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Vasopressin V1a receptor (V1aR) (V1aR)

Target
V1aR
Molecular classification
G protein-coupled receptor [2, 5, 8], Rhodopsin-like GPCR [2, 8], Vasopressin/oxytocin receptor family [8, 11]
01

Overview

The Vasopressin V1a receptor (V1aR), encoded by the Avpr1a gene in rats, is a G protein-coupled receptor (GPCR) primarily located in vascular smooth muscle, the liver, and the central nervous system [1, 2, 5]. It mediates the effects of arginine vasopressin (AVP) through the Gq/11 signaling pathway, leading to phospholipase C activation and increased intracellular calcium [2, 8, 16]. In the periphery, V1aR activation causes potent vasoconstriction, platelet aggregation, and hepatic glycogenolysis, while in the brain, it regulates complex social behaviors, including aggression, anxiety, and pair bonding [2, 8, 15, 17]. Due to its role in regulating vascular tone and cardiac remodeling, the V1a receptor is a significant therapeutic target for cardiovascular diseases such as hypertension and heart failure [7, 10, 16]. Additionally, its involvement in social cognition has made it a target for treating neuropsychiatric conditions like autism spectrum disorder and post-traumatic stress disorder [13, 14, 15]. Pharmacological agents targeting V1aR include selective antagonists like relcovaptan and balovaptan, as well as dual V1a/V2 antagonists like conivaptan [2, 4, 11, 13].

Other names
Arginine vasopressin receptor 1A [1, 2]Antidiuretic hormone receptor 1A [1, 2]Vascular/hepatic-type arginine vasopressin receptor [1, 2]AVPR1A [2, 8]AVPR V1a [1, 2]
02

Mechanism of action

The V1a receptor primarily signals through the Gq/11 protein-coupled pathway, activating phospholipase C (PLC) to generate inositol trisphosphate (IP3) and diacylglycerol (DAG), which increases intracellular calcium levels [2, 8, 16]. Drugs targeting this receptor act as either antagonists to block vasoconstriction and modulate social behavior, or as agonists to induce pressor effects and enhance myocardial contractility [7, 10, 11, 15].

03

Biological functions

Vasoconstriction of vascular smooth muscle [2, 8, 15]Hepatic glycogenolysis [2, 8]Platelet aggregation [2, 8]Regulation of social behaviors including aggression, anxiety, and pair bonding [2, 15, 17]Circadian rhythm regulation in the suprachiasmatic nucleus [2]Myocardial inotropic effects and hypertrophy [8, 16]Uterine contraction [8]
04

Disease associations

Hypertension [10, 15]Heart failure and cardiac remodeling [7, 10, 16]Autism spectrum disorder (ASD) [13, 15]Anxiety and stress-related disorders [2, 14, 17]Post-traumatic stress disorder (PTSD) [14, 15]Aggression and social dysfunction [15, 17]
05

Safety considerations

Cross-reactivity with V2 receptors, potentially causing hyponatremia or fluid retention [10, 16]Alteration of social behavior, cognition, and emotional processing [13, 15]Risk of hypotension when used as a vasodilator [10]Potential for liver enzyme elevations (class effect of some vaptans) [11]
06

Interacting drugs

Conivaptan [8, 10, 11]

6 more in the full profile.

07

Biomarkers

Plasma vasopressin (AVP) levels [4, 16]Copeptin (stable surrogate for AVP) [9]Ex vivo AVP-induced platelet aggregation inhibition [4]AVP-induced cutaneous blanching inhibition [4]fMRI-based neural response to emotional stimuli [14]

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