Molecular Classification
G protein-coupled receptor, Receptor
Other Names
Alpha1-adrenergic receptor, α1-adrenergic receptor, ADRA1
Disease Roles
HypertensionHeart failureBenign prostatic hyperplasia

Alpha1-Adrenoceptor Overview

The alpha1-adrenoceptor (α1-adrenergic receptor) is a G-protein coupled receptor that mediates responses to norepinephrine and epinephrine. It plays a key role in regulating the sympathetic nervous system, influencing vasoconstriction, smooth muscle contraction, and neurotransmission. There are three main subtypes: α1A, α1B, and α1D. These receptors are therapeutic targets for several conditions including hypertension and benign prostatic hyperplasia.

Mechanism of Action

Agonists activate the receptor, stimulating phospholipase C via Gq proteins, leading to increased IP3 and DAG levels, and a rise in intracellular calcium. Antagonists block the receptor, preventing activation and downstream signaling.

Biological Functions

Signal transduction
Vasoconstriction
Smooth muscle contraction
Neurotransmission modulation
Synaptic plasticity

Disease Associations

Hypertension
Heart failure
Benign prostatic hyperplasia
Glaucoma
Sexual dysfunction
Cancer

Safety Considerations

  • Hypotension (with antagonists)
  • Reflex tachycardia (with antagonists)

Interacting Drugs

Norepinephrine
Epinephrine
Phenylephrine
Prazosin
Tamsulosin