Table 1.
Receptor subtype | Distribution | Effector mechanism | Physiological action | Agonists used as antimigraine therapy |
---|---|---|---|---|
5-HT1A | CNS Raphe nuclei, hippocampus, amygdala, septum, entorhinal cortex, hypothalamus PNS Cholinergic heteroceptor in myenteric plexus |
- Inhibition of adenylyl cyclase - Opening of K+ channels - Inhibition of voltage gated Ca2+ channels |
- Serotonergic auto receptor - Neuronal inhibition - Facilitate ACh and NA release - Cholinergic nerve terminal in myenteric plexus - Hyperphagia |
None |
5-HT1B | CNS Subiculum, substantia nigra PNS Vascular smooth muscle |
Inhibition of adenylyl cyclase | - Serotonergic auto receptor - Control release of ACh and NA - Contraction of vascular smooth muscle |
Ergot alkaloids Triptans |
5-HT1D | CNS Cranial blood vessel PNS Vascular smooth muscle |
Inhibition of adenylyl cyclase | - Serotonergic auto receptor - GABAergic and cholinergic heteroreceptor - Vasoconstriction of intracranial blood vessel |
Ergot alkaloids Triptans |
5-HT1e | CNS Cortex striatum PNS mRNA in vascular tissue |
Inhibition of adenylyl cyclase | Unknown | None |
5-HT1F | CNS Cortex, spinal cord, hippocampus, locus coeruleus, hypothalamus, amygdala, cerebellum, dorsal raphe nucleus, pineal gland PNS Uterus, mesentery, vascular smooth muscle |
Inhibition of adenylyl cyclase | Trigeminal neuroinhibition in guinea pig and rat | Lasmiditan |