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Cysteinyl leukotriene receptor 1 and Cysteinyl leukotriene receptor 2 (CysLT1 receptor (CysLT1R) and CysLT2 receptor (CysLT2R))

Target
CysLT1 receptor (CysLT1R) and CysLT2 receptor (CysLT2R)
Molecular classification
G protein-coupled receptor, Seven transmembrane receptor, Purine receptor cluster (rhodopsin family)
01

Overview

Cysteinyl leukotriene receptors 1 and 2 (CysLT1R and CysLT2R) are G protein-coupled receptors responsible for mediating the effects of cysteinyl leukotrienes (LTC4, LTD4, LTE4), which are lipid mediators produced via the 5-lipoxygenase pathway. These receptors play central roles in the pathogenesis of inflammatory disorders such as asthma, allergic rhinitis, atherosclerosis, and have emerging significance in cancer and central nervous system pathology[1][2][4]. CysLT1R is most responsive to LTD4 and is primarily expressed in spleen, leukocytes, and airway smooth muscle[4]. CysLT2R responds equally to LTC4 and LTD4 and is expressed in heart, adrenal, placenta, and certain immune and brain cells[4]. Both receptors mediate bronchoconstriction, leukocyte trafficking, and increased vascular permeability. Selective CysLT1 antagonists (montelukast, zafirlukast, pranlukast) are widely used for asthma and allergy management, but receptor subtype-specific inhibitors for CysLT2 are not yet clinically available. Recent advances in structural biology have revealed unique ligand binding and activation mechanisms for both receptors, guiding efforts to develop safer and more effective therapies for inflammation and malignancy[1][2].

Other names
CysLT1CysLT1RCysteinyl leukotriene receptor type 1CysLT2CysLT2RCysteinyl leukotriene receptor type 2
02

Mechanism of action

Antagonism of CysLT1 receptor to block cysteinyl leukotriene-induced inflammatory responses. This prevents bronchoconstriction, reduces eosinophilic inflammation, and limits vascular permeability. - CysLT2 receptor antagonists are under investigation but not broadly available.

03

Biological functions

Signal transductionImmune responseModulation of smooth muscle contraction (e.g., bronchoconstriction)Regulation of vascular permeabilityLeukocyte activationChemoattractant responses
04

Disease associations

AsthmaAllergic rhinitisCardiovascular diseaseCancer (various types)Inflammation (including atherosclerosis, atopic asthma, CNS disorders)
05

Safety considerations

Variable effectiveness; not all patients respond to CysLT1 antagonistsPotential side effects include neuropsychiatric events (notably with montelukast)Limited efficacy in severe or steroid-resistant asthmaOff-target effects given similarities to other purinergic receptors
06

Interacting drugs

Montelukast

4 more in the full profile.

07

Biomarkers

CysLT1 receptor expression for asthma phenotype selectionLeukotriene levels (LTC4, LTD4, LTE4) in exhaled breath or urine as markers of pathway activation

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