Target intelligence / Profile preview

P2Y12 receptor (P2Y12)

Target
P2Y12
Molecular classification
G protein-coupled receptor, Purinergic receptor, Receptor
01

Overview

The **P2Y12 receptor** is a G protein-coupled purinergic receptor expressed primarily on the surface of blood platelets. It mediates platelet aggregation and stabilization of platelet plugs via response to adenosine diphosphate (ADP). Therapeutic blockade of P2Y12 is a major antiplatelet strategy in the prevention and treatment of cardiovascular events such as myocardial infarction and stroke. Clinically relevant P2Y12 inhibitors include thienopyridines (clopidogrel, prasugrel, ticlopidine) that irreversibly inhibit the receptor, and non-thienopyridines (ticagrelor, cangrelor) that do so reversibly. The term "adenosine diphosphate receptor" is less specific and refers to a class of receptors; in human platelets, the key ADP-responsive receptors are P2Y1 (initiating shape change and aggregation) and P2Y12 (amplification and stabilization of aggregation), with P2Y12 being the main therapeutic target for antiplatelet therapy[1][2][5][6][7][8]. **Note:** The user query uses “Adenosine diphosphate receptor,” which is imprecise, as platelets express more than one ADP (adenosine diphosphate) receptor—most importantly, **P2Y1** and **P2Y12**. However, in the context of pharmacology and therapeutic targeting, “adenosine diphosphate receptor” almost always refers to the P2Y12 receptor[2][5][7]. For later structured data handling, use P2Y12 receptor as the canonical form and note the ambiguity of the original query.

Other names
P2Y12 ADP receptorplatelet ADP receptorAdenosine diphosphate receptor (non-specific)P2Y1 receptor (closely related, see below)
02

Mechanism of action

Inhibition of ADP-induced platelet aggregation via blockade of P2Y12 (reversible or irreversible); Inhibition of ADP binding (thereby blocking downstream platelet aggregation)

03

Biological functions

Platelet activationPlatelet aggregationHemostasisThrombosis
04

Disease associations

Cardiovascular diseaseThrombosisAcute coronary syndromeStrokeOther arterial thrombotic diseases
05

Safety considerations

Increased risk of bleedingVariability in response (including CYP2C19 pharmacogenetics for clopidogrel)Thrombocytopenia (especially with ticlopidine)Drug-drug interactions (notably clopidogrel)
06

Interacting drugs

Clopidogrel

5 more in the full profile.

07

Biomarkers

Platelet reactivity/aggregation tests (e.g., VerifyNow P2Y12 assay, VASP phosphorylation status)

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