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Alpha-1A adrenergic receptor and Alpha-1B adrenergic receptor (α1A-AR and α1B-AR)

Target
α1A-AR and α1B-AR
Molecular classification
G protein-coupled receptor, Receptor
01

Overview

Alpha-1A and Alpha-1B adrenergic receptors are subtypes of the alpha-1 adrenergic receptor family, which are G protein-coupled receptors responsive primarily to the endogenous catecholamines norepinephrine and epinephrine. These receptors play a vital role in mediating smooth muscle contraction, regulating vascular tone and blood pressure, contributing to cognitive and cardiac function, and controlling cell proliferation. Alpha-1A is especially important in the lower urinary tract and cerebral functions, while alpha-1B is involved in vascular smooth muscle and growth regulation. Both are targeted therapeutically by alpha-1 antagonists to treat conditions such as hypertension and benign prostatic hyperplasia, with subtype-selective drugs (e.g., tamsulosin, silodosin) offering organ-specific effects with fewer systemic side effects. Their pharmacology and structure are well-studied, with recent advances including high-resolution cryo-EM structures informing rational drug design. *For optimal structured data, separate records should be created for "Alpha-1A adrenergic receptor" and "Alpha-1B adrenergic receptor."

Other names
ADRA1Aalpha-1A-adrenoreceptorADRA1Balpha-1B-adrenoreceptor
02

Mechanism of action

Antagonists: Block endogenous catecholamine (norepinephrine, epinephrine) binding, resulting in vasodilation (lowering blood pressure), smooth muscle relaxation (improving urine flow in BPH), CNS effects. Agonists: Mimic catecholamines, cause smooth muscle contraction, increase blood pressure, or have subtype-specific central/CV actions. Inverse agonists: Some antagonists can suppress basal receptor activity even below baseline.

03

Biological functions

Signal transductionSmooth muscle contractionRegulation of blood pressureCognitive functionMitogenic responsesCell growth and proliferation
04

Disease associations

Cardiovascular diseaseBenign prostatic hyperplasiaNeurodegenerative diseaseCancerOther
05

Safety considerations

Orthostatic hypotensionDizziness, syncope, fallsEjaculatory dysfunctionPotential for cardiac adverse effectsCross-reactivity
06

Interacting drugs

Prazosin

9 more in the full profile.

07

Biomarkers

Prostate smooth muscle tone (BPH symptom improvement as pharmacodynamic marker)Blood pressure (for cardiovascular efficacy or safety)There are no universally established molecular biomarkers for alpha-1A/1B receptor status in patient selection for therapy at present.

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