The human dopamine D4 receptor contains a novel polymorphism within th
e putative third cytoplasmic loop of the protein. The polymorphism is
characterized by a varying number of direct imperfect 48-bp repeats in
the gene. Pharmacological characterization has suggested that this re
ceptor is the site through which the atypical neuroleptic clozapine ex
erts its antipsychotic action and that some polymorphic variants displ
ay different pharmacological properties. Further analysis of the repea
t region using innovative technologies indicates that the alleles vary
not only in the number of repeats (2-8 or 10 repeat units) but also i
n the sequence of the repeats and the order in which they appear. In 1
78 unrelated chromosomes we have identified 19 different repeats in 25
different haplotypes coding for 18 different predicted amino acid seq
uences, making this one of the most variable functional proteins curre
ntly described.