Target intelligence / Profile preview

Dopamine receptor D2 short isoform (DRD2S)

Target
DRD2S
Molecular classification
G protein-coupled receptor, Seven-transmembrane receptor, Dopamine receptor, D2-like receptor family
01

Overview

The **dopamine receptor D2 short isoform (D2S)** is a G protein-coupled receptor (GPCR) and one of the two main isoforms of the dopamine receptor D2, generated by alternative splicing of the DRD2 gene[2][4][5]. D2S acts primarily as a pre-synaptic autoreceptor, modulating dopamine synthesis, storage, and release via inhibitory G proteins (G\(_{i/o}\)), which inhibit adenylyl cyclase and decrease intracellular cAMP levels[2][10]. The D2S receptor is highly expressed in dopaminergic areas like the striatum and acts as a key regulator of dopaminergic neurotransmission[2][10]. It is a critical pharmacological target for antipsychotic drugs (which act as antagonists/partial agonists)[6], and for dopaminergic agonists used in the treatment of Parkinson’s disease and pituitary adenomas[4][6]. Dysregulation or abnormal signaling through the D2S receptor is implicated in psychiatric and movement disorders. Both the short (D2S) and long (D2L) isoforms share similar pharmacology but have distinct cellular distributions and functions: D2S is primarily pre-synaptic (autoreceptor), while D2L is primarily post-synaptic[2].

Other names
Dopamine D2S receptorD2SDopamine receptor D2 short formD2 short isoformDRD2 shortD2Sh
02

Mechanism of action

Antagonism (blockade) at D2 receptor (major mechanism for antipsychotics) Partial agonism at D2 receptor (for some atypical antipsychotics) Agonism at D2 receptor (dopaminergic stimulants for Parkinson’s disease) Modulation of pre-synaptic (D2S autoreceptor) activity to reduce dopamine synthesis/release

03

Biological functions

Signal transductionRegulation of neurotransmitter release (autoreceptor function)Inhibition of adenylyl cyclase (decreases cAMP)Modulation of dopamine synthesis, storage, and releaseNegative feedback regulation of dopaminergic signaling
04

Disease associations

Neuropsychiatric disorders (including schizophrenia and bipolar disorder)Parkinson's diseaseEndocrine disorders (e.g., hyperprolactinemia)Movement disorders (e.g., Tourette’s syndrome, restless legs syndrome)Other CNS disorders
05

Safety considerations

Extrapyramidal symptoms (EPS) and parkinsonism (from D2 antagonism)Tardive dyskinesia (with long-term antagonism)Hyperprolactinemia (due to blockade of pituitary D2 receptors)Neuroleptic malignant syndromeCardiac and metabolic risks (for some antagonists)
06

Interacting drugs

Antipsychotics (e.g., haloperidol, risperidone, olanzapine, aripiprazole, chlorpromazine, ziprasidone, quetiapine)

3 more in the full profile.

07

Biomarkers

DRD2 expression in imaging (PET ligands for D2)Changes in prolactin levels (indicator of D2 blockade/antagonism)Striatal D2 receptor occupancy (for efficacy monitoring of antipsychotics)

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