Target intelligence / Profile preview

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

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

Overview

Dopamine receptor D2 and D3 are closely related subtypes of the dopamine receptor family, both belonging to the G protein-coupled receptor (GPCR) superfamily. They are mainly coupled to Gi/o proteins and inhibit adenylyl cyclase, thereby modulating neuronal excitability and neurotransmitter release. D2 and D3 receptors are widely expressed in the central nervous system. D2 receptors are pivotal for the action of most antipsychotic drugs and are present as both postsynaptic (regulating neuronal activity) and presynaptic autoreceptors (modulating dopamine release), with distinct isoforms. D3 receptors, while similar in structure, have a more restricted distribution and are implicated in cognition, emotional regulation, and reward pathways. Both receptors are fundamental in the pathophysiology and treatment of psychiatric and movement disorders, but their modulation can give rise to significant clinical side effects and therapeutic challenges.

Other names
D2 receptorD2RD3 receptorD3RDRD2 (gene for D2 receptor)DRD3 (gene for D3 receptor)
02

Mechanism of action

Antipsychotics act as D2 (and often D3) receptor antagonists, blocking dopamine signaling and reducing positive symptoms of schizophrenia and other psychoses. Dopamine agonists stimulate D2/D3 receptors to substitute for lost dopaminergic signaling in Parkinson’s disease.

03

Biological functions

Signal transductionRegulation of neurotransmitter (dopamine) releaseModulation of movement, cognition, emotion, attention, sleep, and learningRegulation of adenylyl cyclase activity (mainly inhibition via Gi/o proteins)
04

Disease associations

Neuropsychiatric disease (e.g. schizophrenia, bipolar disorder)Parkinson’s diseaseAddiction/substance abuseOther neurodegenerative diseases
05

Safety considerations

Extrapyramidal symptoms (e.g. tardive dyskinesia, Parkinsonism), especially due to D2 antagonism in basal gangliaHyperprolactinemia (due to tuberoinfundibular pathway D2 blockade)Cognitive or motivational deficits (D2/D3 blockade in frontal cortex and limbic regions)Addiction risk and impulse control disorders (excessive dopaminergic stimulation with agonists)
06

Interacting drugs

risperidone

9 more in the full profile.

07

Biomarkers

Expression levels of D2/D3 receptors (quantified via PET imaging with radioligands) for patient stratification and monitoring antipsychotic responseDRD2/DRD3 genotyping for predicting drug response or adverse effects (research stage)

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