Various types of heteroreceptors and their role in neuroinflammation

Heteroreceptor complexesStructure and mechanismNeuroinflammatory roleAssociated disordersReferences
A2A-D2 (adenosine-dopamine)The A2A receptor (GPCR) forms heteromeric complexes with the D2 receptor, leading to an antagonistic interaction where A2A activation inhibits D2 signaling.Enhances neuroinflammation by inhibiting dopaminergic neurotransmission, leading to microglial activation and neurodegeneration.Parkinson’s disease, Huntington’s disease[106]
5-HT2A-D2 (serotonin-dopamine)Interaction between serotonin 5-HT2A and dopamine D2 receptors modulates dopaminergic neurotransmission and immune signaling.Dysregulation contributes to aberrant dopamine signaling, leading to heightened neuroinflammatory responses in psychiatric disorders.Schizophrenia, depression, and bipolar disorder[107]
D2-NMDA (dopamine-glutamate)Dopamine D2 receptors modulate NMDA receptor function, affecting excitatory neurotransmission and synaptic plasticity.Dysregulation leads to excessive glutamate excitotoxicity, oxidative stress, and chronic neuroinflammation.Alzheimer’s disease, schizophrenia, stroke[30]
CB1-D2 (cannabinoid-dopamine)CB1 cannabinoid receptors interact with D2 dopamine receptors to regulate inflammatory and neuroprotective pathways.Impairment of CB1-D2 signaling contributes to excessive immune activation, neuroinflammation, and neurodegenerative processes.Multiple sclerosis, neuroinflammation, anxiety disorders[108]
mGluR5-D2 (metabotropic glutamate-dopamine)mGluR5 modulates D2 receptor activity, influencing synaptic plasticity and neuroimmune responses.Aberrant crosstalk leads to excitotoxicity, oxidative stress, and neuroinflammatory damage.Autism spectrum disorder, schizophrenia, epilepsy[109]
TrkB-NMDA (tropomyosin receptor kinase B-glutamate)TrkB, activated by BDNF, interacts with NMDA receptors to regulate synaptic strength and neuroprotection.Dysregulation results in impaired neurotrophic signaling, increased oxidative stress, and inflammatory responses.Major depressive disorder, Alzheimer’s disease[110]
P2X7-NMDA (Purinoceptor-Glutamate)P2X7 receptor, an ATP-gated ion channel, modulates NMDA receptor activity and glial cell function.Overactivation leads to excessive calcium influx, neuronal death, and chronic neuroinflammation.Multiple sclerosis, Amyotrophic lateral sclerosis (ALS)[111]
α7nAChR-NMDA (nicotinic acetylcholine-glutamate)Nicotinic α7 receptor modulates NMDA receptor-mediated synaptic transmission and anti-inflammatory responses.Dysregulation results in impaired cholinergic anti-inflammatory signaling and neurotoxicity.Alzheimer’s disease, schizophrenia, Parkinson’s disease[112]
CXCR4-CCR5 (chemokine receptors)CXCR4 and CCR5 heterodimerization regulate neuroimmune signaling and leukocyte infiltration in the CNS.Hyperactivation promotes neuroinflammatory cascades, contributing to neuronal damage.HIV-associated neurocognitive disorder, multiple sclerosis[113]
GPR37-D2 (G-protein coupled receptor 37-dopamine)GPR37 interacts with D2 receptors, modulating dopaminergic transmission and neuroinflammation.Dysfunction contributes to dopaminergic neurodegeneration and inflammatory signaling.Parkinson’s disease, schizophrenia[114]

GPCRs: G-protein-coupled receptors; NMDA: N-methyl-D-aspartate; BDNF: brain-derived neurotrophic factor; CNs: central nervous system