多巴胺受体D4
多巴胺受體D4是一種由DRD4基因編碼的G蛋白偶聯受體。[6]
和其他多巴胺受體亞型一樣, D4受體由神經遞質——多巴胺激活。它與精神分裂症,帕金森症,躁鬱症,上癮行為,以及諸如厭食症, 貪食症和暴食症等神經性進食紊亂症等許多神經學或心理學狀況相關。
此受體也是許多治療精神分裂症和帕金森症的靶標. D4受體被認為與D2-類似,被激活的受體抑制腺苷酸環化酶,從而減少細胞內第二信息遞質環磷腺苷的濃度。[7]
基因學
此人體蛋白由 11號染色體上位於11p15.5的基因DRD4編碼。
人類基因中有輕微的變化(變異/多態):
此基因的變異與多種行為表型相關,包括自主神經系統失常,注意缺陷障礙,[9] 精神分裂症,[10] 以及尋求新奇的人格特徵。[11]
48-鹼基對VNTR(可變數量串聯重複)
外顯子3中的48-鹼基對可變數量串聯重複(VNTR)有2至11次重複。 等位基因的頻率在人群中變化很大,例如,7-重複版本在美洲很高而在亞洲則很低。[12] 「長」版本的多態基因是重複6到10次的等位基因。7R對多巴胺分子的反應強度似乎要略弱一些。[13]
'長DRD4'變體, 或更具體地即7重複(7R),鬆散地與形成ADHD [14]
以及其它的心理特徵和異常的易感性相關。
48-鹼基對VNTR已經成為了在跨文化環境下對其在人類行為的進化和角色方面所作出的諸多推測的主題。7R等位基因似乎在4萬年前就已經被選擇出來。[12] 1999年,陳(音)及其同事[15] 觀察到那些在過去3萬年到1萬年間遷移得比較遠的人類群體帶有7R/長等位基因的頻率較高。他們也指出遊牧人群帶有7R等位基因的頻率比定居人群高。 較近期,也有觀察到擁有7R等位基因的游牧人阿里爾人健康狀況更好。然而,定居不久的(非游牧)帶有7R等位基因的阿里爾人似乎有輕微的健康退化狀況。[16]
尋奇性格
儘管有關於DRD4 48鹼基對VNTR與「尋奇性格」(具有愛探索和愛刺激人的一種性格特質)之間關聯的早期發現,[17][18] 2008年的一項 元分析對比了36份出版了的關於「尋奇性格」和多態性的研究,沒有找到有效相關性。關於11份研究的元分析確發現了基因的另一多態性——-521C/T顯示出與「尋奇性格」的聯繫。[19] 。究其各種情況,「尋奇」行為可能是由幾個基因介導的,僅歸因於DRD4本身所造成的變化並不是特別大。
認知發展
有一些研究指出育兒過程可能影響帶有DRD4 7-重複等位基因兒童的認知發展。[20] 具有母性感受、正念和自治支持的育兒過程在15個月時對兒童後來在18至20個月的執行性功能有益[20] 經歷較差育兒過程的兒童比那些有較好經歷者更衝動且更追求感官刺激。[20]高質量的育兒過程與兒童在四歲時較好的努力控制 相關。[20]
配體
激動劑
- WAY-100635: 全效 激動劑, 帶有5-HT1A拮抗組分[21]
- A-412,997: 完全激動劑, 對超過79種不同的受體和離子通道選擇性>100倍。[22]
- ABT-724 - 開發用於治療勃起功能障礙[23]
- ABT-670 - 比ABT-724口服生物利用率高[24]
- FAUC 316: 部分激動劑, 對其他多巴胺受體子類型選擇性>8600-fold倍[25]
- FAUC 299: 部分激動劑[25]
- (E)-1-芳基-3-(4-吡啶哌啶-1-基)丙酮肟[26]
- PIP3EA: 部分激動劑[27]
- Flibanserin - 部分激動劑
- PD-168,077 - D4選擇性但也綁定到α1A, α2C 和 5HT1A
- CP-226,269 - D4選擇性但也綁定到D2, D3, α2A, α2C 和 5HT1A
- Ro10-5824 - 部分激動劑
受體拮抗劑
- A-381393: 強效,亞型選擇性拮抗劑 (>2700倍)[28]
- FAUC 213[29]
- L-745,870[30][31]
- L-750,667[32]
- S 18126: 也叫 σ1 affin[33]
- Fananserin - 混合型5-HT2A / D4 拮抗劑
- Clozapine,一種典型的抗精神病藥物
反激動劑
可參見
參考列表
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外部連結
- Dopamine Receptors: D4. IUPHAR Database of Receptors and Ion Channels. International Union of Basic and Clinical Pharmacology. (原始內容存檔於2012-03-05).
- Current Research on the DRD4 Gene
- 醫學主題詞表(MeSH):Receptors,+Dopamine+D4
- Marisa Wilson. Are you a thrill seeker??. Davidson College. [2008-04-05]. (原始內容存檔於2008-01-05).
- The D4DR Gene. D4DR Club. [2008-04-05]. (原始內容存檔於2008-04-30).