and safety by modifying receptor pharmacodynamics/pharmacokinetics.

03

Biological functions

Modulates serotonin-mediated signal transduction (when part of heteromeric 5-HT3 receptors)Influences neurotransmission in central and enteric nervous systemsAlters receptor assembly, trafficking, and ligand efficacy
04

Disease associations

Chemotherapy-induced vomitingIrritable bowel syndrome (IBS, especially diarrhea-predominant)Neuropsychiatric disorders (e.g., obsessive–compulsive disorder, autism spectrum disorder)Potentially pain modulation, per broader 5-HT3 roles
05

Safety considerations

QT interval prolongation and cardiac arrhythmias (class adverse event for strong 5-HT3 antagonists)Pharmacokinetic variability due to subunit compositionPotential unknown consequences of rare HTR3C variants affecting neuropsychiatric symptoms
06

Interacting drugs

Ondansetron

6 more in the full profile.

07

Biomarkers

HTR3C polymorphisms (such as p.N163K) serve as pharmacogenomic biomarkers for risk/severity of chemotherapy-induced emesis and symptom response in IBS

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