Target intelligence / Profile preview

5'-nucleotidase, ecto (commonly referred to as Ecto-5'-nucleotidase or CD73) (CD73)

Target
CD73
Molecular classification
Enzyme (hydrolase), Cell-surface glycoprotein, Ectoenzyme (GPI-anchored), Cluster of differentiation (CD marker)
01

Overview

Ecto-5'-nucleotidase (CD73) is a glycosylphosphatidylinositol (GPI)-anchored cell-surface enzyme that hydrolyzes extracellular AMP into adenosine and inorganic phosphate. Adenosine regulates local immune suppression, tissue protection, and vascular tone. CD73 is highly expressed on lymphocytes, endothelial cells, and certain cancer cells, where it is implicated in tumor progression, chemoresistance, and poor prognosis. Targeting CD73 is considered a promising strategy for cancer immunotherapy and inflammation but poses risks due to its roles in immunoregulation and tissue homeostasis.

Other names
CD73NT5E (gene symbol)5′-nucleotidase (ecto)Ecto-5′-nucleotidase5′-ribonucleotide phosphohydrolase
02

Mechanism of action

Inhibitors prevent the conversion of AMP to adenosine, thus reducing local immunosuppression mediated by adenosine signaling. Adenosine produced by CD73 activates adenosine receptors (A2A, A2B), leading to immune cell inhibition, promotion of tumor growth, and regulation of inflammation.

03

Biological functions

Hydrolysis of AMP to adenosine and phosphateRegulation of extracellular adenosine concentrationImmunosuppression (via adenosinergic signaling pathways)Regulation of lymphocyte differentiationModulation of local immune response and inflammation
04

Disease associations

Cancer (tumor immune evasion, chemoresistance, poor prognosis)InflammationImmunodeficiency (linked to NT5E deficiency, affects immune regulation)Cardiovascular disease (adenosine signaling/vasodilation roles)Neurodegenerative disease (role in extracellular nucleotide metabolism)
05

Safety considerations

Immunosuppression: inhibition may increase risk of immune-related adverse events or autoimmunityVascular effects: altered adenosine levels may impact cardiovascular functionPotential impact on tissue protection and wound healing (adenosine signaling is cytoprotective in some contexts)
06

Interacting drugs

Small-molecule CD73 inhibitors (e.g., selective nucleoside inhibitors in preclinical and clinical testing)

2 more in the full profile.

07

Biomarkers

CD73 expression level (immunohistochemistry, transcriptomics) is used as a prognostic marker in several cancers and to stratify patients for anti-CD73 therapiesSoluble CD73 in plasma may also be measured for disease monitoring

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