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Physiol. Rev. 78: 189-225, 1998;
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PHYSIOLOGICAL REVIEWS   Vol. 78 No. 1 January 1998, pp. 189-225
Copyright ©1998 by the American Physiological Society

Dopamine Receptors: From Structure to Function

CRISTINA MISSALE, S. RUSSEL NASH, SUSAN W. ROBINSON, MOHAMED JABER, AND MARC G. CARON

Departments of Cell Biology and Medicine, Howard Hughes Medical Institute Laboratories, Duke University Medical Center, Durham, North Carolina

I. INTRODUCTION
II. CLASSIFICATION OF DOPAMINE RECEPTORS
III. GENE STRUCTURE
IV. STRUCTURE OF DOPAMINE RECEPTORS
V. RECEPTOR VARIANTS
    A. D2 Receptor
    B. D3 Receptor
    C. D4 Receptor
VI. PHARMACOLOGICAL PROPERTIES OF DOPAMINE RECEPTORS
VII. SIGNAL TRANSDUCTION OF DOPAMINE RECEPTORS
    A. Adenylyl Cyclase
    B. Calcium Channels
    C. Potassium Channels
    D. Arachidonic Acid
    E. Na+/H+ Exchange
    F. Na+-K+-ATPase
    G. Additional Signal Transduction Pathways Involved in Mitogenesis
VIII. DOPAMINE RECEPTORS IN THE BRAIN
    A. Distribution of Dopamine Receptors
    B. Function of Brain Dopamine Receptors
    C. Dopamine Receptors and Regulation of Gene Expression
    D. Development of Transgenic Animals in the Study of Dopamine Receptor Physiology
    E. Clinical and Pharmacological Implications of Multiple Dopamine Receptors
IX. DOPAMINE RECEPTORS IN THE PITUITARY
X. PERIPHERAL DOPAMINE RECEPTORS
    A. Dopamine Receptors in Blood Vessels
    B. Dopamine Receptors Controlling the Renin-Angiotensin-Aldosterone System
    C. Dopamine Receptors Controlling Catecholamine Release
    D. Dopamine Receptors in the Kidney
XI. DOPAMINERGIC SIGNAL TRANSDUCTION AND HYPERTENSION
    A. Human Hypertension
    B. Animal Models of Hypertension
XII. CONCLUDING REMARKS
REFERENCES

    ABSTRACT
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Missale, Cristina, S. Russel Nash, Susan W. Robinson, Mohamed Jaber, and Marc G. Caron. Dopamine Receptors: From Structure to Function. Physiol. Rev. 78: 189-225, 1998. --- The diverse physiological actions of dopamine are mediated by at least five distinct G protein-coupled receptor subtypes. Two D1-like receptor subtypes (D1 and D5) couple to the G protein Gs and activate adenylyl cyclase. The other receptor subtypes belong to the D2-like subfamily (D2 , D3 , and D4) and are prototypic of G protein-coupled receptors that inhibit adenylyl cyclase and activate K+ channels. The genes for the D1 and D5 receptors are intronless, but pseudogenes of the D5 exist. The D2 and D3 receptors vary in certain tissues and species as a result of alternative splicing, and the human D4 receptor gene exhibits extensive polymorphic variation. In the central nervous system, dopamine receptors are widely expressed because they are involved in the control of locomotion, cognition, emotion, and affect as well as neuroendocrine secretion. In the periphery, dopamine receptors are present more prominently in kidney, vasculature, and pituitary, where they affect mainly sodium homeostasis, vascular tone, and hormone secretion. Numerous genetic linkage analysis studies have failed so far to reveal unequivocal evidence for the involvement of one of these receptors in the etiology of various central nervous system disorders. However, targeted deletion of several of these dopamine receptor genes in mice should provide valuable information about their physiological functions.

    I. INTRODUCTION
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Dopamine (DA) is the predominant catecholamine neurotransmitter in the mammalian brain, where it controls a variety of functions including locomotor activity, cognition, emotion, positive reinforcement, food intake, and endocrine regulation. This catecholamine also plays multiple roles in the periphery as a modulator of cardiovascular function, catecholamine release, hormone secretion, vascular tone, renal function, and gastrointestinal motility.

The dopaminergic systems have been the focus of much research over the past 30 years, mainly because several pathological conditions such as Parkinson's disease, schizophrenia, Tourette's syndrome, and hyperprolactinemia have been linked to a dysregulation of dopaminergic transmission. Dopamine receptor antagonists have been developed to block hallucinations and delusions that occur in schizophrenic patients, whereas DA receptor agonists are effective in alleviating the hypokinesia of Parkinson's disease. However, blockade of DA receptors can induce extrapyramidal effects similar to those resulting from DA depletion, and high doses of DA agonists can cause psychoses. The therapies of disorders resulting from DA imbalances are thus associated with severe side effects.

One of the challenges of the last 10 years has thus been to discover selective dopaminergic drugs devoid of adverse effects. This effort has led to the development of a number of new therapeutic agents that, although they have not resolved the etiology of the clinical problems, have contributed to increase our understanding of the dopaminergic system.

A new impetus to the search in the DA field came from the application of gene-cloning procedures to receptor biology one-half a decade ago, which revealed a higher degree of complexity within DA receptors than previously thought. The complementary DNAs of five distinct DA receptor subtypes (D1-D5) have been, in fact, isolated and characterized. This approach produced a wealth of information regarding the structure of these receptor proteins and provided the tools to precisely define their distribution in the central nervous system (CNS) and in the periphery, to express the receptors in host cells and characterize their pharmacology, and to evaluate the possible linkage of receptor genes to specific disorders. The application of in situ hybridization and polymerase chain reaction (PCR) with the newly cloned receptor probes made it possible to localize DA receptors to specific brain regions or peripheral tissues even where they had not been anticipated before. The function of many of these receptors, however, is still completely unknown, thus highlighting a serious gap between the molecular biology and the functional approaches.

A classical key requirement to elucidate the functional role of individual receptor subtypes is the identification of selective agonists and antagonists. Pharmacological manipulations have, in fact, partially clarified the role of D1 and D2 receptors in the control of various functions as well as the interaction of DA with other neurotransmitter systems. The specific structure-activity requirements necessary for compounds to be selectively active at each receptor subtype, on the other hand, are still unknown for the novel DA receptors so that drugs able to completely discriminate D3 , D4 , and D5 receptor subtypes are not yet available. This drawback, together with the fact that the new receptor subtypes are expressed in lower amounts than the D1 and D2 , has limited so far our possibility to understand their function.

Gene targeting using homologous recombination to inactivate a chosen gene has been developed in the last few years, and its application to DA receptor biology has provided an invaluable tool to investigate the function of each receptor subtype. This approach has been already used in the case of D1 and D2 DA receptors. Inactivation of these genes produced phenotypes in mice resembling those observed with specific pharmacological manipulations. Targeted inactivation of other members of the DA receptor family should thus be helpful, by overcoming the lack of specific ligands, to define their physiological functions.

In this paper, we review some features shared by the DA receptors, as well as those that make each unique. A special emphasis is given to their distribution, second messenger coupling, and function in the CNS and peripheral tissues. The pathological and therapeutic implications of DA receptor diversity are also analyzed.

    II. CLASSIFICATION OF DOPAMINE RECEPTORS
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The first evidence for the existence of DA receptors in the CNS came in 1972 from biochemical studies showing that DA was able to stimulate adenylyl cyclase (AC) (reviewed in Ref. 226). In 1978, DA receptors were first proposed, on the basis of pharmacological and biochemical evidence, to exist as two discrete populations, one positively coupled to AC and the other one independent of the adenosine 3',5'-cyclic monophosphate (cAMP)-generating system (424). It was shown, in fact, that in the pituitary DA inhibited prolactin secretion but did not stimulate cAMP formation (59; reviewed in Ref. 226) and that although the antipsychotic drug sulpiride was a DA antagonist when tested in the anterior pituitary, it was not able to block the striatal DA-sensitive AC (reviewed in Refs. 226, 424). In 1979, Kebabian and Calne (226) summarized these observations and suggested to call D1 the receptor that stimulated AC and D2 the one that was not coupled to this effector.

Subsequent studies confirmed this classification scheme, and D1 and D2 receptors were clearly differentiated pharmacologically, biochemically, physiologically, and by their anatomic distribution.

Concurrently in the late 1970s, by means of functional tests such as renal blood flow and cardiac acceleration measurements in the dog, the existence of specific peripheral receptors for DA was demonstrated. These receptors were named DA1 and DA2 on the basis of some pharmacological properties distinguishing them from their central counterparts (reviewed in Ref. 166). This led to a long-standing controversy concerning the identity or nonidentity of peripheral versus central receptors. However, subsequent biochemical and molecular biology studies in peripheral tissues pointed to extensive similarities between central and peripheral DA receptors so that the DA1/DA2 classification has been dropped (reviewed in Refs. 7, 307, 326, 336).

For a decade, the dual receptor concept served as the foundation for the study of DA receptors. However, after the introduction of gene cloning procedures, three novel DA receptors subtypes have been characterized over the past five years. These have been called D3 (420), D4 (450), and D5/D1b (431, 441).

Detailed structural, pharmacological, and biochemical studies pointed out that all DA receptor subtypes fall into one of the two initially recognized receptor categories. The D1 and D5/D1b receptors share, in fact, a very high homology in their transmembrane domains. Similarly, the transmembrane sequences are highly conserved among D2 , D3 , and D4 receptors (reviewed in Refs. 78, 159, 217, 401, 421). Pharmacologically, although the profiles of D1 and D2 receptors are substantially different, the D5/D1b receptor exhibits the classical ligand-binding characteristics of D1 receptors, and the D3 and D4 receptors bind the hallmark D2-selective ligands with relatively high affinity (reviewed in Refs. 78, 159, 217, 401, 421). In addition, the initial distinction between D1 and D2 receptors in terms of signaling events, that is, positive and negative coupling to AC, appears to apply, in broad terms, also to the novel members of the DA receptor family, the D5/D1b receptor being coupled to stimulation of AC (95, 169, 431, 441) and the D3 (75, 287, 360, 377) and D4 receptors (74, 80, 287, 290, 438) to inhibition of cAMP formation.

The D1/D2 classification concept developed in the late 1970s thus is still valid, and D1 and D5/D1b receptors are classified as D1-like and D2 , D3 , and D4 receptor subtypes as D2-like. The mammalian D1b receptor, originally named on the basis of its high homology with the D1 receptor, is now commonly referred to as the D5 receptor.

    III. GENE STRUCTURE
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The D2 receptor cDNA was first isolated in 1988 (47) and subsequently, in 1989, the existence of splice variants of this receptor was demonstrated (91, 162, 315). The D3 receptor was identified by screening a rat cDNA library with the D2 receptor sequence followed by PCR extension and genomic library screening (420). The D4 receptor was cloned by screening a library from the human neuroblastoma cell line SK-N-MC (450).

The D1 receptor was cloned by using either low-stringency screening of libraries or PCR based on the sequence of the D2 receptor (95, 314, 480). The second member of the D1-like receptor family was isolated using the sequence of the D1 receptor and was referred to as D5 (431), D1b (441) and D1beta (464). It is now well established that the D5 and D1b are the human and rat equivalents of the same receptor.

The genomic organization of the DA receptors supports the concept that they derive from the divergence of two gene families that mainly differ in the absence or the presence of introns in their coding sequences. As summarized in Table 1, the D1 and D5 receptor genes do not contain introns in their coding regions (reviewed in Refs. 78, 159, 337), a characteristic shared with most G protein-coupled receptors (112). In contrast, and by analogy with the gene for rhodopsin (327), the genes encoding the D2-like receptors are interrupted by introns (reviewed in Refs. 78, 159, 337). It appears likely that many of the genes in the G protein-coupled receptor family have arisen from a single primordial gene, suspected to be one of the opsin genes, that lost its introns by a gene-processing event (reviewed in Ref. 337). Two main evolutionary mechanisms may have created and amplified the molecular diversification within the two gene families: 1) gene duplication mechanisms that gave rise to different, but nevertheless similar, sister genes encoding receptor subtypes or pseudogenes and 2) speciation that originated species homologs and the development of genetic polymorphism that provided receptor variants found in individuals within the same species (reviewed in Ref. 452).

 
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TABLE 1.   Molecular characteristics of dopamine receptors

Analysis of the gene structure of D2-like receptors revealed that the D2 receptor coding region contains six introns (91, 162, 168, 315), the D3 receptor coding region five (420), and the D4 receptor three (450). Interestingly, the localization of introns is similar in the three receptor genes and in the opsin gene. The D3 receptor lacks the fourth intron of the D2 , and the D4 receptor lacks the third and fourth introns of the D2 . The third intron of the D4 gene has an unusual intron/exon junction in which the conventional splice junction donor and acceptor sites are missing (450, 451).

The presence of introns within the coding region of D2-like receptors allows the generation of receptor variants. Indeed, the D2 receptor has two main variants, called D2S and D2L , which are generated by alternative splicing of a 87-bp exon between introns 4 and 5 (91, 162, 315; reviewed in Ref. 159). Splice variants of the D3 receptor encoding nonfunctional proteins have been also identified (137, 161, 418). Analysis of the gene for the human D4 receptor revealed the existence of polymorphic variations within the coding sequence. A 48-bp sequence in the third cytoplasmic loop exists either as a direct repeat sequence, as a fourfold repeat, or a sevenfold repeat. D4 receptors containing up to 11 repeats have been found (451).

The D5 receptor has two related pseudogenes on human chromosomes 1 and 2. They are 98% identical to each other and 95% identical to the human D5 receptor and code for truncated, nonfunctional forms of the D5 receptor (169, 464).

    IV. STRUCTURE OF DOPAMINE RECEPTORS
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Analysis of the primary structure of the cloned DA receptors revealed that they are members of the seven transmembrane (TM) domain G protein-coupled receptor family and share most of their structural characteristics (Fig. 1). Members of this family display considerable amino acid sequence conservation within TM domains (reviewed in Ref. 362).


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FIG. 1.   Dopamine receptor structure. Structural features of D1-like receptors are represented. D2-like receptors are characterized by a shorter COOH-terminal tail and by a bigger 3rd intracellular loop. Residues involved in dopamine binding are highlighted in transmembrane domains. Potential phosphorylation sites are represented on 3rd intracellular loop (I3) and on COOH terminus. Potential glycosylation sites are represented on NH2 terminal. E1-E3, extracellular loops; 1-7, transmembrane domains; I2-I3, intracellular loops.

Analysis of DA receptor structure pointed to similarities and dissimilarities between D1-like and D2-like receptors (78, 159, 217, 337). Members of the same family share considerable homology. The D1 and D5 receptors share a 80% identity in their TM domains. The D2 and D3 receptors have a 75% identity in their TM domains, and the D2 and D4 receptors share a 53% identity in the TM domains.

The NH2-terminal stretch has a similar number of amino acids in all the receptor subtypes and carries a variable number of consensus N-glycosylation sites. The D1 and D5 receptors possess two such sites, one in the NH2 terminal and the other one in the second extracellular loop. The D2 receptor has four potential glycosylation sites, the D3 has three, and the D4 possesses only one (reviewed in Refs. 78, 159, 217, 337).

The COOH terminal is about seven times longer for the D1-like receptors than for the D2-like receptors, is rich in serine and threonine residues, and contains a cysteine residue that is conserved in all G protein-coupled receptors and that has been shown to be palmitoylated in the beta -adrenergic receptors and in rhodopsin probably to anchor the cytoplasmic tail to the membrane (338, 347). In the D1-like receptors, this cysteine residue is located near the beginning of the COOH terminus, whereas in the D2-like receptors, the COOH terminus ends with this cysteine residue (Fig. 1). Likewise, as in all G protein-coupled receptors, DA receptors possess two cysteine residues in extracellular loops 2 and 3 (reviewed in Refs. 78, 159, 217, 337), which have been suggested to form an intramolecular disulfide bridge to stabilize the receptor structure (111, 142). The D2-like receptors have a long third intracellular loop, a feature which is common to receptors interacting with Gi proteins to inhibit AC, whereas the D1-like receptors are characterized by a short third loop as in many receptors coupled to Gs protein (reviewed in Refs. 78, 159, 337).

The D1 and D5 receptor third intracellular loop and the COOH terminus are similar in size but divergent in their sequence. In contrast, the small cytoplasmic loops 1 and 2 are highly conserved so that any difference in the biology of these receptors can be probably related to the third cytoplasmic loop and the COOH-terminal tail (reviewed in Refs. 78, 159, 337). The external loop between TM4 and TM5 is considerably different in the two receptor subtypes, being shorter (27 amino acids) in the D1 receptor than in the D5 receptor (41 amino acids). The amino acid sequence of this loop, in addition, is divergent in the D5 and in its rat counterpart D1b (431, 441).

Site-directed mutagenesis for catecholamine receptors (233, 426, 427) and protein modeling with the beta 2-, alpha 2-, and D2 receptors (189, 190, 443) suggested that the agonist binding likely occurs within the hydrophobic TM domains (Fig. 1). Highly conserved residues are present in the core of the protein and define a narrow binding pocket that most probably corresponds to the agonist binding site (190). In particular, an aspartate residue in TM3 is most probably involved in binding the amine group of the catecholamine side chain (190, 427). Two serine residues in TM5 have been shown to be hydrogen bond donors to bind the hydroxyl groups of the catechol moiety for the beta 2- (426), alpha 2- (458), D2 (85, 282), and D1 (442) receptors. A phenylalanine in TM6 is highly conserved in all receptors interacting with catecholamine neurotransmitters and can make a stabilizing orthogonal interaction with the aromatic moiety of the ligand. A highly conserved aspartate residue in TM2 has been shown to play a crucial role in beta 2-adrenergic (77, 190, 427), alpha 2-adrenergic (458), and D1 (442) and D2 dopaminergic (328) receptor activation and to affect agonist binding (190, 414, 442). It has been suggested that the interaction between this aspartate and the agonist is allosteric and can be modulated by Na+ or H+ (189, 196, 328). A number of cytoplasmic residues, such as the DRY sequence in the second intracellular loop or the alanine residue in the third intracellular loop of the alpha -adrenoceptor, also play a role in receptor activation (233, 427).

    V. RECEPTOR VARIANTS
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A. D2 Receptor

The D2 receptor exists as two alternatively spliced isoforms differing in the insertion of a stretch of 29 amino acids in the third intracellular loop (D2S and D2L) (91, 162, 315). Because this loop seems to play a central role in receptor coupling, the existence of a splicing mechanism at this level could imply functional diversity. However, in spite of the efforts of several groups, no obvious differences have emerged so far between the two D2 receptor isoforms. Both variants share the same distribution pattern, with the shorter form less abundantly transcribed (91, 162, 315, 328). Both isoforms revealed the same pharmacological profile, even if a marginal difference in the affinity of some substituted benzamides has been reported (66, 278). When expressed in host cell lines, both isoforms inhibited AC (91, 162, 315). However, the D2S receptor isoform displayed higher affinity than the D2L in this effect (91, 317). Both isoforms mediate a phosphatidylinositol-linked mobilization of intracellular calcium in mouse Ltk- fibroblasts. Protein kinase C (PKC), however, differentially modulates D2S- and D2L-activated transmembrane signaling in this system with a selective inhibitory effect on the D2S-mediated response (265). Attempts to identify the preferred G protein alpha -subunit for D2S and D2L have led to conflicting results. One group suggested, in fact, that the 29-amino acid insertion in the D2L receptor directs its interaction with Gi-2alpha (175, 318), whereas another report showed that in transfected cell lines the D2S isoform signals preferentially through Gi-2alpha and the D2L through Gi-3alpha (405). The two receptor variants, in addition, appear to differ in their mode of regulation (240, 283, 479).

B. D3 Receptor

Splice variants of the D3 receptor have also been identified. One transcript carries a 113-bp deletion in TM3 and a frame shift in the coding sequences generating a stop codon shortly after the deletion and encodes a 100-amino acid-long truncated form of the receptor (418). A second variant derives from a deletion of 54 bp between TM5 and TM6 of the D3 receptor. Although this structure may be compatible with the occurrence of seven transmembrane domains, cell lines transfected with this cDNA failed to show any binding (161). Two alternatively spliced forms of the D3 receptors have been identified in the mouse (137), but not in other species (161). These differ by a stretch of 21 amino acids in the third intracellular loop and are generated by a splicing mechanism that uses an internal acceptor site inside an exon, rather than a separate exon like the D2 receptor. Both isoforms bind dopaminergic ligands with a D3 pharmacological profile and have the same distribution pattern with the longer form predominant (137).

C. D4 Receptor

Analysis of the deduced amino acid sequence of the D4 receptor reveals that it is the most distantly related of the D2-like receptors. In human polymorphic variants, the D4 receptor exists with different insertions in the third intracellular loop. This loop contains repeat sequences of 16 amino acids with the number of repeats differing in the different forms of the receptor. The four-repeat form (D4.4) is the predominant in the human population (60%). The D4.7 variant is present in 14% of the population and the D4.2 in 10% (401, 451). Receptor forms with up to 10 repeats have also been identified but are much less frequent (401). The functional significance of these variants has not been elucidated. They display a slightly different affinity for the neuroleptic clozapine, but none of them has been related to an increased incidence of schizophrenia (401, 451).

    VI. PHARMACOLOGICAL PROPERTIES OF DOPAMINE RECEPTORS
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Although the pharmacological profiles of D1-like and D2-like receptors are substantially different, the main pharmacological differences described so far within each receptor subfamily are only represented by a variable shift in the affinity of certain agonists and antagonists (Table 2).

 
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TABLE 2.   Pharmacological profile of dopamine receptors

So far, it has not been possible to pharmacologically differentiate D1 and D5 receptors. The sensitivities of these two receptor subtypes to antagonists are similar. Nevertheless, these compounds generally show a slightly higher affinity for the D1 than for the D5 , with (+)-butaclamol as the most discriminating (Table 2) (401, 441). The affinity of agonists at D1 and D5 receptors is almost identical. The most consistent difference is represented by DA itself, which has ~10 times higher affinity for the D5 than the D1 (Table 2) (431, 441). Cell lines expressing the D5/D1b receptor show a higher basal AC activity than those expressing the D1 (440). This property, together with the observations that DA has a higher affinity for the D5 than for the D1 receptor and that some antagonists display negative efficacy at the D5 , but not at the D1 , make the D5 receptor similar to various mutated G protein-coupled receptors that exhibit constitutive activity (250, 386). Functionally, whether the D5 receptor represents a naturally occurring constitutively active counterpart of the D1 receptor remains to be clarified.

Analysis of the pharmacological profiles of D2-like receptors shows that there are no compounds that discriminate between the short and the long variants of the D2 receptor. A marginal difference in the affinities of sulpiride and raclopride for the two isoforms has been described (66, 278). With respect to the D3 and D4 receptors, it has been shown that although they bind hallmark D2-selective ligands with high affinity, nevertheless both of these receptors have distinguishing pharmacological characteristics (Table 2).

The pharmacological profile of the D3 receptor reveals that some agonists and antagonists can distinguish it from the D2 . Dopamine itself has 20 times higher affinity at the D3 than at the D2 receptor (420), and this has been related in part to their sequence differences in the third intracellular loop (378). Among agonists, although apomorphine and bromocriptine display similar affinities for both receptors, TL-99, pergolide, quinpirole, and 7-hydroxy-dipropylaminotetralin (7-OH-DPAT) bind with higher affinity at the D3 than at the D2 . Quinpirole and 7-OH-DPAT are the most discriminating compounds, with affinities 100 and 10 times higher than at the D2 , respectively (Table 2) (420). Most neuroleptics display nanomolar affinity at both receptors. However, haloperidol and spiperone show 10- to 20-fold higher affinity at the D2 than at the D3 , whereas (-)-sulpiride, clozapine, and raclopride do not substantially discriminate between the two receptor subtypes (420). The antagonists UH-232 and AJ-76 have been shown to have three to four times higher affinity at the D3 than at the D2 (420). Antagonists with some selectivity for the D3 receptor (10-30 times difference) were recently developed, such as nafadotride (reviewed in Ref. 421), S-14297 (371, 421), and U-99194A (460).

The pharmacological profile of the D4 receptor closely resembles those of D2 and D3 receptors, but specific differences have emerged (450). The most important feature distinguishing the D4 from D2 and D3 receptors is its higher affinity for clozapine (450). Raclopride, remoxipride, and chlorpromazine, on the other hand, exhibit 10-20 times lower affinity at the D4 than at the D2 and D3 (Table 2) (401, 450). The D4 receptors have been indirectly measured in brain tissues using [3H]nemonapride, which readily labels all three receptor subtypes, and [3H]raclopride, which labels D2 and D3 but to a much lesser extent D4 receptors. The difference in binding densities of these two ligands has been proposed to reflect specific D4 receptor binding (400).

    VII. SIGNAL TRANSDUCTION OF DOPAMINE RECEPTORS
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The coupling of DA receptors to second messenger pathways has been a subject of intense interest ever since their existence was recognized. Originally, studies of this subject were carried out in preparations from brain or in some cases using purified reconstituted receptors. However, since DA receptor cloning, their coupling properties have been studied predominantly in cell lines transfected with each receptor cDNA. This gave the advantage of working with a pure population of receptor, whereas most brain regions express multiple DA receptor subtypes. However, heterologous expression systems have the disadvantage of mostly being fibroblast in nature, whereas the DA receptors are endogenously expressed primarily in neuronal cells. This raises the possibility of the receptors being expressed in an environment that may contain different complements of G proteins, effectors, and other molecules than they are in vivo. As a result, the use of different heterologous expression systems has often led to apparently conflicting results.

A. Adenylyl Cyclase

As early as the 1970s, it was recognized that DA receptors could influence the activity of AC (reviewed in Ref. 226). The existence of a D1 receptor-stimulated AC was recognized in most dopaminergic brain regions, such as striatum, nucleus accumbens, and olfactory tubercle (299). After the cloning of the D1 receptor in 1990, it was possible to examine its signaling properties in transfected cell lines. In a variety of cell culture lines, it was shown that the D1 receptor robustly stimulated cAMP accumulation (95, 314, 480). Upon the cloning of the second D1-like receptor, the D5 was also found to be coupled to stimulation of AC, as was predicted from its structural similarity to the D1 receptor (169, 431, 441, 464). Interestingly, the D5 receptor appears to exhibit an increased agonist-independent activity when compared with the D1 receptor in 293 cells (440) and raises the questions of whether this is a naturally occurring constitutively active receptor and whether this feature is of relevance to its physiological role. Recent cloning of two more nonmammalian D1-like receptor subtypes has indicated that these subtypes also stimulate cAMP accumulation in COS-7 cells (101, 430). Thus activation of AC seems to be a general property of all D1-like receptors.

It is generally assumed that the activation of AC by D1-like receptors is mediated by the Gsalpha subunit of G proteins. However, it has also been shown that Golfalpha , which also stimulates AC, is expressed in caudate, nucleus accumbens, and olfactory tubercle and is more abundant in these tissues than Gsalpha (188). This suggests that the D1 receptor in particular, which is highly expressed in these brain areas, may couple to AC by previously unappreciated mechanisms. Recent studies suggested that D1-like receptors can also couple to G proteins different from Gsalpha . In particular, striatal D1 receptors appear to be associated with Gialpha proteins when reconstituted in phospholipid vesicles (413). In transfected GH4C1 cells, D1 receptors interact with an inhibitory Gialpha /Goalpha protein that has not been better identified (229). In addition, immunoprecipitation with antibodies specific for different G protein subtypes revealed that the D1 receptor coprecipitates with both Goalpha (230) and Gqalpha (459), the latter coupling D1 receptors to phosphoinositide metabolism (459, 477).

That the D2 receptor can inhibit AC was shown in the early 1980s in the pituitary (99, 121, 289, 345) and in the CNS (344). As expected, the cloning of the D2 receptor confirmed these observations (reviewed in Ref. 159).

Although not immediately apparent, the D3 receptor has been shown to be coupled to inhibition of AC. Initially, it was reported that this receptor did not inhibit AC in cell lines and did not couple to G proteins as shown by the lack of a guanine nucleotide shift of agonist binding curves (420). Similarly, subsequent observations also indicated that the D3 receptor did not inhibit cAMP accumulation in various cell lines (144, 274, 438). However, more recently it has been shown that the D3 receptor does weakly inhibit AC in some cell lines (75, 287, 360, 377).

On the other hand, that the D4 receptor can inhibit cAMP accumulation was reported in retina (80) and a variety of cell culture lines (74, 287, 290, 438). Thus inhibition of AC seems to be a general property of the D2-like receptors.

B. Calcium Channels

The D1-like receptors appear to modulate intracellular calcium levels by a variety of mechanisms. One mechanism is via the stimulation of phosphatidylinositol (PI) hydrolysis by phospholipase C (PLC), resulting in the production of inositol 1,4,5-trisphosphate, which mobilizes intracellular calcium stores. There have been conflicting reports as to whether D1-like receptors are capable of stimulating PI hydrolysis. Upon the cloning of each of the D1-like receptors, it was reported that these receptors could not stimulate PI turnover in COS-7 cells (95, 101, 430, 441). In addition, Pedersen et al. (351) reported that neither D1 nor D5 receptors affected intracellular calcium concentration in Chinese hamster ovary (CHO) or baby hamster kidney cells. In contrast, it has been shown that D1-like receptor agonists cause increases in PI metabolism in various brain regions (444, 445). However, it should be noted that greater than 100 µM agonist is required to see this effect, calling into question the physiological relevance of this response. Other results have suggested indirectly that D1-like receptors activate PKC via a PLC-mediated mechanism. The D1 agonists cause neurite retraction of catfish horizontal cells in culture, and this effect is mimicked by activators of PKC such as phorbol esters or diacylglycerol (379). In addition, the D1 receptor stimulates PI hydrolysis in Ltk- cells (266). In both of these cases, a significant effect was observed at 1 µM DA, suggesting that coupling to PLC may be a real mechanism of D1-like receptor signaling, at least in some cases.

On the other hand, the D1 receptor appears to stimulate release of intracellular calcium stores via a mechanism other than stimulation of PI turnover. D1 receptor-induced increase in intracellular calcium levels in 293 cells (140, 263) is mimicked, in fact, by other means of increasing cAMP levels (263), and thus is probably the result of activation of protein kinase A (PKA).

Finally, the D1 receptor appears to affect the activity of calcium channels. In both rat striatal neurons and D1 receptor-transfected GH4C1 cells, D1 agonists increase calcium currents by L-type calcium channels. In both cases, the effect is mimicked by cAMP analogs (266, 432) and blocked by PKA inhibitors (432), suggesting that it may be the result of phosphorylation of calcium channels by PKA. In addition, in rat striatal neurons, D1 agonists reduce calcium currents carried by N- and P-type calcium channels. This activity of the D1 receptor was also mimicked by cAMP analogs and blocked by PKA inhibitors as well as the phosphatase inhibitor okadaic acid (432). The proposed model is that D1 receptors reduce these currents by PKA stimulation of a phosphatase which, in turn, dephosphorylates the channels leading to their inactivation. Thus the regulation of calcium by D1-like receptors appears to be quite complex and occurs through a variety of mechanisms.

D2-like receptors also mediate changes in intracellular calcium levels. In some transfected cell systems, the D2 receptor produces an increase in intracellular calcium via stimulation of PI hydrolysis. This has been observed in Ltk- cells (448) and in CCL1.3 cells (438). However, in many other cell lines, the D2 receptor has been shown not to couple to this second messenger. In addition, D2 receptors in the pituitary have been shown to inhibit PI metabolism (52, 122, 416). Neither D3 nor D4 receptors increase PI hydrolysis in any cell line tested. D2 receptors have also been shown to cause release of intracellular calcium stores in NG108-15 cells, although the mechanism for this release has not been examined (64).

D2-like receptors can also cause a decrease in intracellular calcium levels by inhibition of inward calcium currents. This is the case for the D2 receptor in GH4C1 cells (396, 448), pituitary lactotrophs (268), melanotrophs (468), and differentiated NG108-15 cells (397). D3 receptors also inhibit calcium currents in differentiated NG108-15 cells (395), whereas D4 receptors have this effect in GH4C1 cells (396). Two mechanisms may be responsible for this effect: D2-like receptor-induced activation of potassium currents leading to alterations in membrane potential (reviewed in Ref. 447) and activation of G proteins that directly inhibit some calcium channels. In both pituitary lactotrophs and GH4C1 cells, inactivation of Goalpha subunits by antisense oligonucleotides abolishes inhibition of calcium currents by D2 receptors (15, 267). In contrast, in pituitary cells, alterations in potassium currents by the D2 receptor appear to be mediated via Gi-3alpha subunits (15, 268), suggesting that the D2 modulation of calcium currents is independent of changes in potassium conductance. Thus, similar to the D1-like receptors, the D2 receptor seems to alter intracellular calcium levels through multiple mechanisms, whereas to date, the D3 and D4 receptors have only been shown to inhibit calcium currents.

C. Potassium Channels

Dopamine receptors have been shown to influence the activity of potassium channels. This has not been well documented in the case of the D1-like receptors. D1-like agonists were shown to increase potassium efflux from chick retinal cells via a cAMP-independent mechanism (243). In contrast, a D1-like agonist inhibited a potassium current in rat striatal neurons (232).

The role of D2-like receptors in modulating potassium currents has been more extensively studied. In many preparations, it has been shown that D2-like receptors increase outward potassium currents, leading to cell hyperpolarization. Such effects have been observed in rat striatal and mesencephalic neurons as well as in anterior pituitary (65, 119, 172, 232, 264, 467). This activation of potassium currents appears to be modulated by G protein mechanisms. The effect of DA on potassium currents in melanotrophs is in fact abolished by pertussis toxin (PTX) treatment (264, 467). In addition, treatment of cells with G protein antibodies or antisense oligonucleotides blocks the D2 receptor stimulation of potassium currents. In pituitary, activation of potassium currents appears to be mediated by Gi-3alpha (15, 268), whereas in rat mesencephalon cultures, by Goalpha (264). Such discrepancies may be the result of varying G protein subunit expression between different cells, or may reflect the modulation of different potassium conductances by D2 receptors.

The functional significance of cell hyperpolarization appears to be the inhibition of DA release by autoreceptors in the brain and of prolactin secretion in the pituitary. Blockade of potassium channels with 4-aminopyridine (4-AP) or tetraethylammonium (TEA) abolished the inhibition of evoked DA release by D2-like agonists in striatal slices or synaptosomes (39, 63). Furthermore, in transfected MN9D cells, D2 or D3 receptor-mediated inhibition of DA release was also blocked by 4-AP and TEA (439).

D. Arachidonic Acid

In 1991, several groups showed that in CHO cells, the D2 receptor potentiates the release of arachidonic acid (AA) evoked by calcium (125, 227, 356). These results were confirmed later by Freedman et al. (144) and MacKenzie et al. (274). In addition, in primary striatal neuron cultures, D2-like agonists also cause potentiation of calcium-evoked AA release (392). The D3 receptor does not appear to have this effect in cultured cell lines, but the D4 receptor does potentiate AA release in CHO cells (74). This pathway is sensitive to PTX (74, 356), suggesting that Gialpha subunits are involved. The mechanism by which D2-like receptors potentiate AA release is not clear. In some reports, this effect is not related to changes in cAMP levels that might be mediated by the D2 or D4 receptors (74, 225). Although Piomelli et al. (356) observed an enhancement of the D2 receptor potentiation of AA release in the presence of a cAMP analog, PKC seems more likely to play a role in this signaling system. Downregulation of PKC by 24-h treatment of cells with phorbol 12-myristate 13-acetate blocks the D2 and D4 effect (74, 225) as does treatment with the PKC inhibitor staurosporine (125). In addition, activation of PKC increases the maximal AA release in the presence of D2 agonists and calcium ionophore and increases the potency of agonist to elicit this response (109). This evidence suggests that potentiation of AA release is mediated by alterations in PKC activity.

There is little evidence that D1-like receptors affect AA release. Piomelli et al. (356) reported that in CHO cells, the D1 receptor did not affect calcium-evoked AA release. However, when D1 and D2 receptors were expressed simultaneously in CHO cells, a combination of D1 and D2 agonists caused a greater potentiation of AA release than D2 agonists alone. In contrast, in primary cultures of striatal neurons, D1-like agonists caused an inhibition of calcium-evoked AA release (392), an effect that was mimicked by forskolin, suggesting the involvement of PKA in this response.

E. Na+/H+ Exchange

Dopamine receptors also appear to affect the activity of amiloride-sensitive Na+/H+ exchangers, which are responsible for regulation of intracellular pH and cell volume. This exchanger is also the major player in sodium absorption in many epithelia (478). The activity of the Na+/H+ exchanger is regulated by multiple mechanisms, including phosphorylation-dependent and -independent events and direct regulation by the Gi-3alpha subunit (104, 478). In preparations of renal brush-border membrane vesicles, D1 receptor agonists cause an inhibition of the activity of the Na+/H+ exchanger by both cAMP-dependent and cAMP-independent mechanisms (123, 125).

In contrast, the D2 receptor activates a Na+/H+ exchanger in many cells. This has been observed in renal brush-border membrane vesicles (123) in transfected C6 glioma and Ltk- cells (329) and in primary cultures of anterior pituitary cells (147). In these systems, the observed increase in extracellular acidification was not blocked by PTX, suggesting that a mechanism other than Gialpha was involved. However, in CHO cells, D2 , D3 , and D4 receptors all increase extracellular acidification rates in a PTX-sensitive manner (74). These conflicting reports are presumably the result of the existence of multiple subtypes of amiloride-sensitive Na+/H+ exchangers as well as multiple mechanisms for their regulation.

F. Na+-K+-ATPase

The Na+-K+-ATPase, which pumps sodium out of cells and potassium in, is essential for maintaining the electrochemical gradient that is responsible for the excitability of nerve and muscle cells and drives the transport of fluid and solutes across epithelial membranes. It has been known that DA receptors influence the activity of this ion pump. In this manner, DA regulates fluid absorption in the kidney and neuronal excitability in the brain. Most work has suggested that DA effects on the Na+-K+-ATPase are mediated through the D1 receptor. However, some reports also suggested that activation of both D1 and D2 receptors may be required. In a preparation of dissociated striatal neurons, Bertorello et al. (34) found that inhibition of the Na+-K+-ATPase required the presence of DA or a combination of D1 and D2 agonists. However, other studies have suggested that D1 receptors alone are sufficient to evoke an inhibition of the Na+-K+-ATPase. In the chick retina, DA inhibits Na+-K+-ATPase activity, and this has been suggested to be mediated by D1 receptors (243). In addition, in renal proximal tubule preparations and the Madin-Darby canine kidney cell culture model of cortical collecting tubule, D1-like agonists cause an inhibition of the Na+-K+-ATPase, whereas D2-like agonists have no effect (70, 407). In the kidney, the effects of DA receptor activation on Na+-K+-ATPase activity appear to be the result of phosphorylation cascades involving both PKA and PKC. However, in Ltk- fibroblast cells transfected with the D1 receptor, D1-like agonists inhibit Na+-K+-ATPase activity in a PKA-dependent manner (195). Therefore, although in general it appears that D1 receptors are responsible for regulation of the Na+-K+-ATPase, the mechanism may vary according to the tissue examined.

G. Additional Signal Transduction Pathways Involved in Mitogenesis

Recent evidence has suggested that in some cases D2-like receptors are involved in mitogenesis and cell differentiation. The D3 receptor stimulates [3H]thymidine incorporation in NG108-15 cells (355), and both D2 and D3 receptors have this effect in CHO cells (75, 244, 434). This effect is blocked by PTX and appears to be independent of alterations in cAMP levels. Lajiness et al. (244) found that the D2 mitogenic effect was accompanied by an increase in tyrosine phosphorylation levels and was blocked by the tyrosine kinase inhibitor genistein, suggesting that this receptor may cause the activation of the mitogen-activated protein kinase pathway.

In contrast to the above results, the D2 receptor has also been shown to inhibit cell growth in some cell lines. GH4C1 cells transfected with the D2 receptor respond to agonists with a decrease in [3H]thymidine uptake. Florio et al. (138) found that this effect was abolished by PTX, was accompanied by an increase in phosphotyrosine phosphatase (PTP) activity, and was blocked by the PTP inhibitor vanadate. In contrast, another study found that in GH4C1 , the D2 receptor-mediated inhibition of [3H]thymidine uptake was not blocked by PTX but was blocked by downregulation of PKC and by PKC inhibitors (406). Thus, although the mechanism of inhibition of mitogenesis by D2 receptors in GH4C1 cells is not clear, it may result from PKC-mediated activation of a phosphatase. The effects of D2 receptor activation on cell growth appear to highly depend on the cell type examined.

Finally, the D2-like receptors may promote some aspects of cell differentiation. When D2 , D3 , or D4 receptors were expressed in the mesencephalic cell line MN9D, agonists caused increases in neurite number and length as well as total neuritic extent (435). However, in a study using primary cultures of rat mesencephalon neurons, a D2-like receptor agonist did not affect survival or differentiation of these cells (449). The role of D2-like receptors in neuronal differentiation thus remains to be clarified.

In conclusion, much effort has gone into studying the signal transduction of the DA receptors during the last 20 years. Many second messengers for these receptors have been identified, including cAMP, calcium, potassium, and AA. In addition, these receptors modulate other "effectors" by more indirect means, including Na+/H+ exchangers, the Na+-K+-ATPase, and cell growth and differentiation pathways (Fig. 2). However, in many cases, there is conflicting evidence in the literature for the modulation of various messengers, or the mechanism by which an effector is modulated by the DA receptors. Many of these discrepancies probably arise from the use of different tissues or cell culture lines. It is now known that many of the components of signal transduction pathways have multiple isoforms, including receptors, G proteins, and effectors, and that these have differing patterns of expression and regulatory properties. Defining which of these specific signal transduction events is involved in the various physiological actions of DA may require the development of specific pharmacological agents or genetic animals models.


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FIG. 2.   Signal transduction of dopamine receptors. AC, adenylate cyclase; PLC, phospholipase C.

    VIII. DOPAMINE RECEPTORS IN THE BRAIN
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A. Distribution of Dopamine Receptors

Dopaminergic neurons in the substantia nigra pars compacta, the ventral tegmental area, and the hypothalamus give origin to three main pathways, the nigrostriatal, the mesolimbocortical, and the tuberoinfundibular. Because of the lack of ligands specific for each receptor subtype, in situ hybridization has been extensively used to study the distribution of DA receptor mRNAs in the brain.

The D1 receptor is the most widespread DA receptor and is expressed at higher levels than any other DA receptor (95, 145, 463). D1 mRNA has been found in the striatum, the nucleus accumbens, and the olfactory tubercle. In addition, D1 receptors have been detected in the limbic system, hypothalamus, and thalamus. On the other hand, in other areas where the D1 receptor protein is highly expressed such as the entopeducular nucleus and the substantia nigra pars reticulata (153, 255), no mRNA has been detected (95, 145, 463). This suggests that in these areas the D1 receptor is mainly present in projections (95, 145, 463). As a matter of fact, D1 receptors in the entopeduncular nucleus and in the substantia nigra pars reticulata are preferentially localized on striatal GABAergic neurons coexpressing substance P (153, 255).

The D5 receptor is poorly expressed in rat brain when compared with the D1 receptor. A distribution restricted to the hippocampus, the lateral mamillary nucleus, and the parafascicular nucleus of the thalamus, where the D1 receptor is not significantly expressed, was originally reported (293, 441), with little or no message detected in the dorsal striatum, nucleus accumbens, and olfactory tubercle. Upon further examination, D5 receptor mRNA has been found in several rostral forebrain regions including cerebral cortex, lateral thalamus, diagonal band area, striatum, and, to a lesser extent, substantia nigra, medial thalamus, and hippocampus (76, 203, 366).

The development of specific antibodies against DA receptor subtypes recently made it possible to define their cellular and subcellular localization in different regions of primate brain. Both D1 and D5 receptors are coexpressed in pyramidal neurons of prefrontal, premotor, cingulate and entorhinal cortex, the hippocampus, and the dentate gyrus (27, 28, 197, 417). Electron microscopy analysis demonstrated that in the prefrontal cortex and the hippocampus, D1 and D5 receptors have both pre- and postsynaptic localization, with the postsynaptic one more frequently observed. Ultrastructural analysis suggested that within individual pyramidal neurons, D1 and D5 receptors have a different localization with the D1 concentrated in dentritic spines and the D5 in dendritic shafts (28, 417). In the olfactor bulb D1 receptors are restricted to the internal granular and plexiform layers and in the amygdala in the intercalated and basolateral nuclei (260). In the caudate nucleus, D1 and D5 receptors are mostly localized within medium-sized GABAergic neurons (28, 197, 417). D5 but not D1 receptors are present also in large cholinergic interneurons (28). Ultrastructural analysis suggested that D1 receptors are present on spines postsynaptic to asymmetrical synapses, that both D1 and D5 receptors are at postsynaptic densities of small synapses characteristics of DA terminals, and that presynaptic D1 and D5 receptors are on axons forming asymmetrical synapses (28, 187, 260, 417). D1 receptors have been localized in the entopeduncular nucleus and in the pars reticulata of the substantia nigra, where D5 receptors are undetectable (28, 187, 260). This observation suggests that if D1 and D5 receptors are colocalized in medium-sized spiny neurons of caudate, only the D1 receptor is transported to striatonigral terminals. These differences in the cellular and subcellular localization thus suggest that although D1 and D5 receptors exhibit similar pharmacology, they are not functionally redundant.

The D2 receptor has been found mainly in the striatum, in the olfactory tubercle, in the core of nucleus accumbens (38; reviewed in Ref. 217), where it is expressed by GABAergic neurons coexpressing enkephalins (253, 256), and in the septal pole of the shell of the nucleus accumbens where it is expressed by neurotensin-containing neurons (105). D2 receptor mRNA is also present in the prefrontal, cingulate, temporal, and enthorinal cortex, in the septal region, in the amygdala, and in the granule cells of the hippocampal formation (38; reviewed in Ref. 217). It is also found in the hypothalamus, in the substantia nigra pars compacta, and in the ventral tegmental area, where it is expressed by dopaminergic neurons (38, 292, 463). Immunohistochemical analysis with specific antibodies revealed that D2 receptors are present in medium spiny neurons of the striatum where they are more concentrated in spiny dendrites and spine heads than in the somata. Colocalization with D1 receptors is rare. D2 immunoreactive terminals are frequently detectable, forming symmetrical, rather than asymmetrical, synapses (187, 260). The D2 receptors are present in perikarya and dendrites within the substantia nigra pars compacta and are much more concentrated in the external segment of the globus pallidus than in other striatal projections (260). D2 receptor immunoreactivity has been detected in the glomerular and internal plexiform layers of the olfactory nerve and in the central nucleus of the amygdala (260).

The D3 receptor has a specific distribution to limbic areas (245, 246) such as the ventromedial shell of the nucleus accumbens (38) where it is expressed by substance P and neurotensin neurons projecting to the ventral pallidum (105, 106), the olfactory tubercle, and the islands of Calleja (38, 258). In contrast, it is poorly expressed in the dorsal striatum (38, 258, 420). The D3 mRNA was also found in the substantia nigra pars compacta, in the ventral tegmental area, where it is expressed in a minority of dopaminergic neurons when compared with the D2 receptors and in the cerebellum (105, 106). In the islands of Calleja, both D3 receptor binding and mRNA are present in granule cells (106, 258), which are known to make sparse contacts with dopaminergic axons. Purkinje cells in lobules 9 and 10 of the archicerebellum express D3 mRNA, whereas binding sites were detectable only in the molecular layer (106, 258). No dopaminergic projections are present in this area, suggesting that the D3 receptor may respond to DA diffusing extrasynaptically (106). The D3 receptor was also found at low expression levels in the hippocampus, in the septal area, and in various cortical layers and subregions of the medial-temporal lobe (38).

Low levels of the D4 receptor mRNA have been found in the basal ganglia. In contrast, this receptor appears to be highly expressed in the frontal cortex, amygdala, hippocampus, hypothalamus, and mesencephalon (343, 450). Significant levels of D4 mRNA were also found in the retina (80). Recently, a specific antibody directed against the D4 receptor has been developed. Immunohistochemical and electron microscopy analysis revealed that in both the cerebral cortex and hippocampus, D4 receptors are present in pyramidal and nonpyramidal neurons that have been identified as GABAergic interneurons (319). In the cerebral cortex and hippocampus, D4 receptors thus modulate the GABAergic transmission. D4 receptors have been also found in GABAergic neurons of both segments of globus pallidus and of the substantia nigra pars reticulata and in the reticular nucleus of the thalamus (319).

B. Function of Brain Dopamine Receptors

The behavioral effects of DA have been extensively reviewed (92, 217, 235, 469). Here we briefly summarize some of the functional effects of DA with particular attention to some behaviors where the role of the different DA receptor subtypes has been investigated.

The effects of DA on motor activity have been extensively investigated (reviewed in Refs. 79, 217, 456, 457). The degree of forward locomotion is primarily controlled by the ventral striatum through activation of D1 , D2 , and D3 receptors. Activation of D2 autoreceptors, which results in decreased DA release, has been shown to decrease locomotor activity (reviewed in Ref. 217), whereas activation of postsynaptic D2 receptors slightly increases locomotion. Activation of D1 receptors has little or no effect on locomotor activity (155; reviewed in Ref. 217). However, it is now clear that there is synergistic interaction between D1 and D2 receptors in determining forward locomotion so that concomitant stimulation of D1 receptors is essential for D2 agonists to produce maximal locomotor stimulation (41, 116; reviewed in Refs. 79, 217, 456, 457). As discussed in section VIII D, these pharmacological observations have been explicitly confirmed by targeted inactivation of the D1 receptor gene in the mouse (471, 472).

The D3 receptor, which has been shown to be mainly postsynaptically located in the nucleus accumbens (106), seems to play an inhibitory role on locomotion. D3-preferring agonists inhibit, in fact, locomotor activity (93; reviewed in Ref. 421), whereas D3-preferring antagonists evoke motor activation (reviewed in Refs. 421, 461). The opposing effects of D2 and D3 receptors on locomotor activity may find a neurochemical correlate in their opposite effects on neurotensin gene expression in the nucleus accumbens (105).

Mesolimbocortical DA is implicated in reward and reinforcement mechanisms as shown by the observation that administration of psychostimulants and drugs of abuse elicits an increase of DA release in the mesolimbic areas, whereas withdrawal of these drugs results in a reduction of dopaminergic transmission. A vast amount of literature has been written in this area (108, 252, 365, 404, 469). Various experimental models have been developed such as intracranial self-stimulation and drug self-administration. In the intracranial self-stimulation paradigm, rats work to obtain electrical stimulation that has rewarding properties and results in DA release in the prefrontal cortex and nucleus accumbens (reviewed in Ref. 217). Pharmacological studies clearly show that both D1 and D2 receptors are involved in this behavior, with agonists at both receptors stimulating and antagonists inhibiting the behavior (141, 234).

In the case of drug self-administration, it has been shown that both D1 and D2 receptors are involved in the reinforcing properties of different drugs of abuse, with D2 receptors mediating the stimulant drug reinforcement and D1 receptors playing a permissive role (25, 277, 354, 403). Stimulation of D1 receptors by endogenous DA is thus required for the expression of D2 receptor-mediated behaviors and gene regulation. A recent study suggested that although D1-like and D2-like receptor agonists are themselves reinforcing and can both substitute for cocaine in drug discrimination tests, they nevertheless may mediate qualitatively different aspects of the reinforcing stimulus produced by cocaine. In particular, activation of D2-like receptors has been shown to mediate the incentive to seek further cocaine reinforcement in an animal model of cocaine-seeking behavior. In contrast, D1-like receptors appear to mediate a reduction in the drive to seek further cocaine reinforcement (403). Agonists of D1-like receptors may thus be evaluated as a possible therapy of cocaine addiction. Recently, it has been shown that D3 receptor stimulation inhibits cocaine self-administration in the rat in a way indicating an enhancement of cocaine reinforcement (51, 349).

Although some inconsistencies are present in the literature, there is a general agreement that mesolimbocortical DA plays a role in learning and memory. In the monkey, DA neurons in the A10 area have been reported to be involved with transient changes of impulsive activity in basic attention and motivational processes underlying learning and cognitive behavior (394). Pharmacological studies have shown that both D1 and D2 receptors mediate the effects of DA on learning and memory. Activation of both D1 and D2 receptors in the hippocampus improves acquisition and retention of different working memory tasks in the rat (261, 348, 465, 466). In the monkey, activation of both D1 and D2 receptors in the prefrontal cortex has been reported to improve performance in a working memory task (12, 390, 391). Because of the lack of true agonists and antagonists discriminating among D1-like and D2-like receptors, the role of DA receptor subtypes in learning and memory has not been investigated. However, it is worth noting that although the D1 receptor is poorly expressed in the hippocampal formation, the D5 receptor is highly expressed in this area so that the D5 , more than the D1 receptor, is likely to mediate the effects of D1 agonists on learning and memory. Similarly, D3 and D4 receptors are expressed in the hippocampus, and D3 receptors are present in the septal area, suggesting a possible contribution of these receptor subtypes to the behavioral effects of D2 agonists. In contrast, because of their distribution at the cortical level, a central role of D1 and D2 receptors can be proposed in the prefrontal cortex-mediated behaviors.

The role of D3 and D4 receptors in the physiology of dopaminergic system is still mostly unknown. They are specifically expressed in limbic and cortical regions involved in the control of cognition and emotion and, to a lesser extent in the dorsal striatum, and this makes them attractive and promising targets for new generations of antipsychotic drugs with low incidence of extrapyramidal side effects.

C. Dopamine Receptors and Regulation of Gene Expression

The study of receptor and peptide levels in the striatum after perturbation of DA transmission has been useful in better understanding the organization and regulation of the dopaminergic system. The paradigms used in these approaches have included consequences of blockade of DA receptors (as occurring after neuroleptic treatment), interruption of dopaminergic transmission (as occurring in Parkinson's disease), or after the hyperactivation of the DA system (observed after abuse of psychostimulants such as cocaine and amphetamine). Activation of DA receptors results in fact in modulation of both peptide and immediate early gene expression. On the other hand, expression of the genes encoding DA receptors is subject to modulation by DA itself and other signals.

1. Immediate early genes

Fos is the protein product of the immediate-early gene c-fos and is considered to be a marker of some neuronal activities. Fos appears to be required for long-lasting modifications of gene expression in response to acute stimuli and has been shown to be one of the final targets in the signaling cascade of DA receptors (
374). Basal c-fos expression in the striatum is very low. However, administration of caffeine (322), haloperidol (330, 372), raclopride (102), cocaine, and amphetamine (171, 193, 213, 330) remarkably stimulates c-fos expression in the ventral and dorsal striatum with regional and cellular specificity depending on the drug used. Therefore, it has been proposed that Fos and Fos-related antigens may be used to map specific pathways involved in the response to modifications of the neuronal environment. Retrograde tracing studies suggested that cocaine and amphetamine preferentially increase Fos-like immunoreactivity in striatonigral neurons, whereas the stimulatory effects of neuroleptics are limited to striatopallidal neurons (67, 375). Both in the core and shell regions of nucleus accumbens, D1 agonists increase fos expression in projections to the midbrain and the ventral pallidum. On the other hand, blockade of D2 receptors results in a preferential increase of fos expression in the projections to the ventral pallidum (373).

Concomitant stimulation of D1 and D2 receptors appears to produce a synergistic effect on c-fos expression (242). Separate administration of selective D1 or D2 agonists induces an increase of Fos immunoreactivity in few neurons, whereas combined administration of D1 and D2 agonists produced patches of intensely stained immunoreactive nuclei in the striatum (350). In line with this, administration of SKF-38393 to DA-depleted rats increased the striatal expression of c-fos, whereas quinpirole did not significantly modify it (227). Combined administration of SKF-38393 and quinpirole, however, produced a higher extent of c-fos expression than SKF-38393 alone (227). Moreover, amphetamine and cocaine, which increase DA overflow, appear to be more effective in inducing c-fos expression than receptor-selective direct agonists.

These findings are in line with behavioral and electrophysiological evidence suggesting the existence of D1 and D2 synergism in the striatum (79, 116, 242, 375, 455). However, the anatomic basis of this synergism is still a matter of debate.

2. Neuropeptides

Anatomic, pharmacological, and molecular studies have given some insights in the mechanisms underlying D1/D2 synergism. Striatal efferent neurons are known to be under the influence of DA. As shown in Figure
3, two major types of neurons have been defined that are distinguished by their primary sites of axonal projections and neuropeptide synthesis (for a review, see Ref. 152). One population projects to the entopeduncular nucleus and the substantia nigra pars reticulata (striatonigral) and expresses the neuropeptides substance P (SP) and dynorphin (Dyn) (152, 255). The other projects to the external segment of the globus pallidus (striatopallidal) and contains enkephalin (152, 256). The striatonigral neurons preferentially express D1 receptors that mediate the stimulatory effec