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DƯỢC LÍ Goodman & Gilman's The Pharmacological Basis of Therapeutics 12th, 2010

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Table 14–5

Dopamine Receptors in the CNS

G-PROTEIN

RECEPTOR AGONISTS ANTAGONISTS FAMILY AREAS OF LOCALIZATION

D 1

SKF82958 SCH23390 G s

neostriatum; cerebral cortex;

SKF81297 SKF83566; haloperidol olfactory tubercle; nucleus accumbens

D 2

Bromocriptine, Raclopride, sulpiride, G i

neostriatum; olfactory tubercle;

apomorphine haloperidol nucleus accumbens

D 3

Quinpirole Raclopride G i

nucleus accumbens; islands of Calleja

7-OH-DPAT

D 4

Clozapine, L-745,870, G i

midbrain; amygdala; hippocampus;

sonepiprazole

hypothalamus

D 5

SKF38393 SCH23390 G s

7-OH-DPAT, 7-hydroxy-N,N-di-n-propyl-2-aminotetralin.

hippocampus. However, this catecholamine also is present in significant,

although lower, amounts in most brain regions. Detailed mapping

studies indicate that noradrenergic neurons of the locus ceruleus

innervate specific target cells in a large number of cortical, subcortical,

and spinomedullary fields (Nestler et al., 2009). NE has been

established as the transmitter at synapses between presumptive noradrenergic

pathways and a wide variety of target neurons. For example,

stimulation of the locus ceruleus depresses the spontaneous activity

of target neurons in the cerebellum; this is associated with a slowly

developing hyperpolarization and a decrease in membrane conductance

(Aston- Jones et al., 2001; Nestler et al., 2009).

Multiple types and subtypes of adrenergic receptors (α 1

, α 2

,

and β) and their subtypes have been described in the CNS; all are

GPCRs (Table 14–6). As expected, β receptors couple to G s

and

Table 14–6

Adrenergic Receptors in the CNS

G-PROTEIN AREAS OF LOCALIZATION

RECEPTOR AGONIST ANTAGONIST FAMILY IN THE BRAIN

α 1A

A61603 nigulpidine G q

cortex, hippocampus

phenylephrine prazosin

oxymetazoline 5-methylurapidil

α 1B

phenylephrine spiperone G q

cortex

oxymetazoline prazosin (+)-cyclazosin brainstem

α 1D

phenylephrine A-119637 G q

cortex

oxymetazoline tamsulosin

α 2A

oxymetazoline yohimbine; rauwolscine; G i

locus ceruleus and hippocampus

clonidine

bromocriptine

α 2B

clonidine yohimbine; rauwolscine; G i

diencephalon

dexmedetomidine lisuride

α 2C

clonidine yohimbine; rauwolscine; G i

widely distributed

lisuride

β 1

CGP 12177 alprenolol G s

cortex and hypothalamus

prenalterol

betaxolol

metoprolol

β 2

fenoterol propranolol G s

cerebellum, hippocampus, cortex

salmeterol ICI 118551

β 3

carazolol carvedilol; tertalolol ? G s

unknown

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