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Cabergoline is a dopamine D2 and D3 receptor agonist.1 It inhibits forskolin-stimulated cAMP accumulation in CHO cells expressing a high density of human dopamine D2L and D2S receptors (EC50s = 0.0492 and 0.0297 nM, respectively) or dopamine D3 receptors containing serine or glycine at position 9 (EC50s = 4.41 and 5.1 nM, respectively). Cabergoline inhibits prolactin secretion in primary rat pituitary tumor cells, an effect that can be reversed by haloperidol (Item No. 12014), and suppresses mTOR signaling and induces autophagic cell death in MMQ and GH3 rat pituitary cells.2,3 It also reduces the development of estrogen-induced prolactinomas in female rats at 0.6 mg/kg.4 Cabergoline (5 mg/kg) induces apoptosis of tumor-associated endothelial cells and reduces tumor growth in a patient-derived xenograft (PDX) mouse model of small cell lung cancer (SCLC).5 In addition, it stimulates motor activity and induces only transient dyskinesias in a cynomolgus monkey model of Parkinson's disease induced by MPTP when administered at 0.25 mg/kg.6 Formulations containing cabergoline have been used in the treatment of hyperprolactinemic disorders, including prolactinomas.
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1. Functional potencies of dopamine agonists and antagonists at human dopamine D2 and D3 receptors. Eur. J. Pharmacol. 666(1-3), 43-52 (2011).
2. Effect of cabergoline, a dopamine agonist, on estrogen-
3. Suppression of mTOR pathway and induction of autophagy-
4. Inhibitory effect of cabergoline on the development of estrogen-
5. Dopamine D2 receptor agonists abrogate neuroendocrine tumour angiogenesis to inhibit chemotherapy-
6. Cabergoline, a long-