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The Vasopressin V1a receptor (AVPR1A) is a G protein-coupled receptor that primarily mediates the pressor effects of arginine vasopressin (AVP) through the Gq/11 signaling pathway, leading to increased intracellular calcium and smooth muscle contraction [1, 2]. It is widely expressed in the vascular smooth muscle, liver, kidney, and various regions of the brain, where it plays a critical role in regulating blood pressure, platelet aggregation, and social behaviors [1, 3]. In cardiovascular pathology, overactivation of V1aR contributes to excessive vasoconstriction and heart failure progression, making it a target for antagonistic therapies [2, 4]. Conversely, V1aR agonists like terlipressin are utilized in clinical settings to manage vasodilatory shock by restoring vascular tone [5]. Beyond its peripheral roles, the receptor is implicated in neuropsychiatric conditions such as autism and social anxiety, leading to the development of selective antagonists like balovaptan for behavioral modulation [2, 3]. Therapeutic intervention must carefully balance systemic vascular effects with potential central nervous system impacts [4]. Sources: [1] UniProt (P37288); [2] IUPHAR/BPS Guide to Pharmacology; [3] NCBI Gene (552); [4] PubChem (AVPR1A); [5] Manning M, et al. (2012) Vasopressin and oxytocin agonists and antagonists.
Competitive antagonism of arginine vasopressin binding to inhibit Gq-mediated signaling or selective agonism to induce vasoconstriction [2, 5].
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