Biodol Therapeutics, Clapiers, France.
Translational Addiction Research Laboratory, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Curr Top Behav Neurosci. 2023;60:1-28. doi: 10.1007/7854_2022_315.
Before 1990, the multiplicity of dopamine receptors beyond D1 and D2 had remained a controversial concept, despite its substantial clinical implications, at a time when it was widely accepted that dopamine interacted with only two receptor subtypes, termed D1 and D2, differing one from the other by their pharmacological specificity and opposite effects on adenylyl cyclase. It was also generally admitted that the therapeutic efficacy of antipsychotics resulted from blockade of D2 receptors. Thanks to molecular biology techniques, the D3 receptor could be characterized as a distinct molecular entity having a restricted anatomical gene expression and different signaling, which could imply peculiar functions in controlling cognitive and emotional behaviors. Due to the structural similarities of D2 and D3 receptors, the search for D3-selective compounds proved to be difficult, but nevertheless led to the identification of fairly potent and in vitro and in vivo selective compounds. The latter permitted to confirm a role of D3 receptors in motor functions, addiction, cognition, and schizophrenia, which paved the way for the development of new drugs for the treatment of psychiatric disorders.
在 1990 年之前,尽管多巴胺受体的多样性超出了 D1 和 D2,具有重要的临床意义,但它仍然是一个有争议的概念。当时,人们普遍认为多巴胺仅与两种受体亚型相互作用,这两种受体亚型分别称为 D1 和 D2,它们在药理学特性和对腺苷酸环化酶的相反作用上有所不同。人们也普遍承认,抗精神病药物的治疗效果源于 D2 受体的阻断。由于分子生物学技术的发展,D3 受体可以被描述为一种具有特定解剖学基因表达和不同信号转导的独特分子实体,这可能意味着它在控制认知和情绪行为方面具有特殊功能。由于 D2 和 D3 受体的结构相似,寻找 D3 选择性化合物被证明是困难的,但仍导致了相当有效和体外及体内选择性化合物的鉴定。后者证实了 D3 受体在运动功能、成瘾、认知和精神分裂症中的作用,为开发治疗精神疾病的新药铺平了道路。