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Dopamine receptor D2 long isoform and Dopamine receptor D3 (D2L, D3)

Target
D2L, D3
Molecular classification
G protein-coupled receptor, Receptor, D2-like dopamine receptor family
01

Overview

Dopamine receptor D2 long isoform (D2L) and dopamine receptor D3 (D3) are members of the D2-like family of G protein-coupled receptors (GPCRs). Both are integral membrane proteins that modulate neurophysiological functions by inhibiting adenylyl cyclase and reducing cAMP levels via Gi/Go coupling. D2L is primarily expressed postsynaptically in various brain regions and is a major target for neuroleptics (antipsychotics). D3 receptor is highly expressed in limbic regions such as the nucleus accumbens, with roles in cognition, motivation, emotion, and reward. Both participate in dopaminergic signaling relevant to psychiatric, neurological, and addictive disorders. Drugs targeting these receptors include antipsychotics, dopamine agonists for Parkinson’s, and experimental compounds for substance abuse. Their pharmacology is central to treatment efficacy and safety, including risk of movement disorders (EPS) and neuroendocrine effects. The two receptors share a high degree of structural homology but display distinct expression profiles and functional roles within the central nervous system.

Other names
Dopamine D2L receptorDRD2LD2 long isoformDopamine D3 receptorDRD3
02

Mechanism of action

Antagonists: Block dopamine binding and receptor activation, reducing dopamine signaling—major mechanism for antipsychotic efficacy. Agonists: Stimulate these receptors, beneficial in Parkinson’s disease for motor symptoms. Partial agonists: Modulate dopamine signaling in a context-dependent manner. Modulation of adenylate cyclase inhibition and synaptic neurotransmission.

03

Biological functions

Signal transduction through Gi/Go proteins—mainly inhibits adenylyl cyclase, reducing cAMPModulation of neurotransmitter releaseRegulation of movement, cognition, emotion, and affectModulation of neuronal excitabilityCellular and synaptic plasticityInteraction with cytoskeletal proteins (e.g., filamin A)
04

Disease associations

Schizophreniabipolar disordermajor depression (neuropsychiatric disorders)Parkinson’s disease (motor symptoms, neuroprotection)Addiction (drugs of abuse and reward pathways)Possibly involved in cell proliferation and structural changes in the brain
05

Safety considerations

Extrapyramidal symptoms (EPS), such as tardive dyskinesia, associated with D2 antagonism, especially with typical antipsychoticsHyperprolactinemia from pituitary D2 receptor blockadeImpulse control disorders, particularly with D3/D2 agonists in Parkinson's diseaseMetabolic effects with co-antagonism of other receptors (less direct for pure D2/D3 drugs)Cardiac arrhythmias (rare), QT prolongation risk for certain drugs
06

Interacting drugs

Eticlopride

8 more in the full profile.

07

Biomarkers

Positron emission tomography (PET) binding for D2/D3 occupancy is used to guide dosing and patient selection for antipsychotic treatmentDRD2 and DRD3 gene variants may be pharmacogenomic biomarkers (still emerging)

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