Target intelligence / Profile preview

Neuronal acetylcholine receptor α4β2 (α4β2 nAChR)

Target
α4β2 nAChR
Molecular classification
Ligand-gated ion channel, Receptor
01

Overview

The **neuronal acetylcholine receptor α4β2** is a pentameric ligand-gated ion channel predominant in the mammalian central nervous system. Comprising α4 and β2 subunits, it exists in two major stoichiometries: (α4)_2(β2)_3 (high-sensitivity) and (α4)_3(β2)_2 (low-sensitivity), influencing its biophysical properties such as sensitivity to agonists and calcium permeability[4][1][5]. It mediates fast synaptic transmission by conducting cations across the neuronal membrane upon binding the neurotransmitter acetylcholine or drugs like nicotine—the latter being the main site of action underlying nicotine addiction[4][5]. The receptor is crucial for modulating cognitive functions, attention, and neurodevelopment, and has a prominent role in diseases such as epilepsy, nicotine dependence, and neurodegenerative conditions. Drugs targeting this receptor act as agonists or antagonists, influencing neuronal signaling and offering therapeutic avenues for smoking cessation, neurological disorders, or cognitive enhancement[4][5][2].

Other names
Alpha-4 beta-2 nicotinic receptornAChR α4β2α4β2 nicotinic acetylcholine receptorCHRNA4/CHRNB2-containing nAChR
02

Mechanism of action

Agonists (e.g., nicotine): Stimulate receptor, increasing cation (Na^+, K^+, some Ca^2+^) permeability, causing neuronal excitation[4][5]; Partial agonists (e.g., varenicline): Partially activate the receptor, reducing withdrawal symptoms; Antagonists: Block acetylcholine/nicotine binding, preventing channel opening

03

Biological functions

Signal transductionNeurotransmissionRegulation of neuronal excitabilitySynaptic plasticityModulation of hormone secretion (e.g., growth hormone)
04

Disease associations

Neurodegenerative diseaseAddiction (nicotine dependence)Epilepsy (certain mutations)Obesity and growth disorders (mutations in CHRNA4)
05

Safety considerations

Risk of addiction (notably with nicotine)CNS side effects (e.g., mood, sleep, or cognition disturbances with drugs targeting this receptor)Seizures (with certain gain-of-function mutations or potent agonists)
06

Interacting drugs

Nicotine

3 more in the full profile.

07

Biomarkers

CHRNA4 and CHRNB2 gene mutations or polymorphisms (linked with disease and altered drug response)Receptor expression levels in brain regions (e.g., PET tracers for α4β2 density)

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