α2-Adrenergic receptors (α2ARs) are broadly associated with inhibitory actions of norepinephrine and epinephrine. Studies with drugs designed as α2AR agonists and antagonists have shown that α2ARs participate in a wide range of central nervous system activities, including central regulation of blood pressure, sedation and analgesia, control of affect, and modulation of pituitary hormone release. In the periphery, α2ARs inhibit neurotransmitter release from peripheral nervous system neuronal terminals, inhibit insulin secretion by pancreatic β cells, and participate in the regulation of water and electrolyte balance in the kidney. The α2ARs that elicit these varied responses represent a structural and functional family of receptor subtypes defined by pharmacological measurements and molecular cloning. Interest of studies has been to establish a mouse line that expressed a mutant α2AAR receptor with selectively altered signal transduction capabilities. Studies have shown that mutation of the highly conserved aspartate residue at position 79 in the α2AAR to asparagine (D79N) results in a receptor that is uncoupled from a single signaling pathway. In this purpose the two-step “hit and run” gene-targeting approach is successfully used in mouse embryonic stem cells to establish a mouse line with this D79N α2AAR mutation. Such studies reveal that the α2AAR subtype has a role central to several of the clinically desirable effects of α2AR agonists, suggesting that these functions cannot be separated by administering subtype-specific drugs. Null mutation of the α2BAR subtype has revealed that this subtype mediates the increase in blood pressure immediately following α2AR agonist administration. Thus, drugs that are selective for the α2AAR subtype relative to the α2BAR subtype may hold promise as improved antihypertensive agents. Sedative side effects might be eliminated if high-affinity partial agonists are developed, especially if higher receptor occupancy is needed to evoke sedation in contrast to hypotension.
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