Target intelligence / Profile preview

Adrenomedullin 2 (ADM2)

Target
ADM2
Molecular classification
Peptide hormone, Member of the calcitonin gene-related peptide (CGRP) superfamily, Secreted protein, Endogenous ligand
01

Overview

**Adrenomedullin 2 (ADM2)**, also known as *intermedin*, is a secreted peptide hormone in the calcitonin gene-related peptide (CGRP) superfamily. It is encoded by the ADM2 gene (chromosome 22q13.33) and processed from a larger pre-pro-peptide to generate active forms. ADM2 acts as a multifunctional regulator of cardiovascular and metabolic physiology: it exerts potent vasodilatory effects, protects the myocardium, stabilizes endothelial permeability (notably in hypoxia), and modulates both water/electrolyte homeostasis and energy metabolism. Its biological actions are mediated primarily through binding and activating CRLR or CTR G protein-coupled receptors in complex with RAMPs, leading to cAMP signaling. ADM2 is being studied as a potential therapeutic target in cardiovascular disease, metabolic syndrome, and inflammation, though no targeted drugs have yet reached the market[1][2][3].\n\n**References:** ADM2 is supported as a true and scientifically validated peptide hormone and therapeutic target in published literature and molecular databases[1][2][3].

Other names
IntermedinIntermedin-shortIntermedin-longIMDIMDLIMDSAM2DJ579N16.4FLJ21135protein ADM2
02

Mechanism of action

Activates calcitonin receptor-like receptor (CRLR) and calcitonin receptor (CTR) complexes with receptor activity-modifying proteins (RAMP1, RAMP2, RAMP3), leading to cAMP pathway activation and modulation of vascular, metabolic, and immune processes[1][2][3].

03

Biological functions

Cardiovascular homeostasisVasodilationRegulation of prolactin releaseAnti-diuresisRegulation of food and water intakeStabilization of endothelial functionEnergy metabolism modulationImmune response modulationPromotion of angiogenesisSignal transduction via GPCR
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Disease associations

Cardiovascular diseaseCoronary stenosisImmunodeficiencyObesity/metabolic syndromeInflammation
05

Safety considerations

Modulating ADM2 could affect vascular tone, blood pressure, and fluid balancesystemic effects on metabolism and immune modulation require cautiontherapeutic targeting must consider risk of hypotension, edema, or altered immune responses
06

Interacting drugs

None approved or established as direct modulators as of now[1][2][3]; ADM2 is considered a *putative* therapeutic target, but there are currently no clinically approved drugs targeting ADM2 directly.
07

Biomarkers

Potential biomarker for cardiovascular stressvascular dysfunctionmetabolic syndrome states (reported in research but not routine clinical use)

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