Sigma receptors: recent advances and new clinical potentials

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Abstract

Several recent advances are leading to a better understanding of sigma receptors. Here we focus on our recent findings regarding cellular functions of sigma-2 receptors and discuss their possible clinical implications. Agonists at sigma-2 receptors induced changes in cell morphology and apoptosis in various cell types. Sigma-2 receptor activation produced both transient and sustained increases in [Ca++]i, derived from different intracellular stores. These changes in [Ca++]i and cytotoxic effects are mediated by intracellular sigma-2 receptors. Sigma-2 agonists induced apoptosis in drug-resistant cancer cells, enhanced the potency of DNA damaging agents, and down-regulated expression of p-glycoprotein mRNA. Thus, sigma-2 receptor agonists may be useful in treatment of drug-resistant cancers. Sigma radioligands have been used in tumor imaging. We also discuss how sigma-2 antagonists might prevent the irreversible motor side effects of typical neuroleptics. Sigma-2 receptors may subserve a novel signalling pathway to apoptosis, involved in regulation of cell proliferation and/or viability.

Section snippets

General introduction

Sigma receptors are high affinity binding sites for many drugs with psychotropic activity (Walker et al., 1990). Initially proposed as a subtype of opioid receptor (Martin et al., 1976), and then confused with phencyclidine binding sites on the NMDA receptor channel, subsequent studies by many groups led to reclassification of these binding sites as unique entities unlike any other known neurotransmitter or hormone receptor (Quirion et al., 1987). Much of the initial interest in sigma receptors

Functions of sigma-1 receptors

The most well-studied of the sigma receptor subtypes is the sigma-1 receptor. Several functions for sigma-1 receptors have been uncovered. These will not be reviewed in detail here, but some of these include: (1) modulation of synthesis and release of dopamine (Booth and Baldessarini, 1991; Patrick et al., 1993) and acetylcholine (Matsuno et al., 1995), (2) modulation of NMDA-type glutamate receptor electrophysiology (Monnet et al., 1992), (3) modulation of NMDA-stimulated neurotransmitter

Functions of sigma-2 receptors

Our studies have focused on sigma-2 receptors. In particular, we have investigated the possible role of sigma-2 receptors in regulation of cell proliferation and maintenance of cell viability. Results from previous brain microinjection studies suggested that some sigma ligands might be neurotoxic, since reduced haloperidol (a major haloperidol metabolite and potent sigma ligand) and the cyclohexane diamine, BD614 caused extensive gliosis and loss of magnocellular neurons in and around the

Clinical potentials for sigma-2 receptors

Sigma-2 receptor-mediated induction of morphology changes and apoptotic cell death may have important implications for the treatment of psychoses. Sigma receptors occur in high density in regions of the brain which control motor behavior. Cerebellum, substantia nigra, red nucleus, and the brainstem cranial nerve nuclei are areas with very high density of sigma receptors (Walker et al., 1990). Based on the ability of various sigma ligands to induce motor anomalies in rats upon microinjection

Overall summary and conclusion

Sigma-2 receptors may represent components of a novel apoptotic pathway which could play a role in regulation of cell proliferation or in development. This pathway consists of intracellular membrane bound sigma-2 receptors, localized on organelles known to store calcium (endoplasmic reticulum and mitochondria) and with the ability to cause release of calcium from these stores. Calcium signals may be utilized in normal cell signalling and/or for the induction of apoptosis. Elucidation of the

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