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Dopamine D2 receptor; Dopamine D3 receptor (D2R; D3R)

Target
D2R; D3R
Molecular classification
G protein-coupled receptor (GPCR), Receptor
01

Overview

The dopamine D2 receptor and dopamine D3 receptor are closely related members of the dopamine receptor family, belonging to the D2-like subfamily of G protein-coupled receptors (GPCRs). Both receptors are primarily expressed in the brain and play critical roles in modulating dopaminergic neurotransmission, affecting movement, cognition, reward, and emotion. D2 receptors are found pre- and post-synaptically, with the presynaptic D2 autoreceptor modulating dopamine release, and postsynaptic D2 involved in synaptic transmission. D3 receptors are predominantly located in limbic regions and implicated in emotional and cognitive functions; their distribution and pharmacology overlap but are distinct from D2 receptors. These receptors are major therapeutic targets in psychiatry and neurology—particularly for antipsychotics and anti-Parkinson agents—and are also under investigation as targets for addiction therapies. Pharmacological modulation can be achieved by antagonists (mainly for psychiatric diseases), agonists (movement disorders), and partial agonists (mood and psychosis), with unique side effect and efficacy profiles linked to their activity at these receptors.

Other names
D2 receptorD3 receptorDRD2 (gene symbol for Dopamine receptor D2)DRD3 (gene symbol for Dopamine receptor D3)D2-like dopamine receptor (family/group term)
02

Mechanism of action

Antagonists block dopamine binding to D2 and/or D3 receptors, reducing dopaminergic neurotransmission (e.g., antipsychotics). Partial agonists modulate receptor activity (e.g., aripiprazole, cariprazine, acting as functional modulators). Agonists activate D2 and/or D3 receptors, increasing dopaminergic signaling (e.g., in Parkinson’s disease).

03

Biological functions

Signal transductionModulation of neurotransmissionRegulation of movement, cognition, and emotion
04

Disease associations

Neuropsychiatric disorder (e.g., schizophrenia, bipolar disorder, major depressive disorder)Substance use disorder/addictionParkinson's diseaseOther neurological disorders
05

Safety considerations

Extrapyramidal symptoms (motor side effects due to D2 antagonism)Hyperprolactinemia (hormonal/endocrine effects)Metabolic syndrome (for some antipsychotics)Impulse control disorders (for agonists)Neuroleptic malignant syndrome (rare but serious with potent D2 blockade)
06

Interacting drugs

risperidone

14 more in the full profile.

07

Biomarkers

Positron emission tomography (PET) D2/D3 receptor occupancy for drug responseProlactin levels (for D2 antagonism monitoring as increased prolactin is a side effect)Null for disease-specific selection biomarkers

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