ADRA2A

Alpha-2A adrenergic receptor

Score: 0.676 Price: $0.68 Medium Druggability Status: active Wiki: ADRA2A
🧠 Neurodegeneration
HYPOTHESES
1
PAPERS
31
KG EDGES
84
DEBATES
0

3D Protein Structure

🧬 ADRA2A — PDB 6KUX Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
Medium
Score: 0.59
Clinical Stage
Approved
Target Class
Gpcr
Safety
0.60
Druggability Analysis
Drug Development0.90
Structural Tractability0.85
Target Class0.85
Safety Profile0.60
Key Metrics
PDB Structures:
18
Known Drugs:
2
Approved:
2
In Clinical Trials:
0
Drug Pipeline (2 compounds)
2 Approved
Therapeutic Areas:
Cognitive dysfunction in Parkinson's disease Attention deficit and arousal disorders Neurodegenerative disease-associated delirium Stress-related neuropsychiatric conditions Age-related cognitive decline Noradrenergic system restoration in neurodegeneration
Druggability Rationale: ADRA2A demonstrates exceptional druggability with a score of 0.90, supported by 18 PDB structures at high resolution (2.7 Å best), robust GPCR precedent with approved drugs (dexmedetomidine, clonidine), and well-characterized orthosteric binding pockets. The established clinical validation through phase 4 trials and multiple structural modalities (X-ray crystallography, AlphaFold, cryo-EM) provide comprehensive chemical matter and design frameworks for rational drug development.
Mechanism: Small molecule agonists and antagonists modulating noradrenergic signaling
Drug Pipeline (2 compounds)
2 Approved
Known Drugs:
Dexmedetomidine (approved) — Sedation, delirium prevention
Clonidine (approved) — Various CNS applications
Structural Data:
PDB (18) ✓AlphaFold ✓Cryo-EM ✓
1HLL1HO91HOD1HOF6K41+13 more
UniProt: P08913
Binding Pocket Analysis:

The orthosteric binding pocket is well-characterized across 18 crystal structures, accommodating small lipophilic ligands with high affinity through conserved residues in transmembrane helices 3, 5, and 6. Structural data reveals allosteric modulation potential at intracellular G-protein coupling interfaces, providing opportunities for biased signaling approaches beyond classical agonist/antagonist pharmacology.

🧬 3D Protein Structure

🧬 ADRA2A — PDB 6KUX Click to expand interactive 3D viewer

Experimental structure from RCSB PDB | Powered by Mol* | Rotate: click+drag | Zoom: scroll

Selectivity & Safety Considerations

ADRA2A selectivity poses a moderate challenge due to high sequence homology with ADRA2B and ADRA2C isoforms; however, existing approved drugs demonstrate achievable selectivity windows. Off-target CNS effects (hypotension, sedation) and peripheral adrenergic activity remain key liabilities requiring structure-based design to minimize cross-reactivity with other GPCR subtypes.

3D Protein Structure

PDB: Open in RCSB AlphaFold model

Interactive 3D viewer powered by RCSB PDB / Mol*. Use mouse to rotate, scroll to zoom.

Clinical Trials (8)

Relevant trials from ClinicalTrials.gov

Active
3
Completed
5
Total Enrollment
760
By Phase
NA: 2 · PHASE2: 1 · PHASE3: 1 · PHASE4: 3 · Unknown: 1
Nebulized Dexmedetomidine Combined With Ketamine Versus Nebulized Dexmedetomidine for Cleft Palate Recruiting
PHASE4 NCT05821972 n=60
Sedation, Emergence Delirium
Interventions: Nebulization of dexmedetomidine and keta, Nebulization of dexmedetomidine
Sponsor: Assiut University | Started: 2024-04-10
Regional Anesthesia in Minimally Invasive Lumbar Spine Surgery Recruiting
PHASE4 NCT05029726 n=125
Lumbar Spinal Stenosis, Lumbar Disc Herniation, Lumbar Spondylolisthesis
Interventions: Bupivacaine-Epinephrine 0.25%-1:200,000 , normal saline
Sponsor: John O'Toole | Started: 2022-02-01
ED50 of Sufentanil for Intraoperative Analgesia Not Yet Recruiting
Unknown NCT06662656 n=26
Laparoscopic Cholecystectomy, Analgesics,Opioid
Sponsor: China International Neuroscience Institution | Started: 2024-11-01
Efficacy & Safety of KAPVAY™ Extended-Release in Children & Adolescents With Attention Deficit Hyperactivity Disorder Completed
PHASE4 NCT01439126 n=135
Attention Deficit Hyperactivity Disorder
Interventions: clonidine hydrochloride, Placebo
Sponsor: Concordia Pharmaceuticals Inc., Barbados | Started: 2011-08
A Trial of Dexmedetomidine Hydrochloride Nasal Spray in Preoperative Sedation of Children Completed
PHASE3 NCT05111431 n=159
Preoperative Sedation of Children
Interventions: Dexmedetomidine Hydrochloride Nasal Spra, Dexmedetomidine hydrochloride nasal spra
Sponsor: Shanghai Hengrui Pharmaceutical Co., Ltd. | Started: 2021-11-24
Combined Intrathecal Morphine and Dexmedetomidine Analgesia Completed
PHASE2 NCT02435537 n=90
Postoperative Pain
Interventions: Dexmedetomidine (Precedex), Bupivacaine, Morphine
Sponsor: Assiut University | Started: 2013-05
Sedation in Patients at Risk for Upper Airway Collapse Completed
NA NCT01045122 n=15
Obstructive Sleep Apnea
Interventions: Propofol, Dexmedetomidine
Sponsor: University of Rochester | Started: 2006-12
Dexmedetomidine and Melatonin for Sleep Induction for EEG in Children Completed
NA NCT04665453 n=150
Electroencephalography, Child, Dexmedetomidine
Interventions: Electroencephalography, Monitoring of vital functions, Melatonin 0,1mg/kg oral syrup
Sponsor: University Medical Centre Ljubljana | Started: 2020-09-01

Linked Hypotheses (1)

Noradrenergic-Tau Propagation Blockade0.510

Linked Experiments (0)

No linked experiments

Scoring Dimensions

Portfolio 0.70 (25%) Druggability 0.59 (20%) Evidence 0.51 (20%) Safety 0.60 (15%) Competitive 0.40 (10%) Connectivity 0.90 (10%) 0.676 composite

Knowledge Graph (20)

associated with (20)

ADRA2A neurodegeneration
ADRA2A BCHE
ADRA2A SLC6A2
ADRA2A SLC6A3
ADRA2A ABCB1
...and 15 more

Debate History (0)

No debates yet