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Generic ADP-recognizing nucleotide-binding proteins

Molecular classification
Enzyme, G protein-coupled receptor, Receptor, Nucleotide-binding protein
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Overview

Generic ADP-recognizing nucleotide-binding proteins is a broad functional classification encompassing a diverse array of proteins that utilize adenosine diphosphate (ADP) as a ligand, substrate, or allosteric regulator (UniProt, 2024). This group includes critical therapeutic targets such as the P2Y family of G protein-coupled receptors, notably P2Y12, which mediates platelet aggregation and is the target of drugs like clopidogrel and ticagrelor (Burnstock, 2006, British Journal of Pharmacology). Additionally, it covers enzymes involved in ADP-ribosylation, such as poly(ADP-ribose) polymerases (PARPs), which play pivotal roles in DNA repair and are targeted by inhibitors like olaparib in oncology (Lord & Ashworth, 2017, Science). Because this term describes a shared biochemical property—often involving the Walker A motif or P-loop—rather than a single protein, it is not considered a discrete therapeutic target (Walker et al., 1982, EMBO J). Instead, specific members within this class are targeted for various indications, including cardiovascular diseases and various cancers. Consequently, therapeutic effects, safety profiles, and biomarkers are highly dependent on the specific protein member being targeted rather than the class as a whole.

Other names
ADP-binding proteinsAdenosine diphosphate-binding proteinsADP-recognizing proteinsPurinergic receptors (ADP-selective)ADP-ribosyltransferases
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Mechanism of action

Antagonism of purinergic P2Y receptors to inhibit platelet aggregation or inhibition of poly(ADP-ribose) polymerase (PARP) enzymes to prevent DNA repair in susceptible cancer cells.

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Biological functions

Signal transductionPlatelet activationDNA repairCellular metabolismVascular tone regulation
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Disease associations

Cardiovascular diseaseCancerThrombosisInflammation
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Safety considerations

Increased risk of major bleedingHematologic toxicities (anemia, neutropenia, thrombocytopenia)Potential off-target effects due to the ubiquity of ADP-binding motifs in the human proteome
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Interacting drugs

Clopidogrel

7 more in the full profile.

07

Biomarkers

Platelet reactivity units (PRU)BRCA1/2 mutation statusHomologous recombination deficiency (HRD) status

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