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MRS2578 is a **synthetic small molecule** that acts as a **potent, selective, and insurmountable antagonist of the P2Y6 receptor**, a G protein-coupled purinergic receptor implicated in inflammatory and vascular signaling[1][2][4][7][9][11]. It demonstrates high selectivity for the P2Y6 receptor (IC50 ~37 nM in human), showing minimal or no activity at related P2Y1, P2Y2, P2Y4, and P2Y11 receptors[2][5][9][11][12]. In research contexts, it is used to block P2Y6-mediated responses such as UDP-induced cell signaling, and has been shown to modulate inflammatory cell recruitment, phagocytosis, and cytokine release[1][3][10][13]. Mechanistically, MRS2578 binds to, crosslinks, and oligomerizes the P2Y6 receptor, resulting in effective and irreversible receptor antagonism[6]. MRS2578 is primarily a tool for research use, not approved for clinical therapeutic use[4]. Its effects have been studied in cardiovascular, immunological, and apoptosis-related models, including inhibition of UDP-induced inositol phosphate accumulation and neutrophil extracellular trap (NET) formation[1][10][13].
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