Dopamine D2

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Dopamine D2 receptor (D2R) is a protein that in humans is encoded by the DRD2 gene. It is one of the five dopamine receptors, which are a class of G protein-coupled receptors. D2R is involved in a wide range of physiological functions, including motor control, reward and reinforcement, and the modulation of neurotransmitter release.

Function[edit | edit source]

The D2 receptor is a key player in the dopamine system, which is a critical part of the central nervous system. Dopamine receptors are divided into two classes based on their pharmacological profile: D1-like and D2-like receptors. D2R, along with D3 and D4 receptors, belongs to the D2-like class. D2 receptors are primarily located in the striatum, a brain region involved in coordinating movement, and in areas associated with the brain's reward system. They act mainly as inhibitory receptors, reducing the activity of their target cells.

In the context of motor control, D2 receptors are involved in the regulation of dopamine levels, which is crucial for normal movement. Dysregulation of D2R can lead to motor disorders such as Parkinson's disease, characterized by reduced movement and tremors.

In the reward system, D2 receptors play a role in the process of reinforcement, influencing behaviors related to motivation and pleasure. Alterations in D2 receptor function have been linked to various psychiatric disorders, including schizophrenia, bipolar disorder, and addiction.

Genetics[edit | edit source]

The DRD2 gene is located on chromosome 11q23.2. It is highly polymorphic, with several variants associated with the risk of developing psychiatric disorders or differences in the pharmacological response to drugs. One of the most studied polymorphisms in the DRD2 gene is the Taq1A restriction fragment length polymorphism, which has been linked to an increased risk of developing alcoholism and other addictive behaviors.

Pharmacology[edit | edit source]

D2 receptors are the target of various pharmacological agents, including antipsychotic drugs, which are used to treat schizophrenia and other forms of psychosis. These drugs can be classified into two categories: typical and atypical antipsychotics. Typical antipsychotics primarily block D2 receptors, while atypical antipsychotics have a broader spectrum of action, affecting multiple neurotransmitter systems.

Dopamine agonists, which stimulate dopamine receptors, are used in the treatment of Parkinson's disease and restless legs syndrome. These drugs mimic the action of dopamine at the D2 receptors, compensating for the decreased dopamine activity characteristic of these conditions.

Research[edit | edit source]

Research on the D2 receptor continues to uncover its complex role in the brain. Studies using animal models and advanced imaging techniques in humans aim to better understand how alterations in D2 receptor function contribute to neurological and psychiatric disorders. This knowledge is crucial for the development of more effective treatments with fewer side effects.


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Contributors: Prab R. Tumpati, MD