Binding of antipsychotic drugs to human brain receptors focus on newer generation compounds.

Article Details

Citation

Richelson E, Souder T

Binding of antipsychotic drugs to human brain receptors focus on newer generation compounds.

Life Sci. 2000 Nov 24;68(1):29-39.

PubMed ID
11132243 [ View in PubMed
]
Abstract

Using radioligand binding assays and post-mortem normal human brain tissue, we obtained equilibrium dissociation constants (K(d)s) for nine new antipsychotic drugs (iloperidone, melperone, olanzapine, ORG 5222, quetiapine, risperidone, sertindole, ziprasidone, and zotepine), one metabolite of a new drug (9-OH-risperidone), and three older antipsychotics (clozapine, haloperidol, and pimozide) at nine different receptors (alpha1-adrenergic, alpha2-adrenergic, dopamine D2, histamine H1, muscarinic, and serotonin 5-HT1A, 5-HT1D, 5-HT2A, and 5-HT2C receptors). Iloperidone was the most potent drug at the two adrenergic receptors. ORG 5222 was the most potent drug at dopamine D2 and 5-HT2c receptors, while ziprasidone was the most potent compound at three serotonergic receptors (5-HT1A, 5-HT1D, and 5-HT2A). At the remaining two receptors, olanzapine was the most potent drug at the histamine H1 receptor (Kd=0.087 nM); clozapine at the muscarinic receptor (Kd=9 nM). Certain therapeutic and adverse effects, as well as certain drug interactions can be predicted from a drug's potency for blocking a specific receptor. These data can provide guidelines for the clinician in the choice of antipsychotic drug.

DrugBank Data that Cites this Article

Drug Targets
DrugTargetKindOrganismPharmacological ActionActions
Paliperidone5-hydroxytryptamine receptor 1AProteinHumans
Unknown
Antagonist
Details
Paliperidone5-hydroxytryptamine receptor 1DProteinHumans
Unknown
Antagonist
Details
Paliperidone5-hydroxytryptamine receptor 2AProteinHumans
Yes
Antagonist
Details
Paliperidone5-hydroxytryptamine receptor 2CProteinHumans
Yes
Antagonist
Details
PaliperidoneAlpha-1A adrenergic receptorProteinHumans
Unknown
Antagonist
Details
PaliperidoneAlpha-1B adrenergic receptorProteinHumans
Unknown
Antagonist
Details
PaliperidoneAlpha-2A adrenergic receptorProteinHumans
Unknown
Antagonist
Details
PaliperidoneAlpha-2B adrenergic receptorProteinHumans
Unknown
Antagonist
Details
PaliperidoneAlpha-2C adrenergic receptorProteinHumans
Unknown
Agonist
Details
PaliperidoneDopamine D2 receptorProteinHumans
Yes
Antagonist
Details
Quetiapine5-hydroxytryptamine receptor 1AProteinHumans
Unknown
Antagonist
Partial agonist
Details
Quetiapine5-hydroxytryptamine receptor 1DProteinHumans
Unknown
Ligand
Details
Quetiapine5-hydroxytryptamine receptor 2AProteinHumans
Yes
Antagonist
Details
Quetiapine5-hydroxytryptamine receptor 2CProteinHumans
Unknown
Ligand
Details
QuetiapineAlpha-1 adrenergic receptors (Protein Group)Protein groupHumans
Unknown
Antagonist
Details
QuetiapineAlpha-2A adrenergic receptorProteinHumans
Unknown
Antagonist
Details
QuetiapineAlpha-2B adrenergic receptorProteinHumans
Unknown
Antagonist
Details
QuetiapineAlpha-2C adrenergic receptorProteinHumans
Unknown
Antagonist
Details
QuetiapineDopamine D2 receptorProteinHumans
Yes
Antagonist
Details
QuetiapineHistamine H1 receptorProteinHumans
Unknown
Antagonist
Details
QuetiapineMuscarinic acetylcholine receptor M1ProteinHumans
Unknown
Antagonist
Details
QuetiapineMuscarinic acetylcholine receptor M2ProteinHumans
Unknown
Ligand
Details
QuetiapineMuscarinic acetylcholine receptor M3ProteinHumans
Unknown
Antagonist
Details
QuetiapineMuscarinic acetylcholine receptor M4ProteinHumans
Unknown
Ligand
Details
QuetiapineMuscarinic acetylcholine receptor M5ProteinHumans
Unknown
Ligand
Details
Ziprasidone5-hydroxytryptamine receptor 1AProteinHumans
Yes
Agonist
Details
Ziprasidone5-hydroxytryptamine receptor 1DProteinHumans
Yes
Antagonist
Details
Ziprasidone5-hydroxytryptamine receptor 2CProteinHumans
Yes
Antagonist
Details
ZiprasidoneHistamine H1 receptorProteinHumans
Unknown
Antagonist
Details
Binding Properties
DrugTargetPropertyMeasurementpHTemperature (°C)
Clozapine5-hydroxytryptamine receptor 1AKi (nM)160N/AN/ADetails
Clozapine5-hydroxytryptamine receptor 1DKi (nM)130N/AN/ADetails
Clozapine5-hydroxytryptamine receptor 2AKi (nM)2.59N/AN/ADetails
Clozapine5-hydroxytryptamine receptor 2CKi (nM)4.8N/AN/ADetails
ClozapineAlpha-2A adrenergic receptorKi (nM)15N/AN/ADetails
ClozapineHistamine H1 receptorKi (nM)3.1N/AN/ADetails
ClozapineMuscarinic acetylcholine receptor M2Ki (nM)9N/AN/ADetails
Haloperidol5-hydroxytryptamine receptor 2AKi (nM)61N/AN/ADetails
Iloperidone5-hydroxytryptamine receptor 1AKi (nM)33N/AN/ADetails
Iloperidone5-hydroxytryptamine receptor 2AKi (nM)0.2N/AN/ADetails
IloperidoneHistamine H1 receptorKi (nM)12.3N/AN/ADetails
MepyramineHistamine H1 receptorKi (nM)2.5N/AN/ADetails
Olanzapine5-hydroxytryptamine receptor 2AKi (nM)1.48N/AN/ADetails
Olanzapine5-hydroxytryptamine receptor 2CKi (nM)4.1N/AN/ADetails
OlanzapineHistamine H1 receptorKi (nM)0.087N/AN/ADetails
OlanzapineMuscarinic acetylcholine receptor M2Ki (nM)36N/AN/ADetails
Paliperidone5-hydroxytryptamine receptor 1AKi (nM)480N/AN/ADetails
Paliperidone5-hydroxytryptamine receptor 1DKi (nM)19N/AN/ADetails
Paliperidone5-hydroxytryptamine receptor 2AKi (nM)1.21N/AN/ADetails
Paliperidone5-hydroxytryptamine receptor 2CKi (nM)48N/AN/ADetails
PaliperidoneAlpha-2A adrenergic receptorKi (nM)80N/AN/ADetails
PaliperidoneHistamine H1 receptorKi (nM)3.4N/AN/ADetails
Quetiapine5-hydroxytryptamine receptor 1AKi (nM)300N/AN/ADetails
Quetiapine5-hydroxytryptamine receptor 1DKi (nM)560N/AN/ADetails
Quetiapine5-hydroxytryptamine receptor 2AKi (nM)31N/AN/ADetails
Quetiapine5-hydroxytryptamine receptor 2CKi (nM)3500N/AN/ADetails
QuetiapineAlpha-2A adrenergic receptorKi (nM)80N/AN/ADetails
QuetiapineHistamine H1 receptorKi (nM)19N/AN/ADetails
QuetiapineMuscarinic acetylcholine receptor M2Ki (nM)1400N/AN/ADetails
Sertindole5-hydroxytryptamine receptor 2AKi (nM)0.14N/AN/ADetails
Sertindole5-hydroxytryptamine receptor 2CKi (nM)6N/AN/ADetails
YohimbineAlpha-2A adrenergic receptorKi (nM)2.5N/AN/ADetails
Ziprasidone5-hydroxytryptamine receptor 1AKi (nM)1.9N/AN/ADetails
Ziprasidone5-hydroxytryptamine receptor 1DKi (nM)2.4N/AN/ADetails
Ziprasidone5-hydroxytryptamine receptor 2AKi (nM)0.12N/AN/ADetails
Ziprasidone5-hydroxytryptamine receptor 2CKi (nM)0.9N/AN/ADetails
ZiprasidoneAlpha-2A adrenergic receptorKi (nM)154N/AN/ADetails
ZiprasidoneHistamine H1 receptorKi (nM)4.6N/AN/ADetails
ZiprasidoneMuscarinic acetylcholine receptor M2Ki (nM)2440N/AN/ADetails