Target intelligence / Profile preview

Ecto-5′-nucleotidase (CD73)

Target
CD73
Molecular classification
Enzyme, Ecto-enzyme, Membrane-bound enzyme
01

Overview

Ecto-5′-nucleotidase (CD73) is a glycosylphosphatidylinositol (GPI)-anchored membrane-bound enzyme that catalyzes the hydrolysis of extracellular adenosine 5′-monophosphate (AMP) to adenosine and phosphate[5][1]. It is ubiquitously expressed, present on the surface of many cell types, and plays a key role in regulating extracellular adenosine levels, influencing immune modulation, inflammation, tissue barrier maintenance, and vascular function[5][9][8]. CD73 activity is crucial for the immunosuppressive function of regulatory T cells, limiting excessive inflammation and contributing to immune homeostasis[5]. Therapeutically, CD73 is an emerging target in oncology because extracellular adenosine generated by CD73 suppresses antitumor immunity; thus, its inhibition is being studied for cancer immunotherapy[2][9]. CD73 is also involved in cardiovascular and neuroprotective roles, and loss-of-function mutations cause a rare genetic disorder leading to vascular calcification[9]. Inhibition of CD73 or modulation of its activity must be balanced against its normal protective effects in tissue and barrier function and risk of vascular injury[8][9].

Other names
CD735′-nucleotidase5′-NTNT5E (gene symbol)Cluster of differentiation 73
02

Mechanism of action

Inhibition of enzymatic activity (prevents conversion of AMP to adenosine, reducing extracellular adenosine-mediated immunosuppression) or Increased extracellular adenosine (by enhancing CD73 activity or providing soluble nucleotidase)

03

Biological functions

Hydrolysis of AMP to adenosine and phosphateRegulation of extracellular adenosine levelsImmune response modulation (immunosuppression, especially via T regulatory cells)Maintenance of tissue barrier functionCardioprotectionRegulation of endothelial permeabilityControl of inflammatory responses
04

Disease associations

CancerInflammationCardiovascular diseaseNeurodegenerative diseaseImmune-related disordersArterial calcifications due to deficiency of CD73Liver and kidney ischemia-reperfusion injuryAutoimmune disease (homeostasis and tolerance)
05

Safety considerations

Loss of protective physiological functions (e.g., impaired tissue barrier, vascular inflammation, increased neointimal hyperplasia)Risk of vascular and organ injury when inhibiting CD73 (consideration in therapy)Genetic deficiency causes arterial calcifications
06

Interacting drugs

Anti-CD73 monoclonal antibodies (clinical testing in immuno-oncology)

3 more in the full profile.

07

Biomarkers

Surface expression of CD73 (for cancer immunotherapy patient selection)NT5E gene mutations (for arterial calcification diagnosis)CD73 enzymatic activity (for certain immune and cardiovascular disease states)

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