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Adenylate cyclase type 9 (ADCY9)

Target
ADCY9
Molecular classification
Enzyme, Lyase, Signal transduction protein, Membrane-bound enzyme
01

Overview

Adenylate cyclase type 9 (ADCY9) is a membrane-bound enzyme catalyzing the conversion of ATP to cyclic AMP (cAMP), a central second messenger in cellular signal transduction. ADCY9 is widely expressed, especially in heart, lung, immune cells, and the brain. It operates downstream of G protein-coupled receptors and protein kinases, and is selectively activated by beta-adrenergic signaling but is forskolin-insensitive. ADCY9 is crucial for regulation of cardiac ion channels (via complexing with AKAP9/Yotiao and modifying potassium channel KCNQ1), immune cell polarization and trafficking, T cell regulation, cancer cell proliferation and apoptosis, and bronchial response to therapy. Genetic variation in ADCY9 (particularly rs1967309) determines cardiovascular response to dalcetrapib (a CETP inhibitor). ADCY9 also plays roles in metabolic, respiratory, and autoimmune disease. Its multifunctional signaling properties make it a therapeutic target and pharmacogenomic biomarker across disease categories, though its tissue- and genotype-dependent roles present inherent safety and efficacy challenges in clinical interventions

Other names
Adenylate cyclase 9Adenylyl cyclase 9AC9ACIXKIAA0520ATP pyrophosphate-lyase 9Adenylate cyclase type IXAdenylyl cyclase type IXType IX ATP pyrophosphate-lyase
02

Mechanism of action

Dalcetrapib: Efficacy in cardiovascular prevention is determined by ADCY9 polymorphism; decreased ADCY9 activity (in AA genotype) is protective via increased cAMP and cholesterol efflux in macrophages.\nBeta-adrenergic agonists: Stimulate ADCY9 enzymatic activity, increasing cAMP biosynthesis, thereby modulating airway and cardiac function.\nMicroRNA targeting: Post-transcriptional modulation of ADCY9 in cancer and immune cells affects proliferation/apoptosis

03

Biological functions

Catalysis of cyclic AMP (cAMP) from ATPSignal transduction (mediates G protein-coupled receptor signaling)Regulation of cardiac repolarization and potassium channel phosphorylationModulation of immune cell polarization and motility (neutrophil chemotaxis)Regulation of T cell functionControl of cell proliferation and apoptosis
04

Disease associations

Cardiovascular disease (modulates effects of dalcetrapib, a CETP inhibitor, and impacts atherosclerosis risk)Asthma (genetic variants modulate bronchodilator response)Obesity and metabolic syndrome (linked to metabolic traits)Thyroid adenomasCancer (influences cell proliferation and invasiveness)Neuropsychiatric disease (association observed in bipolar disorder)Autoimmune disease (e.g., Sjögren’s syndrome via microRNA regulation)
05

Safety considerations

Pharmacogenomic variability: Significant clinical effects depend on individual genotype (e.g., rs1967309 response to dalcetrapib can be either protective or detrimental)Potential off-target metabolic effects: Knockout and inhibition studies show increased adiposity with enzyme lossComplex tissue-specific roles: Modulation impacts diverse physiological systems (cardiac, immune, metabolic), raising risk for unintended effects from therapeutic interventions
06

Interacting drugs

Dalcetrapib

1 more in the full profile.

07

Biomarkers

ADCY9 rs1967309 genotype (predicts dalcetrapib efficacy in cardiovascular risk reduction)ADCY9 expression levels (potential marker in cancer, asthma, and immune function)

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