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. 2023 Jan;75(1):62–158. doi: 10.1124/pharmrev.122.000618

TABLE 2.

Effects of dopaminergic immunomodulation associated with disease

Species Cell type/region Dopamine receptors/proteins involved Dopamine/dopamine modifying agent or method Immunologic finding Method of detection Reference
NeuroHIV
 Human Macrophage (HIV-infected monocyte-derived) D1-like Meth (1–250 μM)
SCH23390 (10 μM)
↑ HIV replication and ↑ CCR5 with Meth (effect blocked by SCH23390) RT-PCR
ELISA
Western blot
Liang et al., 2008
 Human Macrophage (HIV-infected ART-treated monocyte-derived macrophage) N/A Dopamine (1 nM–1μM) ↑ IL-1β, IL-6, IL-18, CCL2, CXCL8, CXCL9, CXCL10 AlphaLISA Nolan et al., 2019
 Human Macrophage (monocyte-derived macrophages) D1-like
D2-like
Dopamine (1 nM–1μM) ↑ HIV entry by increasing calcium release with dopamine Viral entry assay
Immunofluorescence
Nickoloff-Bybel et al., 2019
 Mouse Macrophage (bone marrow–derived macrophages from transgenic nef mice)
Brain (striatum)
DAT N/A ↓ Striatal dopamine and DAT levels in HIV nef mice
↑ ccl2 gene expression in striatum and cortex
↑ ccl2 and ↓ ifn-α gene expression in BMDM
↑ ccl2 gene expression in striatum
qPCR
IHC
Western blot
HPLC
Acharjee et al., 2014
 Human Monocyte (CD14+CD16+ Peripheral blood mononuclear cells) D1-like Dopamine (1–50 μM)
SKF38393 (1–50 μM)
↑ Monocyte migration across the blood–brain barrier from HIV infected individuals with dopamine and SKF38393 Flow cytometry Calderon et al., 2017
 Primate Brain (SIV infected frontal cortex, basal ganglia and SbN) MAO
D1-like
D2-like
Selegiline (0.01–2 mg/kg intramuscularly)
L-DOPA (50 mg/kg orally)
↑ SIV expression and TNF-α with selegiline and L-DOPA In situ hybridization Czub et al., 2004
 Human Dendritic cell (HIV-infected human PBMC-derived dendritic cells) D2 Meth (10–100 μM)
Sulpiride (100 μM)
↑ HIV replication and phospho-p38-MAPK with Meth
↑ CCR5 and CXCR4 with Meth
↓ Viral replication and CCR5 with drd1 KD and sulpiride
MAGI assay
ELISA
RT-PCR
Western blot
Nair et al., 2009
 Human Macrophage (primary monocyte-derived macrophages) D1-like
D2-like
Dopamine (0.01–10 μM)
Flupentixol (1 μM)
↑ HIV entry in the presence of dopamine (blocked by flupentixol) Viral entry assay Gaskill et al., 2014
 Human Macrophage (primary monocyte-derived macrophages) D1-like
D2-like
Dopamine (1 μM) ↑ HIV replication with dopamine
Dopamine alters effectiveness of maraviroc on HIV infection
AlphaLISA Matt et al., 2021
 Human Microglia (C06 microglia and iPSC-derived microglia) D1-like
D2-like
Dopamine (1 μM) ↑ HIV replication with dopamine AlphaLISA Matt et al., 2021
 Human T-lymphoblast (ACH-2 cell line) Dopamine dependent oxidative stress Dopamine (20–100 μM)
Glutathione (1–2 mM)
↑ HIV in chronically infected T lymphoblasts in the presence of dopamine (effects attenuated by Gluthiatione) Flow cytometry Scheller et al., 2000
 Human Monocyte (CD14+CD16+ peripheral blood mononuclear cells) D1-like Dopamine (100 nM–1 μM)
SKF38393 (1 nM–100 nM)
↑ Monocyte migration (chemokinesis) with dopamine and SKF38393
↑ monocyte adherence with dopamine
Migration assay
Spreading and adhesion assay
Coley et al., 2015
 Human T-cell (Jurkat cell line) N/A Dopamine (10–300 μM) ↑ HIV-1 gene transcription in presence of dopamine Chloramphenicol acetyltransferase assay Rohr, Sawaya et al., 1999
 Human Peripheral blood mononuclear cells N/A Dopamine (100 μM) ↑ HIV-1 gene transcription in presence of dopamine Chloramphenicol acetyltransferase assay Rohr, Sawaya et al., 1999
 Human Macrophage (monocyte-derived macrophages) D2-like Dopamine (20 μM)
Quinpirole (1 μM)
↑ HIV-1 replication via ERK1 phosphorylation with dopamine
↑ Number of virally infected macrophages with dopamine
↑ HIV replication with quinpirole
ELISA
Immunofluorescence
Western blot
Gaskill et al., 2009
PD
 Mouse T-cell (CD4+ T-cells from MPTP-treated mice) D2 Sumanirole (1 μM)
L-741,226 (1 μM)
↑ MPTP-induced neuropathology and motor impairment in drd2-KO
↑ Th1/Th17 phenotype with drd2-KO
↓ Th1/Th17 phenotype with Sumanirole in vitro (reversed by L-741,226)
↑ CD11b, TNF-α, IL-1β, IFN-γ, IL-17A in drd2-KO MPTP-treated mice
Flow cytometry
Western blot
RT-PCR
Liu, Zhai et al., 2021
 Mouse Microglia (MPTP-treated mice)
Brain (substantia nigra)
D3 N/A drd3-KO is neuroprotective in SbN of MPTP-treated mice and ↓ microglia activation Flow cytometry González et al., 2013
 Mouse T-cell (CD3+ T-cells from MPTP-treated mice) D3 PD 128907 (50 nM in vitro) ↑ Percentage of Foxp3+ in drd3-KO cells
↓ IL-2, TNF-α, and IFN-γ in drd3-KO cells
↑IL-2 with PD 128907
ELISA
Flow cytometry
González et al., 2013
 Human Lymphocyte (peripheral blood of untreated early PD patients) D3 N/A ↓ drd3 gene expression qPCR Kim, Nigmatullina et al., 2019
 Mouse Lymphocyte (MPTP-treated mice) D3 N/A ↑ drd3 gene expression qPCR Kim, Nigmatullina et al., 2019
 Human T-cell (peripheral blood mononuclear cells from PD patients and healthy donors) D3 N/A ↓ D3 receptor expression levels in CD4+ T-cells from PD patients and higher frequency of Th1 polarization Flow cytometry Elgueta et al., 2019
 Mouse T-cell (CD4+ T-cells from MPTP-treated mice) D3 PG01037 (30 mg/kg) ↓ Microglial activation, motor impairment and neurodegeneration in MPTP-treated mice given PG01037
Transference of CD4+ T-cells that were treated ex vivo with PG01037 led to ↓ microglial activation and motor impairment
Flow cytometry Elgueta et al., 2019
 Human Lymphocyte (peripheral blood mononuclear cells of PD patients) D3 [3H]7-OH-DPAT ↓ drd3 gene expression and inversely correlated with disease severity
↓ D3 receptor binding sites on lymphocytes of PD patients
qRT-PCR
Receptor binding assay
Nagai et al., 1996
 Human Lymphocyte (peripheral blood lymphocytes from PD patients) D2 [3H]spiroperidol (0.1–7nM) 73% ↓ in [3H]spiroperidol binding sites in PD patients Receptor binding assay Le Fur et al., 1980
 Human Lymphocyte (peripheral blood lymphocytes from PD patients and healthy controls) D1-like
D2-like
[3H] SCH 23390
[3H] 7OH-DPAT
↑ Density of D1-like and D2-like receptors on PBLs of PD patients prior to treatment (reversed following L-DOPA or bromocriptine therapy) Receptor binding assay Barbanti et al., 1999
 Human Lymphocyte (peripheral blood lymphocytes from PD patients and healthy controls) TH N/A ↓ TH immunoreactivity in PD patients
↓ intracellular DA concentration in PD patients
Tyrosine hydroxylase immunoreactivity assay
HPLC
Caronti et al., 1999
 Human Lymphocyte (peripheral blood lymphocytes from PD patients and healthy control) DAT N/A ↓ DAT immunoreactivity in lymphocytes of early PD patients Immunohistochemistry Caronti et al., 2001
 Human Lymphocyte (peripheral blood lymphocytes from PD patients and healthy control) DAT N/A ↓ DAT immunoreactivity in lymphocytes of early PD patients Densitometric analysis Pellicano et al., 2007
 Mouse Striatum (MPTP-treated mice) N/A Rotigotine-loaded microspheres (10 mg/kg) or rotigotine (0.7 mg/kg) ↓ TNF-α, IL-1β, IL-6 Immunohistochemistry
ELISA
Yu et al., 2015
 Human T-cells (CD4+ naïve T-cells and memory T-cells of PD patients and healthy controls) D1-like
D2-like
N/A ↓ D1-like receptors on naïve CD4+ T-cells of PD patients
↑ D2-like receptors on memory T-cells of PD patients
qPCR
Flow cytometry
Kustrimovic et al., 2016
Schizophrenia
 Human Peripheral blood mononuclear cells (patients diagnosed with schizophrenia /schizophreniform disorder) D2
D3
N/A ↑drd3 gene expression compared with controls
drd2 gene expression correlated with positive symptom scores
qPCR Cui et al., 2015
 Human T-cell (peripheral blood mononuclear cells from patients diagnosed with schizophrenia) D3
D4
N/A ↑ drd3 and ↓ drd4 gene expression on T-cells RT-PCR Boneberg et al., 2006
 Human T-cell (CD4+ peripheral blood mononuclear cells from patients diagnosed with schizophrenia) D3 N/A ↑ D3 receptor expression in CD4+ T-cells of clozapine-treated schizophrenia patients Flow cytometry Fernandez-Egea et al., 2016
 Human T-cell (peripheral blood mononuclear cells from patients diagnosed with schizophrenia) D2
D4
N/A ↑ D2 receptor expression on CD8+ T-cells and correlated positively with symptom scores
↓ D2 receptor expression on CD4+ T-cells
↑ D4 receptor expression on CD4+ T-cells and inversely correlated to symptom scores
Flow cytometry Brito-Melo et al., 2012
 Human T-cell (peripheral blood T lymphocytes from patients diagnosed with schizophrenia) D3
D5
N/A ↑ drd3 and drd5 gene expression in lymphocytes of drug naïve patients with schizophrenia compared with treated patients RT-PCR Kwak et al., 2001
 Human Serum (children with first episode of psychosis) D2 N/A IgG and IgM DRD2 antibodies were present in children with first episode of psychosis Flow cytometry Pathmanandavel et al., 2015
 Human Lymphocyte (peripheral blood lymphocytes from patients diagnosed with schizophrenia) D2 N/A ↑ D2 receptor expression Receptor binding assay Bondy et al., 1985
 Human Lymphocyte (peripheral blood lymphocytes from patients diagnosed with schizophrenia) D3 N/A ↑ drd3 gene expression RT-PCR Ilani et al., 2001
 Human Lymphocyte (peripheral blood lymphocytes from patients diagnosed with schizophrenia) D3 N/A ↓ drd3 gene expression RT-PCR Vogel et al., 2004
 Human Lymphocyte (peripheral blood lymphocytes from patients diagnosed with schizophrenia) DAT N/A ↓ DAT receptor expression Receptor binding assay Marazziti et al., 2010
Bipolar disorder
 Mouse Brain (striatum, PFC, and hippocampus) DAT GBR12909 ↑ IL-2, ↓ IL-6, and ↑ BDNF in PFC
↑ IL-2 and IL-4, ↓ IL-6, ↑ IL-10 and IFN-γ in striatum
↑ IL-4 and IFN-γ, ↓ IL-10 in hippocampus
Cytokine binding assay
ELISA
Bastos et al., 2018
 Human Lymphocyte (peripheral blood T lymphocytes of patients diagnosed with bipolar disorder) D3 N/A ↓ drd3 gene expression in patients with bipolar disorder compared with healthy controls RT-PCR Vogel et al., 2004
 Human Lymphocyte (peripheral blood lymphocytes from patients diagnosed with bipolar disorder) DAT N/A ↓ DAT receptor expression in patients diagnosed with bipolar disorder compared with healthy controls Receptor binding assay Marazziti et al., 2010
Depression
 Human Lymphocyte (peripheral blood lymphocytes from patients diagnosed with major depression) D4 N/A ↓ drd4 gene expression in patients with major depression RT-PCR Rocc et al., 2002
 Primate Brain D2 N/A ↓ D2 receptor binding and striatal dopamine release with chronic interferon-alpha administration in association with anhedonia-like behavior PET imaging Felger et al., 2013
Anxiety
 Mouse Myeloid cell (CD11b+CD45+ immune cells from brain tissue) D1 Modafinil (90 mg/kg)
SCH23390 (0.1 mg/kg)
↓ LPS-induced immune cell infiltration in the brain with Modafinil
↓ il1b gene expression in stressed mice treated with Modafinil (blocked by SCH23390)
Flow cytometry
qPCR
Zager et al., 2018
 Human T-cell (peripheral blood T lymphocytes from patients diagnosed with GAD) N/A Dopamine (1 μM) ↓ IL-2 and IFN-γ in dopamine treated PHA activated T-cells
↓ IL-10 and TGF-β but ↑ IL-17 and IL-21 in dopamine treated PHA activated T-cells from patients with GAD
↑ IL-6 and TNFα in dopamine treated PHA activated T-cells from both healthy controls and patients with GAD
ELISA Ferreira et al., 2011
ADHD
 Human Serum (children diagnosed with ADHD) DAT N/A Individuals carrying DAT 10/10 genotype exhibited higher DAT auto-antibodies levels than healthy controls which correlated with disease severity
↓ DAT auto-antibody levels comparable to healthy controls in ADHD patients treated with methylphenidate
ELISA
qPCR
Giana et al., 2015
 Mouse Brain (prefrontal cortex, NAc, VTA of male adult mice) D1
D2
N/A Locomotor hyperactivity with alterations in D1 and D2 receptor profile in the brain of male mice exposed to ↑ early prenatal stress qPCR Bronson and Bale, 2014
 Mouse Choroid plexus (microglia, monocyte) DAT Amphetamine (1.5 mg/kg) Dopamine transporter hypofunction ↓ monocyte-macrophage infiltration into the brain and was associated with ↓ microglial activation (COX-2, TNF-α and IRF7) Histochemistry
Flow cytometry
qPCR
Castellani et al., 2019
Epilepsy
 Human Peripheral blood immune cells from patients diagnosed with TLE D1
D2
D4
D5
N/A ↑ D2 expression in T lymphocytes of patients diagnosed with TLE
↑ D1, D2, D4, and D5 receptor expression on monocyte and granulocytes of patients with TLE
Flow cytometry Vieira et al., 2021
Colitis and inflammatory bowel disease
 Mouse T-cell [splenic and lymph node T-cells from DSS-induced colitis model (drd5-KO and Rag1-KO)] D5 SFK81297 (10–1000 nM) ↓ CD4+ T-cell migration into gut lamina propria without impacting survivability, proliferation, and differentiation in drd5-KO
↓ Colitis manifestations with D5 deficient T-cells or CCR9 deficient T-cells
↑ ERK1/2 phosphorylation and cAMP accumulation with SKF81297 treatment
AlphaScreen
Time-resolved fluorescence resonance energy transfer
Osorio-Barrios et al., 2021
 Mouse Macrophage [colonic macrophages from DSS-induced colitis model (drd5-KO)] D5 Dopamine (20 μM) ↑ Severity of DSS-induced colitis in drd5-KO mice and in WT recipients following bone marrow transplant from drd5-KO mice
↑ TNF-α, IL-6, NF-κB, and CCL2 in drd5-KO mice (blocked by dopamine)
↓ CD86, ↓ iNOS and ↑ M2-polarization markers with dopamine
ELISA
FACS
Immunoblotting
qPCR
Liu, Wu et al., 2021
 Human Serum (from healthy controls and patients with ulcerative colitis or Crohn’s disease) D2 N/A DRD2 Taq1A polymorphism was associated with lower risk of development of refractory Crohn’s disease in individuals homozygous for the A2A2 allele PCR-RFLP Magro et al., 2006
 Mouse T-cell (CD4+ T-cells from layers of small intestine of DSS-induced colitis mice) D3 PD128907 (50 nM)
Dopamine (100 nM–1 μM)
↓ Th17-mediated immunity in Drd3-KO mice
↑ IL-10 in Drd3 deficient Tregs
↑ CCR9 expression in Drd3 deficient Tregs isolated from mesenteric lymph node
PD128907 limited Treg ability to suppress CD4+ T-cell proliferation in vitro
Immunofluorescence in situ proximity ligation assay Ugalde et al., 2021
 Mouse T-cell (mesenteric lymph node CD3+ T-cells from DSS-induced colitis model) D1-like
D2-like
Berberine (400 μL/mL) ↓ IFNγ and IL-17 production with berberine ELISA Kawano et al., 2015
Rheumatic diseases
 Human Synovial tissue samples and cells from patients with RA and OA TH
VMAT2
Reserpine (10 nM–1 μM) TH+ cells only present in inflamed tissues and not healthy controls
↓ TNF, cAMP and CREB with reserpine
Beadlyte cytokine assay Capellino et al., 2010
 Human B lymphocyte (peripheral blood B lymphocytes from RA and OA patients) D1
D2
N/A ↓ D2 receptor expression in both OA and RA patients compared with healthy controls
↓ D1 receptor expression in OA compared with healthy control
D1-like receptor expression was negatively correlated with rheumatoid factor
Flow cytometry Wei et al., 2015
 Human B lymphocyte (peripheral blood B lymphocytes and synovial tissues from RA and OA patients) D2 N/A D2 receptor negatively correlated with serum TNFα levels in RA patients
↑ D2 expression in RA patients compared with OA patients and healthy controls
Immulite immunoassay Wei et al., 2016
 Human T lymphocyte (human peripheral blood CD4+ T lymphocytes) D1-like Dopamine (1 μM)
SCH23390 (10 μM)
↑ Dopamine in RA synovial fluid
↑ IL-6-dependent IL-17 production by CD3/CD28 stimulated CD4+ T-cells with dopamine and SCH23390
ELISA Nakano et al., 2011
 Mouse Macrophage (bone marrow–derived macrophages) D1-like SCH23390 (0.005–0.05 mg/kg)
A68930 (0.05 mg/kg)
↓ Severity of collagen-induced arthritis in mice treated with SCH23390 ELISA Nakashioya et al., 2011
 Mouse Macrophage (bone marrow–derived macrophages) D1-like
D2-like
Low dopamine (2 μg/kg)
High dopamine (10 μg/kg)
Haloperidol (10 nM)
↓ Osteoclast number in dopamine treated mice
↓ RANK-L, TNF-α, IL-1β and IL-6 in dopamine treated groups (reversed by haloperidol)
ELISA Immunohistochemistry Yang et al., 2016
 Human Mast cell (from synovial fluid of patients with RA) D3 N/A D3 receptor expression negatively correlated with disease severity and lipid oxidation
D3 receptor expression positively correlated with antioxidant levels in synovial fluid
Flow cytometry
Thiobarbituric acid reaction
Xue, Li et al., 2018
Psoriasis and vitiligo
 Human T lymphocyte (Peripheral blood CD3+ T lymphocytes from psoriasis patients) D1-like Fenoldopam (1 μM)
SKF38393 (100 nM)
↑ D1, D4, and D5 receptor expression with CD3/28 stimulation
↓ T-cell chemotaxis toward SDF-1/CXCL12 with fenoldopam and SKF38393
↓ TNF-α, IFN-γ, IL-1β, IL-2, IL-6, CD69 with fenoldopam
Flow cytometry
ELISA
Keren et al., 2019

BDNF, brain-derived neurotrophic factor; DDS, dextran sulfate sodium; FACS, fluorescence-activated cell sorting; HPLC, high-performance liquid chromatography; IHC, immunohistochemical; IKK, IkappaB kinase; iNOS, NO synthase; iPSC, induced pluripotent stem cell; IRF7, interferon regulatory factor 7; MAGI, multinuclear activation of a galactosidase indicator; OA, osteoarthritis; PCR-RFLP, polymerase chain reaction–restriction fragment length polymorphism; PHA, phytohemagglutinin; qPCR, quantitative polymerase chain reaction; RT-PCR, reverse-transcription polymerase chain reaction; TLE, temporal lobe epilepsy.