Target intelligence / Profile preview

Orexin receptor type 1; Orexin receptor type 2 (OX1R; OX2R)

Target
OX1R; OX2R
Molecular classification
Receptor, G protein-coupled receptor (GPCR), Rhodopsin-like receptor (class A GPCR)
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Overview

Orexin receptor type 1 and orexin receptor type 2 (OX1R and OX2R) are members of the class A, rhodopsin-like family of G protein-coupled receptors that are widely expressed in the central and peripheral nervous systems. Their endogenous ligands, orexin-A and orexin-B, are neuropeptides that mediate crucial physiological processes such as maintenance of wakefulness, regulation of feeding behavior, reward seeking, and stress response. OX1R and OX2R are encoded by HCRTR1 and HCRTR2 genes, respectively, and exhibit distinct but overlapping distributions in the brain. Therapeutic antagonists targeting orexin receptors are approved for insomnia; agonists are under development for narcolepsy and other disorders. Dysfunction of the orexin system is implicated in sleep disorders, addiction, neurodegenerative diseases, and certain cancers.

Other names
Hypocretin receptor type 1 (OX1R)Hypocretin receptor type 2 (OX2R)HCRTR1 (gene for OX1R)HCRTR2 (gene for OX2R)
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Mechanism of action

Antagonists block orexin peptide binding, suppressing arousal to treat insomnia. Agonists mimic orexin activity, stimulating wakefulness (potentially for narcolepsy).

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Biological functions

Signal transductionRegulation of wakefulness and arousalAppetite controlReward processingModulation of locomotionCell death/apoptosis (context-dependent)
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Disease associations

Sleep disorders (e.g., narcolepsy, insomnia)Neurodegenerative disease (e.g., Alzheimer's disease)AddictionMetabolic syndrome/obesityCancer (anti-tumoral functions described)
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Safety considerations

REM sleep suppression (excess antagonism)Daytime sleepiness (off-target or excessive antagonism)Abuse potential (for agonists affecting reward pathways)Off-target neuropsychiatric effects
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Interacting drugs

Suvorexant (dual antagonist for insomnia)

8 more in the full profile.

07

Biomarkers

CSF orexin-A concentration (for narcolepsy diagnosis)Expression level of HCRTR1/HCRTR2 in relevant tissues (sleep-wake regulation research)

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