(+)-
4-Propyl-9-hydroxynaphthoxazine ((+)PHNO) is a high affinity, preferential
dopamine D3 versus D2 agonist employed in view of its high specificity and excellent signal-to-noise ratio as a radiotracer for positron emission tomography (PET) imaging. Surprisingly, its profile at other classes of monoamine receptor remains undocumented. In addition to
hD3 and hD2L receptors, (+)PHNO revealed high affinity at hD4.4 but not hD1 or hD5 receptors. It also revealed significant affinity for several other
G protein-coupled monoaminergic receptors, in particular h5-HT1A and h5-HT7. (+)PHNO behaved as a full agonist at hD4.4 and h5-HT1A receptors with potencies comparable to its actions at
hD3 and hD2L receptors, and with less potency at 5-HT7 receptors. In binding assays with membranes derived from cells co-expressing
hD3 and hD2L receptors and labeled with [3H]
Nemonapride or [3H]
Spiperone, the proportion of high affinity binding sites recognized by (+)PHNO was higher than an equivalent mixture of membranes from cells expressing hD3or hD2L receptors, suggesting that (+)PHNO promotes formation of hD3-hD2L heterodimers. Further, in cells co-expressing
hD3 and hD2L receptors, (+)PHNO showed higher efficacy for inhibiting
forskolin stimulated
adenylyl cyclase and inducing
adenylyl cyclase super-sensitization than in cells transfected with only hD2L receptors. In conclusion, (+)PHNO is a potent agonist at hD4.4, h5-HT1A and h5-HT7 as well as
hD3 and hD2L receptors, and it potently activates
dopamine hD3-hD2L heterodimers. These interactions should be considered when interpreting PET studies with [
11C](+)PHNO and may be relevant to its functional and potential clinical properties in
Parkinson's disease and other disorders.