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Neuronal acetylcholine receptor subunit alpha-5 (α5 nAChR subunit)

Target
α5 nAChR subunit
Molecular classification
Ion channel (ligand-gated), Receptor (specifically, accessory subunit of nicotinic acetylcholine receptor), Cys-loop receptor family
01

Overview

The neuronal acetylcholine receptor subunit alpha-5 is an accessory subunit of heteropentameric nicotinic acetylcholine receptors, encoded by the CHRNA5 gene. Unlike other α or β subunits that compose the primary ligand binding interfaces, α5 does not form functional channels by itself but co-assembles (primarily) with α4, β2 or α3, β4 subunits to modify receptor properties. This subunit markedly alters receptor trafficking, surface expression, ion channel permeability (especially to Ca²⁺), ligand sensitivity, and intracellular signaling, including G protein coupling. Genetic variation in CHRNA5 is robustly linked to increased risk for nicotine dependence, some cancers, COPD, and vascular diseases. α5-containing nAChRs are expressed throughout the CNS and PNS, with distinct functional roles in modulating synaptic transmission, neurotransmitter release, and neuronal excitability. Drugs targeting these receptors include agonists (nicotine, varenicline) and selective antagonists/inhibitors like DhβE and epibatidine

Other names
Cholinergic receptor nicotinic alpha 5 subunitCHRNA5 (gene name)nAChR α5α5 subunit
02

Mechanism of action

Agonists (e.g., nicotine): activate nAChRs containing α5, resulting in cation influx and neuronal excitation. Antagonists/inhibitors (e.g., DhβE): block acetylcholine/nicotine-induced responses by inhibiting receptor activation.

03

Biological functions

Signal transduction (mediates synaptic transmission via ion flux)Modulation of ligand efficacy and potencyRegulation of Ca²⁺ permeability and neurotransmitter releaseReceptor trafficking, assembly, and cell surface targetingG protein signaling modulation (via cytoplasmic loop interactions)
04

Disease associations

Nicotine addiction/substance use disorders (associated with genetic variants)Lung cancer (risk association via CHRNA5 gene cluster)Chronic obstructive pulmonary diseasePeripheral arterial diseaseNeuropsychiatric disorders (modulates neuronal signaling)
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Safety considerations

High Ca²⁺ permeability may contribute to excitotoxicity and cell damage under pathological conditionsGenetic variants may modulate susceptibility to addiction or adverse effects of drugs acting on nAChRsPotential systemic side effects from widespread CNS and PNS expression
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Interacting drugs

Nicotine

4 more in the full profile.

07

Biomarkers

CHRNA5 D398N polymorphism (Asp398Asn) is genomically associated with risk and prognosis in nicotine addiction, lung cancer, and other diseases involving α5 functionGenetic detection of CHRNA5 variants for patient stratification

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