Target intelligence / Profile preview

Human Adenosine A2A Receptor (ADORA2A)

Target
ADORA2A
Molecular classification
G protein-coupled receptor (GPCR), Purinergic receptor (P1 class), Rhodopsin-like receptor, Receptor
01

Overview

The Human Adenosine A2A Receptor is a member of the G protein-coupled receptor family that responds to extracellular adenosine. It features seven transmembrane helices and mediates cell signaling via Gs proteins, primarily increasing cAMP. The receptor is expressed throughout the brain (notably the striatum and nucleus accumbens), as well as in cardiovascular and immune cells. It forms functional heteromers with other receptors, including dopamine D2, which underpins several pharmacological effects. A2A antagonists are approved treatments for Parkinson’s disease, and modulators are in active development for cancer immunotherapy due to their role as immune checkpoints. Structural studies have revealed detailed binding pockets for orthosteric and allosteric ligands, enabling precise drug design.

Other names
Adenosine A2A receptorA2ARADORA2A
02

Mechanism of action

Antagonists block adenosine-mediated G-protein (Gs) activation, inhibiting downstream cyclic AMP (cAMP) signaling. Agonists activate the receptor, increasing cAMP via Gs coupling, leading to cell signaling changes affecting neurotransmission, vasodilation, and immune modulation. Allosteric modulators target secondary binding pockets with subtype selectivity.

03

Biological functions

Signal transduction (mediates intracellular signaling via Gs proteins)Modulation of immune response (acts as an immune checkpoint)Regulation of sleep and wakefulnessAngiogenesisNeurotransmission, especially in dopamine pathways
04

Disease associations

Neurodegenerative disease (especially Parkinson’s disease)Cancer (modulates tumor immunity; considered an immune checkpoint)Cardiovascular disease (vasodilation, cardiac function)Inflammation
05

Safety considerations

Risk of dyskinesia in Parkinson’s disease therapy (via antagonists)Cardiovascular effects: hypotension, tachycardia due to vasodilationPotential immunosuppression when modulating immune responses in oncologyCentral nervous system side effects: insomnia, headache, anxiety (notably with caffeine)
06

Interacting drugs

Caffeine (antagonist)

4 more in the full profile.

07

Biomarkers

Expression of ADORA2A in tumors can indicate immune checkpoint activity in cancer immunotherapyDopamine D2 receptor status (as A2A and D2 form functional heteromers)Null for established clinical biomarkers

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