Target intelligence / Profile preview

Serotonin 5-hydroxytryptamine 1E receptor (5-HT1E receptor)

Target
5-HT1E receptor
Molecular classification
G protein-coupled receptor, Receptor
01

Overview

The **Serotonin 5-hydroxytryptamine 1E receptor (5-HT1E receptor)** is a member of the serotonin 5-HT1 receptor subfamily, which includes 5-HT1A, 5-HT1B, 5-HT1D, 5-HT1E, and 5-HT1F types[2][6]. It is a **G protein-coupled receptor** (GPCR) that predominantly couples to **Gi/o proteins**, leading to inhibitory signaling in neurons[2][5]. The receptor is mainly expressed in the hippocampus and hypothalamus, as well as some immune cell types, suggesting roles in both neurological and inflammatory processes[3][6]. Structural studies—including high-resolution cryo-EM—have revealed details of ligand binding and receptor activation, notably the interaction with the selective agonist **BRL-54443**[1][2][5][7]. Other pharmacologically relevant agonists include the tetracyclic antidepressants **mianserin**, **setiptiline**, and **mirtazapine**, which can also activate 5-HT1E and 5-HT1F receptors[7]. Despite its potential therapeutic relevance—especially as a target in migraines—much about the physiological role of the 5-HT1E receptor remains unknown; unlike other serotonin receptors, its function in native tissues is less well established[7]. This uncertainty contributes to safety concerns regarding drug development and clinical targeting. Overall, the 5-HT1E receptor represents a structurally and pharmacologically distinct serotonin receptor subtype with promising but incompletely understood therapeutic potential[7][8].

Other names
5-HT1E receptorSerotonin receptor 1EHTR1E
02

Mechanism of action

Agonism: Drug binding to the receptor activates Gi/o protein signaling, leading to inhibition of adenylyl cyclase, decreased cAMP, and subsequent downstream effects Selectivity: Ligand selectivity is determined by specific residues in the binding pocket, especially E311^6.55, which interacts with agonists such as BRL-54443

03

Biological functions

Signal transductionRegulation of neurotransmitter releaseNeuronal activity modulationMood regulationPossible involvement in immune/inflammatory responses
04

Disease associations

Neuropsychiatric disorders (possible role)Migraine (potential role)Ovarian cancer (potential role)Other (role largely not well characterized)
05

Safety considerations

Poor characterization of physiological and pathophysiological roles increases risk for off-target effects and unpredictable outcomesDrugs with 5-HT1E agonism may have side effects attributed to activity at other serotonin receptors and off-target receptors such as histamine receptors (e.g., pimethixene’s affinity for H1R and 5-HT2C)Methylergonovine: risk of fibrotic symptoms due to 5-HT2B agonism, not 5-HT1E
06

Interacting drugs

BRL-54443 (selective agonist, also acts at 5-HT1F)

5 more in the full profile.

07

Biomarkers

no well-established biomarkers for patient selection specific to 5-HT1E receptor found in current literature

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