Protein / target

Beta-1 adrenergic receptor

ADRB1P08588Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
59
Approved medicines
30
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

Alpha-2A adrenergic receptor binding

Primary system

Cardiovascular system

Strongest disease association

hypertensive disorder

Genetic evidence · score 0.87

Therapeutic maturity

Clinically validated target

59 approved medicines against this target

Druggability

Small molecule

Open Targets tractability · Approved Drug

Clinical development

59 approved · 2 in clinical development

30 linked trials

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function

G protein-coupled receptor for catecholamines that couples to G(s) proteins to activate adenylate cyclase and cAMP-dependent pathway (PubMed:10212248, PubMed:12391161, PubMed:15358775). Binds epinephrine and norepinephrine with approximately equal affinity (PubMed:33093660). Mediates the activation of Ras via binding with cAMP-dependent RAPGEF2 (PubMed:12391161). As part of the sympathetic nervous system, plays a role in the physiologic regulation of cardiac functions such as stimulation of cardiomyocyte contraction (PubMed:11052857). Also delivers proapoptotic signals in cardiomyocytes (By similarity). Involved in the regulation of sleep/wake behaviors (PubMed:11854867, PubMed:31473062)

Subcellular location

Cell membrane
Domains and Gene Ontology detail (18)

Gene Ontology

  • Cearly endosome
  • Cneuronal dense core vesicle
  • Cplasma membrane
  • CSchaffer collateral - CA1 synapse
  • Falpha-2A adrenergic receptor binding
  • Fbeta-adrenergic receptor activity
  • Fbeta1-adrenergic receptor activity
  • FG protein-coupled neurotransmitter receptor activity involved in regulation of postsynaptic membrane potential
  • FPDZ domain binding
  • Fprotein heterodimerization activity
  • Padenylate cyclase-activating adrenergic receptor signaling pathway
  • Padenylate cyclase-activating G protein-coupled receptor signaling pathway

477 aa · 51 kDa

Biological roles

Reactome v97

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

G protein-coupled signallingUniProt · GOSynaptic signallingGOApoptosis & cell deathGO
View supporting evidence

G protein-coupled signalling

  • ·G protein-coupled receptor for catecholamines that couples to G(s) proteins to activate…
  • ·G protein-coupled neurotransmitter receptor activity involved in regulation of postsynap…
  • ·adenylate cyclase-activating G protein-coupled receptor signaling pathway

Synaptic signalling

  • ·Schaffer collateral - CA1 synapse
  • ·G protein-coupled neurotransmitter receptor activity involved in regulation of postsynap…

Apoptosis & cell death

  • ·positive regulation of cardiac muscle cell apoptotic process
View underlying pathways (2)

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Interaction neighbourhood

STRING v12.0

Proteins with the strongest functional or physical association. Node size and line weight reflect STRING confidence; hover or select a partner to inspect one association.

GNASARRB1ADRB2DLG4NPPAGIPPOMCGCGGNAI2GNAI1ADRB1

10 strongest partners — larger node and heavier line mean higher confidence

Functional and physical associations from STRING v12.0. Only associations with this protein are drawn — partner-to-partner links are not part of this evidence.

Drugs targeting this protein

2

Whether each drug engages this protein directly or through a complex, and how many other targets are recorded for it. Direct binders with few recorded targets are listed first.

carvedilol
ApprovedAntagonist

Adrenergic receptor beta antagonist

Appears in clinical studies involving myocardial infarction, hypertensive disorder, heart failure, congestive heart failure

Acts on a complex — shared with ADRB2, ADRB3 · 1 of 6 recorded protein targets

Epinephrine
ApprovedAgonist

Adrenergic receptor agonist

Appears in clinical studies involving sudden cardiac arrest, asthma, sinusitis, septic shock

Acts on a complex — shared with ADRA1A, ADRA2A, ADRB2 +5 more · 1 of 9 recorded protein targets — broad pharmacology

ChEMBL mechanism, action type and target identity. Open Targets clinical status and indications.

Translational evidence

Open Targets 26

Why this target matters therapeutically — disease associations, drugs in development, tractability and safety, from Open Targets.

Strongest genetic associations

Human genetic evidence — the most direct causal link between this target and a disease.

hypertensive disorder0.87

Genetic · overall 0.75

cardiovascular disorder0.76

Genetic · overall 0.71

Highest-confidence therapeutic associations

Diseases where a drug acting on this target has already reached clinical development.

myocardial infarction1.00

Clinical · overall 0.62

open-angle glaucoma1.00

Clinical · overall 0.61

ocular hypertension1.00

Clinical · overall 0.61

glaucoma0.99

Clinical · overall 0.61

angina pectoris0.99

Clinical · overall 0.60

Highest overall evidence

Remaining associations by Open Targets' aggregated evidence score.

Hypertension0.61

Clinical

heart failure0.61

Clinical

migraine disorder0.60

Clinical

Show all associations
hypertensive disorder0.75
cardiovascular disorder0.71
myocardial infarction0.62
Hypertension0.61
heart failure0.61
open-angle glaucoma0.61
ocular hypertension0.61
glaucoma0.61
angina pectoris0.60
migraine disorder0.60

Open Targets ranks 601 associations for this target and we store the top 10 by aggregated score. The long tail is largely literature co-mention and RNA-expression evidence, not evidence that this target drives those diseases.

Known drugs · 65 total

DROXIDOPAApproval

orthostatic hypotension · multiple system atrophy · cardiovascular disorder

PROPAFENONEApproval

cardiac arrhythmia · ventricular fibrillation · atrial fibrillation

CARVEDILOLApproval

myocardial infarction · hypertensive disorder · heart failure

BETAXOLOLApproval

cardiovascular disorder · Hypertension · glaucoma

ESMOLOL HYDROCHLORIDEApproval

hypertensive disorder · diabetic foot · Tachycardia

LABETALOL HYDROCHLORIDEApproval

hypertensive disorder

METOPROLOL TARTRATEApproval

myocardial infarction · hypertensive disorder · angina pectoris

PENBUTOLOLApproval

cardiovascular disorder · Hypertension

BUCINDOLOLPhase 3

heart failure · atrial fibrillation · Hypertension

FOSLEVODOPAApproval

Parkinson disease · Parkinson disease · Parkinson disease

Tractability

SM · Approved DrugSM · Structure with LigandSM · High-Quality LigandSM · Druggable FamilyAB · GO CC high confAB · UniProt loc med confAB · UniProt SigP or TMHMMPR · Small Molecule Binder

Safety liabilities

decreased heart rateincreased heart rateelectrolyte disturbancesincreased heart raterelaxation of blood vesselsheart failurereceptor bindingcardiovascular performancedecreased blood pressurebradycardiadecreased blood pressureedema

Clinical trials

30

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein.

Show remaining trials (24)

COMPLETED · via carvedilol · NCT00000294

WITHDRAWN · via carvedilol · NCT04121299

ClinicalTrials.gov via the drug-target graph.

Forefront confidence

Synthesis

Our own weighting of the evidence behind each disease association. Human genetics and clinical evidence count for most; literature co-mention counts for little, because two entities sharing an abstract is not evidence that one drives the other.

hypertensive disorderWell supported
0.97
agreement 0.861.00
Genetic51%Clinical44%Literature6%

Open Targets aggregate 0.75 · 3 independent evidence families

cardiovascular disorderWell supported
0.94
agreement 0.831.00
Genetic51%Clinical49%Literature1%

Open Targets aggregate 0.71 · 3 independent evidence families

myocardial infarctionWell supported
0.77
agreement 0.610.93
Clinical89%Literature11%

Open Targets aggregate 0.62 · 2 independent evidence families

HypertensionWell supported
0.76
agreement 0.600.91
Clinical89%Literature11%

Open Targets aggregate 0.61 · 2 independent evidence families

heart failureWell supported
0.75
agreement 0.600.91
Clinical92%Literature8%

Open Targets aggregate 0.61 · 2 independent evidence families

The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the underlying per-type scores are shown above so the calculation can be checked.

What's happening now

16

Recent activity around this target, drawn from one canonical event stream. Every item is reached through 2 drugs that target this protein, so each event is news about that drug rather than about the protein directly.

  1. Label change2026-06-22

    Label change: EPINEPHRINE (NDA204640)

    fda · regulatory · fda · via Epinephrine

  2. Product recall2026-05-14

    Recall (Class III): EPINEPHRINE

    fda · safety · fda · via Epinephrine

  3. Regulatory approval2024-08-22

    Approval: Eurneffy (EMA)

    ema · regulatory · ema · via Epinephrine

  4. New publication2023-11-07
    Impact of norepinephrine on immunity and oxidative metabolism in sepsis.

    Frontiers in immunology · 2023 · 33 citations · Europe PMC · via Epinephrine

  5. New publication2023-09-25
    Multicenter, Prospective, Randomized Controlled Trial of High-Sensitivity Cardiac Troponin I-Guided Combination Angiotensin Receptor Blockade and Beta-Blocker Therapy to Prevent Anthracycline Cardiotoxicity: The Cardiac CARE Trial.

    Circulation · 2023 · 53 citations · Europe PMC · via carvedilol

  6. Label change2023-01-05

    Label change: EPINEPHRINE (NDA204640)

    fda · regulatory · fda · via Epinephrine

  7. Supplemental approval2021-08-17

    Supplemental approval: EPINEPHRINE (NDA204640)

    fda · regulatory · fda · via Epinephrine

  8. New publication2019-10-31
    The effect of topical epinephrine 1:1000 with and without infiltration of 1% lidocaine with epinephrine 1:100,000 on endoscopic surgical field visualization: a double-blind randomized controlled study.

    International forum of allergy & rhinology · 2020 · 6 citations · Europe PMC · via Epinephrine

  9. Indication expanded2019-01-29

    Indication expansion: EPINEPHRINE (NDA204640)

    fda · regulatory · fda · via Epinephrine

  10. New publication2017-08-17
    Pulmonary arterial hypertension treatment with carvedilol for heart failure: a randomized controlled trial.

    JCI insight · 2017 · 74 citations · Europe PMC · via carvedilol

  11. Label change2017-08-09

    Label change: EPINEPHRINE (NDA204640)

    fda · regulatory · fda · via Epinephrine

  12. Label change2016-05-18

    Label change: EPINEPHRINE (NDA204640)

    fda · regulatory · fda · via Epinephrine

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.