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Neurokinin 2 receptor and Neurokinin 3 receptor (NK2R, NK3R)

Target
NK2R, NK3R
Molecular classification
G protein-coupled receptor (GPCR), Receptor, Seven-transmembrane protein
01

Overview

Neurokinin 2 receptor and neurokinin 3 receptor are members of the tachykinin receptor family of G protein-coupled receptors, encoded by TACR2 and TACR3 respectively. Both receptors are expressed in the nervous system, smooth muscle, and various peripheral tissues. They are activated by endogenous neuropeptides of the tachykinin family: Neurokinin A preferentially activates NK2R, while Neurokinin B is the primary ligand for NK3R; both can also be activated (less potently) by other tachykinins such as substance P. These receptors mediate diverse physiological effects, including modulation of neurotransmission, smooth muscle contractility, immune regulation, and neuroendocrine signaling. NK2R is especially important in regulating gastrointestinal motility and appetite, while NK3R is crucial in the hypothalamic-pituitary-gonadal axis, behavior, and certain cardiovascular and metabolic functions. Both serve as validated therapeutic targets for a variety of diseases, with drugs in clinical development for disorders such as menopausal symptoms (NK3R antagonists), functional gastrointestinal diseases (NK2R), and possibly cancer and metabolic diseases.

Other names
Neurokinin 2 receptorNK2RTACR2Neurokinin 3 receptorNK3RTACR3Tachykinin receptor 2Tachykinin receptor 3NK-2 receptorNK-3 receptor
02

Mechanism of action

Agonists activate receptor, leading to Gq protein coupling, stimulation of phospholipase C, increase in intracellular calcium, and downstream cellular effects. Antagonists block endogenous tachykinin peptides from activating the receptor, inhibiting downstream signaling and related physiological responses.

03

Biological functions

Signal transduction (mediating intracellular signaling upon ligand binding)Modulation of neurotransmission in the central and peripheral nervous systemRegulation of smooth muscle contraction (especially gastrointestinal for NK2R)Regulation of immune responsesRegulation of hormone secretion (notably in reproductive axis for NK3R)Modulation of pain, mood, and behavioral responsesRegulation of energy balance and appetite (NK2R)
04

Disease associations

Neuropsychiatric disorders (depression, anxiety, mood disorders)Substance use disorders (addiction)Inflammatory diseases (including irritable bowel syndrome, asthma, inflammatory bowel disease, rheumatoid arthritis)Cancer (especially anti-angiogenesis roles for NK3R)Metabolic disease/obesity (NK2R)Reproductive endocrine disorders (NK3R, e.g., menopausal symptoms)
05

Safety considerations

Antagonists may interfere with normal neuroendocrine, gastrointestinal, or cardiovascular functionsOff-target effects due to presence in multiple tissues (CNS, smooth muscle, immune cells)Animal studies and clinical trials suggest generally tolerable safety profiles for recent NK3R antagonists, but long-term safety remains to be established
06

Interacting drugs

MEN 11420 (antagonist)

14 more in the full profile.

07

Biomarkers

No widely established biomarkers specific to selecting patients for therapies targeting these receptors. However, increased NK3R expression/activity or neurokinin B (NKB) levels in the hypothalamus have been implicated in reproductive/endocrine pathologies.NGR-CD13 (tumor vessel marker) is used in drug delivery strategies related to anti-angiogenesis through NK3R agonists.

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