Functions of 5-HT2A receptor and its antagonists in the cardiovascular system.

Pharmacol Ther

Department of Pharmacology, Faculty of Pharmaceutical Sciences, Niigata University of Pharmacy and Applied Life Sciences, 5-13-2 Kamishinei-cho, Niigata 950-2081, Japan.

Published: October 2004

AI Article Synopsis

  • - The serotonin receptors, particularly the 5-HT(2A) subtype, play a role in various cardiovascular functions, including factors like blood vessel contraction and blood clot formation.
  • - Selective antagonists like sarpogrelate target the 5-HT(2A) receptors and may offer new treatment options for cardiovascular diseases, particularly those related to thrombosis.
  • - This review discusses the molecular mechanisms of 5-HT(2A) receptors, including how agonists bind to them, supported by molecular modeling studies and experimental techniques like site-directed mutagenesis.

Article Abstract

The serotonin (5-hydroxytryptamine, 5-HT) receptors have conventionally been divided into seven subfamilies, most of which have several subtypes. Among them, 5-HT(2A) receptor is associated with the contraction of vascular smooth muscle, platelet aggregation and thrombus formation and coronary artery spasms. Accordingly, selective 5-HT(2A) antagonists may have potential in the treatment of cardiovascular diseases. Sarpogrelate, a selective 5-HT(2A) antagonist, has been introduced clinically as a therapeutic agent for the treatment of ischemic diseases associated with thrombosis. Molecular modeling studies also suggest that sarpogrelate is a 5-HT(2A) selective antagonist and is likely to have pharmacological effects beneficial in the treatment of cardiovascular diseases. This review describes the above findings as well as the signaling linkages of the 5-HT(2A) receptors and the mode of agonist binding to 5-HT(2A) receptor using data derived from molecular modeling and site-directed mutagenesis.

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Source
http://dx.doi.org/10.1016/j.pharmthera.2004.08.005DOI Listing

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