Target intelligence / Profile preview

Alpha-2C adrenergic receptor (ADRA2C) (ADRA2C)

Target
ADRA2C
Molecular classification
G protein-coupled receptor, Receptor, Alpha-2 adrenergic receptor family, GPCR rhodopsin family (Class A)
01

Overview

The Alpha-2C adrenergic receptor (ADRA2C) is a G protein-coupled receptor (GPCR) belonging to the alpha-2 adrenergic subfamily [1, 2]. It is primarily localized in the central nervous system, including the basal ganglia, hippocampus, and cerebral cortex, and is also found in peripheral tissues such as vascular smooth muscle [5, 10]. ADRA2C functions as a presynaptic autoreceptor that inhibits the release of norepinephrine and other neurotransmitters, particularly during low levels of nerve activity [1, 5, 6]. This regulatory mechanism is essential for fine-tuning sympathetic tone, cardiovascular function, and cognitive processes [1, 4, 7]. Dysregulation of ADRA2C is associated with various conditions, including Raynaud's phenomenon, heart failure, and psychiatric disorders like schizophrenia and ADHD [4, 8, 13]. Pharmacologically, the receptor is targeted by agonists such as dexmedetomidine for its sedative and analgesic properties, while selective antagonists like ORM-12741 are being explored for cognitive enhancement and cardiovascular benefits [7, 9, 10]. The receptor's unique intracellular trafficking and potential for heterodimerization with other GPCRs, such as the beta-2 adrenergic receptor, influence its surface expression and functional signaling [14, 15].

Other names
Alpha-2C adrenoceptorAlpha-2C adrenoreceptorADRA2L2ADRA2RL2ADRARL2Alpha-2 adrenergic receptor subtype C4ALPHA2CAR
02

Mechanism of action

Agonists bind to the receptor, activating Gi/o proteins which inhibit adenylate cyclase, leading to decreased intracellular cAMP levels, stimulation of ERK1/2, and suppression of voltage-gated calcium channels [1, 4, 6]. This results in the inhibition of neurotransmitter release (e.g., norepinephrine) from presynaptic terminals [1, 5, 6]. Antagonists block these inhibitory effects, thereby increasing neurotransmitter release and modulating sympathetic and central nervous system activity [7].

03

Biological functions

Signal transductionRegulation of neurotransmitter releaseVasoconstrictionModulation of central nervous system activityInhibition of adenylate cyclase activityRegulation of smooth muscle contractionNegative regulation of insulin secretionRegulation of sensory perception of pain
04

Disease associations

Raynaud's phenomenonSchizophreniaAttention deficit-hyperactivity disorder (ADHD)DepressionChronic painCardiovascular diseaseHeart failureHypertensionNeurodegenerative diseaseAlzheimer's disease
05

Safety considerations

SedationHypotensionBradycardiaTransient hypertensionPotential for withdrawal symptomsOff-target effects due to lack of subtype selectivity
06

Interacting drugs

Dexmedetomidine

15 more in the full profile.

07

Biomarkers

ADRA2C Del322-325 genetic polymorphismADRA2C mRNA/protein expression levelsReceptor occupancy measured by PET imaging

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