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Unless otherwise stated all data on this page refer to the human proteins. Gene information is provided for human (Hs), mouse (Mm) and rat (Rn).
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Orexin receptors (nomenclature as agreed by the NC-IUPHAR Subcommittee on Orexin receptors [8]) are activated by the endogenous polypeptides orexin-A (HCRT, O43612) and orexin-B (HCRT, O43612) (also known as hypocretin-1 and -2; 33 and 28 aa) derived from a common precursor, preproorexin or orexin precursor, by proteolytic cleavage and some typical peptide modifications [36]. Currently the only orexin receptor ligands in clinical use are suvorexant and lemborexant, which are used as hypnotics. Orexin receptor crystal structures have been solved [9,11,38,41-42].
OX1 receptor C
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OX2 receptor C
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* Key recommended reading is highlighted with an asterisk
* Baimel C, Bartlett SE, Chiou LC, Lawrence AJ, Muschamp JW, Patkar O, Tung LW, Borgland SL. (2015) Orexin/hypocretin role in reward: implications for opioid and other addictions. Br J Pharmacol, 172 (2): 334-48. [PMID:24641197]
Boss C. (2014) Orexin receptor antagonists--a patent review (2010 to August 2014). Expert Opin Ther Pat, 24 (12): 1367-81. [PMID:25407283]
Boss C, Brisbare-Roch C, Jenck F. (2009) Biomedical application of orexin/hypocretin receptor ligands in neuroscience. J Med Chem, 52 (4): 891-903. [PMID:19199652]
* Burdakov D. (2019) Reactive and predictive homeostasis: Roles of orexin/hypocretin neurons. Neuropharmacology, 154: 61-67. [PMID:30347195]
Christopher JA. (2014) Small-molecule antagonists of the orexin receptors. Pharm Pat Anal, 3 (6): 625-38. [PMID:25489915]
Gotter AL, Webber AL, Coleman PJ, Renger JJ, Winrow CJ. (2012) International Union of Basic and Clinical Pharmacology. LXXXVI. Orexin receptor function, nomenclature and pharmacology. Pharmacol Rev, 64 (3): 389-420. [PMID:22759794]
* Kukkonen JP. (2013) Physiology of the orexinergic/hypocretinergic system: a revisit in 2012. Am J Physiol, Cell Physiol, 304 (1): C2-32. [PMID:23034387]
Kukkonen JP. (2017) Orexin/Hypocretin Signaling. Curr Top Behav Neurosci, 33: 17-50. [PMID:27909990]
Lebold TP, Bonaventure P, Shireman BT. (2013) Selective orexin receptor antagonists. Bioorg Med Chem Lett, 23 (17): 4761-9. [PMID:23891187]
* Li SB, Jones JR, de Lecea L. (2016) Hypocretins, Neural Systems, Physiology, and Psychiatric Disorders. Curr Psychiatry Rep, 18 (1): 7. [PMID:26733323]
* Mahler SV, Moorman DE, Smith RJ, James MH, Aston-Jones G. (2014) Motivational activation: a unifying hypothesis of orexin/hypocretin function. Nat Neurosci, 17 (10): 1298-303. [PMID:25254979]
Mieda M, Sakurai T. (2013) Orexin (hypocretin) receptor agonists and antagonists for treatment of sleep disorders. Rationale for development and current status. CNS Drugs, 27 (2): 83-90. [PMID:23359095]
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5. Darker JG, Porter RA, Eggleston DS, Smart D, Brough SJ, Sabido-David C, Jerman JC. (2001) Structure-activity analysis of truncated orexin-A analogues at the orexin-1 receptor. Bioorg Med Chem Lett, 11 (5): 737-40. [PMID:11266181]
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10. Hirose M, Egashira S, Goto Y, Hashihayata T, Ohtake N, Iwaasa H, Hata M, Fukami T, Kanatani A, Yamada K. (2003) N-acyl 6,7-dimethoxy-1,2,3,4-tetrahydroisoquinoline: the first orexin-2 receptor selective non-peptidic antagonist. Bioorg Med Chem Lett, 13 (24): 4497-9. [PMID:14643355]
11. Hong C, Byrne NJ, Zamlynny B, Tummala S, Xiao L, Shipman JM, Partridge AT, Minnick C, Breslin MJ, Rudd MT et al.. (2021) Structures of active-state orexin receptor 2 rationalize peptide and small-molecule agonist recognition and receptor activation. Nat Commun, 12 (1): 815. [PMID:33547286]
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13. Karteris E, Machado RJ, Chen J, Zervou S, Hillhouse EW, Randeva HS. (2005) Food deprivation differentially modulates orexin receptor expression and signaling in rat hypothalamus and adrenal cortex. Am J Physiol Endocrinol Metab, 288 (6): E1089-100. [PMID:15687100]
14. Kukkonen JP. (2013) Physiology of the orexinergic/hypocretinergic system: a revisit in 2012. Am J Physiol, Cell Physiol, 304 (1): C2-32. [PMID:23034387]
15. Kukkonen JP. (2016) G-protein-dependency of orexin/hypocretin receptor signalling in recombinant Chinese hamster ovary cells. Biochem Biophys Res Commun, 476 (4): 379-85. [PMID:27237973]
16. Kukkonen JP. (2016) OX2 orexin/hypocretin receptor signal transduction in recombinant Chinese hamster ovary cells. Cell Signal, 28 (2): 51-60. [PMID:26582739]
17. Kukkonen JP. (2017) Orexin/Hypocretin Signaling. Curr Top Behav Neurosci, 33: 17-50. [PMID:27909990]
18. Kukkonen JP, Leonard CS. (2014) Orexin/hypocretin receptor signalling cascades. Br J Pharmacol, 171 (2): 314-31. [PMID:23902572]
19. Langmead CJ, Jerman JC, Brough SJ, Scott C, Porter RA, Herdon HJ. (2004) Characterisation of the binding of [3H]-SB-674042, a novel nonpeptide antagonist, to the human orexin-1 receptor. Br J Pharmacol, 141 (2): 340-6. [PMID:14691055]
20. Leonard CS, Kukkonen JP. (2014) Orexin/hypocretin receptor signalling: a functional perspective. Br J Pharmacol, 171 (2): 294-313. [PMID:23848055]
21. Lin L, Faraco J, Li R, Kadotani H, Rogers W, Lin X, Qiu X, de Jong PJ, Nishino S, Mignot E. (1999) The sleep disorder canine narcolepsy is caused by a mutation in the hypocretin (orexin) receptor 2 gene. Cell, 98 (3): 365-76. [PMID:10458611]
22. Malherbe P, Borroni E, Gobbi L, Knust H, Nettekoven M, Pinard E, Roche O, Rogers-Evans M, Wettstein JG, Moreau JL. (2009) Biochemical and behavioural characterization of EMPA, a novel high-affinity, selective antagonist for the OX(2) receptor. Br J Pharmacol, 156 (8): 1326-41. [PMID:19751316]
23. Malherbe P, Borroni E, Pinard E, Wettstein JG, Knoflach F. (2009) Biochemical and electrophysiological characterization of almorexant, a dual orexin 1 receptor (OX1)/orexin 2 receptor (OX2) antagonist: comparison with selective OX1 and OX2 antagonists. Mol Pharmacol, 76 (3): 618-31. [PMID:19542319]
24. Malherbe P, Roche O, Marcuz A, Kratzeisen C, Wettstein JG, Bissantz C. (2010) Mapping the binding pocket of dual antagonist almorexant to human orexin 1 and orexin 2 receptors: comparison with the selective OX1 antagonist SB-674042 and the selective OX2 antagonist N-ethyl-2-[(6-methoxy-pyridin-3-yl)-(toluene-2-sulfonyl)-amino]-N-pyridin-3-ylmethyl-acetamide (EMPA). Mol Pharmacol, 78 (1): 81-93. [PMID:20404073]
25. McAtee LC, Sutton SW, Rudolph DA, Li X, Aluisio LE, Phuong VK, Dvorak CA, Lovenberg TW, Carruthers NI, Jones TK. (2004) Novel substituted 4-phenyl-[1,3]dioxanes: potent and selective orexin receptor 2 (OX(2)R) antagonists. Bioorg Med Chem Lett, 14 (16): 4225-9. [PMID:15261275]
26. Mould R, Brown J, Marshall FH, Langmead CJ. (2014) Binding kinetics differentiates functional antagonism of orexin-2 receptor ligands. Br J Pharmacol, 171 (2): 351-63. [PMID:23692283]
27. Nagahara T, Saitoh T, Kutsumura N, Irukayama-Tomobe Y, Ogawa Y, Kuroda D, Gouda H, Kumagai H, Fujii H, Yanagisawa M et al.. (2015) Design and Synthesis of Non-Peptide, Selective Orexin Receptor 2 Agonists. J Med Chem, 58 (20): 7931-7. [PMID:26267383]
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29. Porter RA, Chan WN, Coulton S, Johns A, Hadley MS, Widdowson K, Jerman JC, Brough SJ, Coldwell M, Smart D et al.. (2001) 1,3-Biarylureas as selective non-peptide antagonists of the orexin-1 receptor. Bioorg Med Chem Lett, 11 (14): 1907-10. [PMID:11459658]
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Subcommittee members:
Jyrki P. Kukkonen
Daniel Hoyer |
Other contributors:
Paul Coleman (Past contributor)
Luis de Lecea (Past contributor)
Anthony Gotter (Past contributor)
Jim Hagan (Past chairperson)
Thomas Kilduff (Past contributor)
Rod Porter (Past contributor)
John Renger (Past contributor)
Jerome M Siegel (Past contributor)
Gregor Sutcliffe (Past contributor)
Neil Upton (Past contributor)
Christopher J. Winrow (Past chairperson) |
Database page citation (select format):
Concise Guide to PHARMACOLOGY citation:
Alexander SP, Christopoulos A, Davenport AP, Kelly E, Mathie A, Peters JA, Veale EL et al. (2021) THE CONCISE GUIDE TO PHARMACOLOGY 2021/22: G protein-coupled receptors. Br J Pharmacol. 176 Suppl 1:S27-S156.
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The primary coupling of orexin receptors to Gq/11 proteins is rather speculative and based on the strong activation of phospholipase C, though recent studies in recombinant cells also stress the importance of Gq/11 [15]. Coupling of both receptors to Gi/o and Gs has also been reported [13,18,20,33]. For most native cellular responses observed, the G protein pathway is unknown. The relative potency order of endogenous ligands depends on the cellular signal transduction machinery [14]. Similarly, [Ala11, D-Leu15]orexin-B, Nag 26 and YNT-185 may show variable selectivity for OX2 receptors and are also likely to activate OX1 receptors [32,34]. Many antagonists and radioligands are poorly characterized, and thus the affinities are uncertain. Among radioligands, [3H]SB-674042, [3H]EMPA, [3H]-almorexant and [125I]-orexin-A are commercially available. [3H]-TCS 1102, [3H]Cp-1 and Rhodamine Green-orexin-A [5] are also useful labelled tools. Orexin receptors have been reported to be able to form complexes with each other and some other GPCRs as well as σ1-receptors, which might affect the signaling and pharmacology [17,28]. Loss-of-function mutations in the gene encoding the OX2 receptor underlie canine hereditary narcolepsy [21]. Antagonists of the orexin receptors are the focus of major drug discovery efforts for their potential to treat insomnia and other disorders of wakefulness [35], while agonists would likely be useful in human narcolepsy.