Target intelligence / Profile preview

Urotensin-2 receptor (UTS2R)

Target
UTS2R
Molecular classification
G protein-coupled receptor, Rhodopsin family, Receptor
01

Overview

The **Urotensin-2 receptor** (UTS2R) is a class A, rhodopsin family G protein-coupled receptor predominantly expressed in peripheral vasculature, heart, kidney, brainstem, and other tissues[1][3][4]. It binds the neuropeptide **urotensin II** as its principal endogenous ligand, resulting in extremely potent vasoconstrictive effects—the strongest known among endogenous peptides[1]. The receptor mediates its effect via Gq/11 proteins, activating phosphoinositide and calcium second messenger pathways, which regulate vascular tone and influence neuromuscular physiology[1][3]. UTS2R signaling also affects neuroendocrine responses and REM sleep by regulating stress hormones and cholinergic neuron activity[1]. Dysregulation or overactivation of the urotensin-2 receptor has been associated with a range of cardiovascular, metabolic, neurological, and oncological disorders, making it a researched therapeutic target for antagonists aiming to mitigate its pathological signaling[2][3][5].

Other names
GPR14Urotensin II receptorUR-2-RUR-II-RUTRUTR2SenrU-II
02

Mechanism of action

Agonists: Bind and activate Urotensin-2 receptor, causing vasoconstriction via Gq/11 protein pathway (phosphatidylinositol-calcium second messenger system, increasing intracellular calcium)[1][3][5]. Antagonists: Block Urotensin-2 receptor activation, inhibiting downstream vasoconstriction or cellular response[5].

03

Biological functions

VasoconstrictionSignal transductionRegulation of blood pressureNeuroendocrine signalingStress responseREM sleep modulationCell proliferationMotility and invasion (in cancer cells)
04

Disease associations

Cardiovascular disease (hypertension, portal hypertension, kidney diseases, cirrhosis)Cancer (epithelial cancers such as breast, bladder, prostate, colorectal, glioblastoma)Metabolic syndromeDiabetesSchizophreniaPheochromocytomaMigraine (elevated in migraine patients)
05

Safety considerations

Potential for excessive vasoconstriction and hypertension with agonist activation[1][2]Unclear long-term impact on cardiovascular systemRole in cell proliferation and cancer progression raises concern for tumorigenesis[2]Limited antagonist selectivity and unclear effects across species [5]
06

Interacting drugs

Urotensin II (endogenous agonist)

6 more in the full profile.

07

Biomarkers

Urotensin-2 receptor expression in affected tissues (e.g., higher levels in migraine patients[2])Genetic polymorphisms (e.g., R148H SNP impacting signaling response)[1]

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