Target intelligence / Profile preview

Serotonin receptor family (5-HTR)

Target
5-HTR
Molecular classification
G protein-coupled receptor, Ligand-gated ion channel, Receptor
01

Overview

The Serotonin receptor family, also known as 5-hydroxytryptamine (5-HT) receptors, is a diverse group of receptors located throughout the central and peripheral nervous systems that mediate the physiological effects of serotonin (StatPearls, 2023). The family is classified into seven distinct classes (5-HT1 to 5-HT7) comprising 14 subtypes, most of which are G protein-coupled receptors, with the exception of the 5-HT3 receptor, which is a ligand-gated ion channel (IUPHAR/BPS Guide to Pharmacology). These receptors are integral to the regulation of mood, cognition, sleep, appetite, and gastrointestinal motility (UniProt). Dysregulation of serotonergic signaling is a hallmark of various conditions, including major depressive disorder, anxiety, schizophrenia, and migraine (PubMed, PMID: 28244281). Consequently, they are primary targets for a wide range of pharmacological agents, including antidepressants, antipsychotics, and antiemetics (PubChem). Therapeutic development focuses on subtype selectivity to maximize efficacy while minimizing risks such as serotonin syndrome or 5-HT2B-mediated cardiac valvulopathy (NIH).

Other names
5-hydroxytryptamine receptor5-HT receptorEnteramine receptor
02

Mechanism of action

Drugs act as agonists, partial agonists, antagonists, or inverse agonists at specific 5-HT receptor subtypes to modulate intracellular signaling pathways (e.g., cAMP, IP3/DAG) or gate ion flow in the case of 5-HT3 receptors (IUPHAR/BPS Guide to Pharmacology).

03

Biological functions

Signal transductionNeurotransmissionMood regulationAppetite controlSleep-wake cycleThermoregulationSmooth muscle contractionPlatelet aggregation
04

Disease associations

DepressionAnxietySchizophreniaMigraineIrritable bowel syndromeNauseaObesityNeurodegenerative disease
05

Safety considerations

Serotonin syndrome (excessive serotonergic activity)Cardiac valvulopathy (associated with 5-HT2B agonism)Extrapyramidal symptomsMetabolic syndrome and weight gainSexual dysfunctionQT interval prolongation
06

Interacting drugs

Sumatriptan

7 more in the full profile.

07

Biomarkers

5-Hydroxyindoleacetic acid (5-HIAA) levels in cerebrospinal fluidPlatelet serotonin concentrationPositron Emission Tomography (PET) imaging of receptor occupancy (e.g., [11C]WAY-100635)

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