Pirenperone (, , ; developmental code names R-47456 and R-50656) is a serotonin receptor antagonist closely related to ketanserin and risperidone which is described as an antipsychotic and tranquilizer and was never marketed.
It is a relatively selective antagonist of the serotonin 5-HT2A receptor and has been used in scientific research to study the serotonin system. Its affinities (Ki) for serotonin and other receptors have been reported to be 0.3 to 1.1nM for the serotonin 5-HT2A receptor, 6.5nM for the serotonin 5-HT7 receptor, 20nM for the α1B-adrenergic receptor, 20nM for the α2B-adrenergic receptor, 61nM for the serotonin 5-HT2B receptor, 60 to 77nM for the serotonin 5-HT2C receptor, 485 to 1,700nM for the serotonin 5-HT1A receptor, and >1,000 or 6,600nM for the serotonin 5-HT1B receptor, whereas other receptors were not reported.
In the 1980s, the drug was found to block the effects of the lysergic acid diethylamide (LSD) in animals, and, along with ketanserin, led to the elucidation of the 5-HT2A receptor as the biological mediator of the effects of serotonergic psychedelics.
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