Target intelligence / Profile preview

Orexin receptor type 1 (OX1R) (OX1R)

Target
OX1R
Molecular classification
G protein-coupled receptor, Receptor, Peptide receptor
01

Overview

Orexin receptor type 1 (OX1R), also known as hypocretin receptor type 1 (HCRTR1), is a G protein-coupled receptor primarily expressed in the central nervous system, particularly in the locus coeruleus and hypothalamus [1, 8]. It is activated by the neuropeptide orexin-A and plays a critical role in regulating the sleep-wake cycle, energy homeostasis, and reward-seeking behavior [2, 3]. In the context of sleep, OX1R works alongside OX2R to promote wakefulness and suppress REM sleep [13, 14]. Dysregulation of the orexin system is linked to narcolepsy, where a loss of orexin-producing neurons leads to excessive daytime sleepiness and cataplexy [2, 13]. Therapeutically, OX1R is a major target for dual orexin receptor antagonists (DORAs) like suvorexant and lemborexant, which are used to treat insomnia by inhibiting wake-promoting signals [4, 14]. Additionally, selective OX1R antagonists are being investigated for their potential in treating substance use disorders and anxiety, as the receptor is heavily involved in the brain's reward and stress-response circuits [8, 11]. Beyond the brain, OX1R is expressed in peripheral tissues like the gastrointestinal tract and reproductive organs, suggesting roles in metabolism and endocrine function [12]. Safety concerns associated with OX1R modulation include daytime somnolence and narcolepsy-like symptoms such as sleep paralysis [15].

Other names
Hypocretin receptor type 1HCRTR1OX1ORXR1OXR1
02

Mechanism of action

Antagonism of the orexin receptor type 1 to inhibit wake-promoting and reward-seeking signals.

03

Biological functions

Signal transductionRegulation of sleep-wake cycleFeeding behaviorReward and addictionEnergy homeostasisStress responseAutonomic control
04

Disease associations

InsomniaNarcolepsyDrug addictionAnxietyObesityBinge eatingCancer
05

Safety considerations

SomnolenceCataplexySleep paralysisHypnagogic hallucinationsAbnormal dreamsSuicidal ideationPotential reproductive health effects
06

Interacting drugs

Suvorexant

13 more in the full profile.

07

Biomarkers

Polysomnography parametersCerebrospinal fluid orexin-A levelsLiver enzyme levels

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