The 5-HT2B receptor is the most recent addition to the 5-HT2 receptor
family and shares strong operational similarities with the structurall
y related 5-HT2A and 5-HT2C receptor subty;pes. The strength of the ph
armacological association, particularly between 5-HT2B and 5-HT2C rece
ptors, suggests a need to consider carefully the use of ligands which
may now be regarded as somewhat non-selective for the receptors in thi
s class. The possibility that biological activity previously supposed
to involve 5-HT2C receptors may actually involve 5-HT2B receptors high
lights a need to develop ligands with improved selectivity profiles. I
n this regard, medicinal chemistry continues to provide novel ligands
which, if truly selective, should facilitate our understanding of the
physiology, pathophysiology and therapeutic potential of 5-HT2B recept
or modulation. This article reviews some of the newest ligands which m
ay be used in the discrimination and characterisation of 5 HT2B recept
or function.