5-Hydroxytryptamine(2) (serotonin(2), 5-HT2)-family receptors are impo
rtant for mediating many physiological functions, including vascular a
nd nonvascular smooth muscle contraction, platelet aggregation, modula
tion of perception, mood, anxiety, and feeding behavior. A large numbe
r of psychopharmaceuticals, including atypical antipsychotic drugs, an
tidepressants, anxiolytics, and hallucinogens, mediate their actions,
at least in part, via interactions with various 5-HT2-family receptors
. This review article summarizes information about structure function
aspects of 5-HT2-family receptors. Evidence is presented that implies
that conserved aromatic and charged residues are essential for ligand
binding to 5-HT2A receptors. Additionally, findings are reviewed that
are consistent with the hypothesis that residues located in intracellu
lar loops 2 and 3 (i2 and i3) mediate coupling to specific G(alpha)-su
bunits such as G(alpha q). Studies are reviewed that suggest that 5-HT
2-family receptors may be down-regulated by both agonists and antagoni
sts, and usually this down regulation is due to post-transcriptional m
echanisms. Finally, a model for regulation of 5-HT2-family receptors b
y receptor mediated endocytosis is advanced, and the particular struct
ural features responsible for the various endocytotic pathways are emp
hasized. Taken together, these results suggest that discrete domains o
f the receptor structure are important for ligand binding, G-protein c
oupling, and internalization. (C) 1998 Elsevier Science Inc.