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Glutamate ionotropic receptor AMPA type (AMPAR)

Target
AMPAR
Molecular classification
Ionotropic glutamate receptor, Ligand-gated ion channel, Cation channel, Receptor
01

Overview

The Glutamate ionotropic receptor AMPA type (AMPAR) is a critical ligand-gated ion channel that mediates the majority of fast excitatory synaptic transmission in the central nervous system [2, 10]. Composed of four subunits (GluA1-4), these receptors are essential for synaptic plasticity, including long-term potentiation and depression, which serve as the cellular basis for learning and memory [2, 22, 32]. Dysregulation of AMPAR function is implicated in a wide range of neurological and psychiatric disorders, such as epilepsy, where overactivation leads to seizures, and neurodegenerative diseases like Alzheimer's and ALS, where excitotoxicity or synaptic loss occurs [1, 8, 16]. Pharmacological targeting of AMPARs includes antagonists like perampanel for epilepsy and positive allosteric modulators (ampakines) being explored for cognitive enhancement and depression [5, 12, 25]. Despite their therapeutic potential, targeting AMPARs presents challenges due to their ubiquitous expression and the risk of side effects like sedation or pro-convulsant activity [5, 7, 26].

Other names
AMPA receptorGluRGRIAQuisqualate receptorAlpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor
02

Mechanism of action

Drugs targeting the AMPA receptor primarily act through non-competitive antagonism (allosteric inhibition), competitive antagonism, or positive allosteric modulation (PAM) to either decrease or increase the frequency and duration of ion channel opening in response to glutamate binding [1, 5, 19].

03

Biological functions

Fast excitatory neurotransmissionSynaptic plasticityLong-term potentiation (LTP)Long-term depression (LTD)Learning and memoryNeuronal communicationRegulation of synaptic strength
04

Disease associations

EpilepsyAlzheimer's diseaseAmyotrophic lateral sclerosis (ALS)SchizophreniaMajor depressive disorderStroke (Excitotoxicity)Huntington's diseaseAttention-deficit hyperactivity disorder (ADHD)Autism spectrum disorderSpinal cord injury
05

Safety considerations

DizzinessSomnolenceCognitive impairmentAtaxiaPotential for abuse or withdrawalRisk of seizures (with positive modulators)Excitotoxicity (with agonists or excessive modulation)Cardiovascular risksNeurochemical imbalances
06

Interacting drugs

Perampanel

19 more in the full profile.

07

Biomarkers

[11C]K-2 (PET imaging ligand)[18F]K-40 (PET imaging ligand)[11C]HMS011 (PET imaging ligand)[18F]AMPA-2109 (PET imaging ligand)CSF glutamate levelsEEG patterns (for epilepsy monitoring)Synaptic density markers (e.g., SV2A PET)GluA1/2/3 subunit expression levels

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