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AMPA receptor and Kainate receptor (AMPAR, KAR)

Target
AMPAR, KAR
Molecular classification
Ion channel, Ligand-gated ion channel, Ionotropic glutamate receptor, Receptor
01

Overview

AMPA and Kainate receptors are closely related classes of ionotropic glutamate receptors that mediate fast excitatory neurotransmission in the central nervous system. Both are integral tetrameric ion channels activated by glutamate, but they assemble from distinct gene families (AMPA: GluA1–4; Kainate: GluK1–5). AMPA receptors mainly mediate rapid postsynaptic currents, essential for synaptic plasticity and memory formation. Kainate receptors, also found pre- and postsynaptically, modulate synaptic transmission, regulate glutamate release, and contribute to neuronal excitability. Both are therapeutic targets in CNS diseases — notably epilepsy, neurodegeneration, stroke, depression, and cognitive disorders. Drugs interacting with these receptors include both antagonists (e.g., perampanel, topiramate) used for epilepsy and experimental potentiators aiming to address cognitive deficits. Safety concerns center on excitotoxicity, seizure risk, and off-target toxicity due to the challenge of specifically modulating receptor subtypes. The combined query "AMPA and Kainate receptors" merges two separate canonical targets; each possesses unique subunit compositions, pharmacology, and pathophysiological roles.

Other names
AMPA receptorα-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptorKainate receptorKARGluA1-4 (AMPA subunits: GRIA1-4)GluK1-5 (Kainate subunits: GRIK1-5; formerly GluR5-7, KA1-2)Non-NMDA glutamate receptors
02

Mechanism of action

Antagonist: blocks glutamate binding, inhibiting receptor activation and excitatory currents (anticonvulsants like perampanel/topiramate). Agonist: binds orthosteric site, stimulates receptor opening (kainate, domoic acid). Positive Allosteric Modulator (PAM): increases receptor activity by stabilizing open conformation or enhancing response to glutamate without directly activating the receptor. Potentiator (aptamers, PAMs): specifically enhance receptor function, offering cognitive enhancement or neuroprotection.

03

Biological functions

Fast excitatory neurotransmissionSynaptic plasticity (learning, memory)Modulation of neuronal excitabilityRegulation of glutamate release
04

Disease associations

Neurodegenerative diseases (Alzheimer’s, Parkinson’s, etc.)Epilepsy and seizure disordersDepression and cognitive disordersStroke and excitotoxicitySchizophrenia and other psychiatric conditions
05

Safety considerations

Excitotoxicity: overstimulation causes neuronal injury or death, especially with agonists or positive modulatorsSeizure risk: excessive activation can trigger epileptiform activity, especially in vulnerable populationsCognitive/psychiatric side effects: antagonists may interfere with learning and memory; potentiators may risk seizures if overusedSelectivity and toxicity: lack of selectivity between AMPA and kainate can lead to off-target effects; some PAMs/agonists failed trials due to toxicity and poor solubility
06

Interacting drugs

Perampanel

7 more in the full profile.

07

Biomarkers

Expression level of receptor subunits (GRIA1-4 for AMPA; GRIK1-5 for Kainate) in CNS tissue or cerebrospinal fluidGenotyping subunit variants for patient stratificationIncreased glutamate/AMPA/KAR levels in relevant brain regions as a marker of excitotoxicityEEG/seizure frequency in clinical studies for efficacy monitoring

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