The second binding pocket defined by R-22 is differentially modulated by non-conserved residues in D3R and D2R. (A) In addition to the core binding pocket, which essentially overlaps with that of eticlopride, the potential docking conformations of the core-constrained (see Supplementary information) D3R-selective compound R-22 position the extended aryl amide within a second binding pocket comprised by the junction of ECL1 and ECL2 and the interface of helices II, VII and I (dotted orange ellipse in A). (B) In the docking pose with the most extended conformation of R-22 (yellow), the ligand makes contact with several key conserved residues, including Asp1103.32, Tyr3737.43 and Glu902.65. The linker region of R-22 connecting the aryl amide and phenylpiperazine moieties (see fig. S1) is in a thinner representation. The 2,3-diCl-phenylpiperazine occupies essentially the same space as bound eticlopride (orange). (C–D) Close-up view of the interface of helices II, VII, and I of the D3R (C) and D2R (D) showing the results of molecular dynamics simulations indicating that the non-conserved regions of helix I and position 7.38 (orange) may orient key conserved contact residues differently and alter the shape of the second binding pocket, as reflected by the simulated distances between Glu902.65 and Tyr3737.43 in D3R (cyan) and D2R (magenta) (see fig. S7).