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Am J Physiol Regul Integr Comp Physiol 283: R287-R295, 2002; doi:10.1152/ajpregu.00123.2002
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Vol. 283, Issue 2, R287-R295, August 2002

INVITED REVIEW
Physiological significance of alpha 2-adrenergic receptor subtype diversity: one receptor is not enough

Melanie Philipp, Marc Brede, and Lutz Hein

Institut für Pharmakologie und Toxikologie, Universität Würzburg, 97078 Würzburg, Germany

alpha 2-Adrenergic receptors mediate part of the diverse biological effects of the endogenous catecholamines epinephrine and norepinephrine. Three distinct subtypes of alpha 2-adrenergic receptors, alpha 2A, alpha 2B, alpha 2C, have been identified from multiple species. Because of the lack of sufficiently subtype-selective ligands, the specific biological functions of these receptor subtypes were largely unknown until recently. Gene-targeted mice carrying deletions in the genes encoding for individual alpha 2-receptor subtypes have added important new insight into the physiological significance of adrenergic receptor diversity. Two different strategies have emerged to regulate adrenergic signal transduction. Some biological functions are controlled by two counteracting alpha 2-receptor subtypes, e.g., alpha 2A-receptors decrease sympathetic outflow and blood pressure, whereas the alpha 2B-subtype increases blood pressure. Other biological functions are regulated by synergistic alpha 2-receptor subtypes. The inhibitory presynaptic feedback loop that tightly regulates neurotransmitter release from adrenergic nerves also requires two receptor subtypes, alpha 2A and alpha 2C. Similarly, nociception is controlled at several levels by one of the three alpha 2-receptor subtypes. Further investigation of the specific function of alpha 2-subtypes will greatly enhance our understanding of the relevance of closely related receptor proteins and point out novel therapeutic strategies for subtype-selective drug development.

adrenergic receptors; transgenic mice; gene targeting


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