ADRA2A

gene
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Also known as ADRAR

Summary

ADRA2A (adrenoceptor alpha 2A, HGNC:281) is a protein-coding gene on chromosome 10q25.2, encoding Alpha-2A adrenergic receptor (P08913). Alpha-2 adrenergic receptors are G protein-coupled receptors for catecholamines that activate the G(i/o) protein pathway, thereby promoting adenylyl cyclase inhibition, ERK1/2 stimulation, and voltage-gated calcium channels suppression.

Alpha-2-adrenergic receptors are members of the G protein-coupled receptor superfamily. The alpha-2-adrenergic receptors are a type of adrenergic receptors (for adrenaline or epinephrine), which inhibit adenylate cyclase. These receptors include 3 highly homologous subtypes: alpha2A, alpha2B, and alpha2C. They are involved in regulating the release of neurotransmitter molecules from sympathetic nerves and from adrenergic neurons in the central nervous system. The sympathetic nervous system regulates cardiovascular function by activating adrenergic receptors in the heart, blood vessels and kidney. Studies in mouse revealed that both the alpha2A and alpha2C receptor subtypes were required for presynaptic transmitter release from the sympathetic nervous system in the heart and from central noradrenergic neurons. The alpha-2-adrenergic receptors are also involved in catecholamine signaling by extracellular regulated protein kinase 1 and 2 (ERK1/2) pathways. A clear association between the alpha-2-adrenergic receptor and disease has not been yet established.

Source: NCBI Gene 150 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): lipodystrophy (Limited, GenCC) — +1 more curated relationship
  • GWAS associations: 11
  • Clinical variants (ClinVar): 79 total — 1 pathogenic
  • Phenotypes (HPO): 14
  • Druggable target: yes — 418 molecules with ChEMBL bioactivity
  • MANE Select transcript: NM_000681

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:281
Approved symbolADRA2A
Nameadrenoceptor alpha 2A
Location10q25.2
Locus typegene with protein product
StatusApproved
AliasesADRAR
Ensembl geneENSG00000150594
Ensembl biotypeprotein_coding
OMIM104210
Entrez150

Gene structure

Transcript identifiers

Ensembl transcripts: 1 — 1 protein_coding

ENST00000280155

RefSeq mRNA: 1 — MANE Select: NM_000681 NM_000681

CCDS: CCDS7569

Canonical transcript exons

ENST00000280155 — 1 exons

ExonStartEnd
ENSE00000995573111077029111080907

Expression profiles

Bgee: expression breadth ubiquitous, 234 present calls, max score 94.32.

FANTOM5 (CAGE): breadth broad, TPM avg 8.1111 / max 618.2264, expressed in 650 samples.

FANTOM5 promoters (3 alternative TSS)

Promoter IDTPM avgSamples expressed
1070297.5254631
1070280.3473177
1070270.2384123

Top tissues by expression

280 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
cortical plateUBERON:000534394.32gold quality
subcutaneous adipose tissueUBERON:000219092.31gold quality
endocervixUBERON:000045891.57gold quality
adipose tissueUBERON:000101391.09gold quality
connective tissueUBERON:000238489.31gold quality
ectocervixUBERON:001224989.08gold quality
mucosa of transverse colonUBERON:000499188.35gold quality
pericardiumUBERON:000240787.89gold quality
gall bladderUBERON:000211087.05gold quality
ganglionic eminenceUBERON:000402386.60gold quality
body of pancreasUBERON:000115086.12gold quality
adipose tissue of abdominal regionUBERON:000780886.06gold quality
thoracic mammary glandUBERON:000520085.96gold quality
mammary glandUBERON:000191185.91gold quality
omental fat padUBERON:001041485.49gold quality
peritoneumUBERON:000235885.43gold quality
right ovaryUBERON:000211884.11gold quality
skin of hipUBERON:000155483.85gold quality
germinal epithelium of ovaryUBERON:000130483.55gold quality
mucosa of paranasal sinusUBERON:000503083.47gold quality
pancreatic ductal cellCL:000207982.96gold quality
left ovaryUBERON:000211982.85gold quality
uterine cervixUBERON:000000282.57gold quality
epithelial cell of pancreasCL:000008382.45gold quality
ileal mucosaUBERON:000033182.21gold quality
ovaryUBERON:000099282.18gold quality
lymph nodeUBERON:000002982.11gold quality
mammary ductUBERON:000176582.10gold quality
primordial germ cell in gonadCL:0000670 ∩ UBERON:000099182.03gold quality
pancreasUBERON:000126481.86gold quality

Single-cell (SCXA)

Detected in 4 experiment(s), a significant marker in 3.

ExperimentMarker?Max mean expression
E-MTAB-8495yes363.49
E-GEOD-125970yes13.53
E-CURD-10no81.45
E-ANND-3no0.00

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): SP1

miRNA regulators (miRDB)

71 targeting ADRA2A, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-30A-5P100.0076.313233
HSA-MIR-30B-5P100.0076.293248
HSA-MIR-30C-5P100.0076.293248
HSA-MIR-30D-5P100.0076.323233
HSA-MIR-30E-5P100.0076.323242
HSA-MIR-4668-3P100.0068.742635
HSA-MIR-4425100.0067.591049
HSA-MIR-33A-5P99.9968.621055
HSA-MIR-33B-5P99.9968.581062
HSA-MIR-548C-3P99.9974.017587
HSA-MIR-3692-3P99.9870.272139
HSA-MIR-4650-5P99.9864.69999
HSA-MIR-4789-5P99.9870.762721
HSA-MIR-9-3P99.9670.882068
HSA-MIR-4725-3P99.9669.532520
HSA-MIR-6780B-5P99.9669.602562
HSA-MIR-6825-5P99.9669.813431
HSA-MIR-23A-3P99.9574.243163
HSA-MIR-23B-3P99.9574.243163
HSA-MIR-23C99.9573.923192
HSA-MIR-4778-3P99.9370.401818
HSA-MIR-205-3P99.9269.923165
HSA-MIR-368699.9070.532432
HSA-MIR-427199.8868.322244
HSA-MIR-806299.8868.43995
HSA-MIR-3140-3P99.8868.472069
HSA-MIR-391999.8769.452489
HSA-MIR-383-3P99.8565.841359
HSA-MIR-449599.8272.083080
HSA-MIR-182599.7268.111089

Literature-anchored findings (GeneRIF, showing 40)

  • results suggested that gg genotype and g allele at site -1296 in alpha(2A)-AR gene could associate with the susceptibility to motion sickness (PMID:12019440)
  • Mutagenesis and peptide analysis of the DRY motif in the alpha2A adrenergic receptor (PMID:12054508)
  • alpha 2-adrenergic receptor gene and body fat content and distribution: role for the ADRA2A gene in determining the propensity to store fat in the abdominal area, independent of total body fatness (PMID:12080184)
  • transgenic mouse with human alpha 2A receptors will serve as a model of diet-induced obesity (PMID:12370125)
  • An interaction between beta(1)AR and alpha(2A)AR is regulated by glycosylation and may play a key role in cross-talk and mutual regulation between these receptors. (PMID:12529373)
  • the inheritance of polymorphisms in the ADRA2A and ADRA1C genes in 113 nuclear families provided no significant evidence for linkage for these two genes; these genes are not major genetic factors contributing to the susceptibility to GTS (PMID:12707939)
  • There seems to be a small effect of ADRA2A on attention deficit disorder with hyperactivity either as a susceptibility gene or as a modulator of its severity. (PMID:12815749)
  • Alpha2-ARs in vascular smooth muscle cells reflect differential activity of alpha2-AR gene promoters. Alpha2C-ARs can be induced via p38 MAPK-dependent pathway. (PMID:12946937)
  • Results suggest that imidazoline-1 receptors (I(1)R) and alpha(2)-noradrenergic receptors (alpha(2)AR) may interact with each other. (PMID:15028622)
  • Estrogen attenuates the lipolytic response through up-regulation of the number of antilipolytic alpha2A-adrenergic receptors only in sc and not in visceral fat depots. (PMID:15070958)
  • a significant correlation was observed between the level of mRNA and protein quantified in the brain of the same subjects, indicating that protein synthesis of adrenergic, alpha-2A-, receptor was not influenced by post-translational regulatory mechanisms (PMID:15199368)
  • alpha(2A)-AR and MOR hetero-oligomers, although they occur, do not have an obligatory functional influence on one another (PMID:15494033)
  • This study supports the hypothesis that an allele of the ADRA2A gene is associated and linked with the ADHD combined subtype and suggests that the DraI polymorphism of ADRA2A is linked to a causative polymorphism. (PMID:15520832)
  • ADRA2A and ADRA2B each had a single haplotype block at least 11 and 16 kb in size (PMID:15592690)
  • GRK2 binding is critical not only for alpha2A-adrenergic receptor phosphorylation but also for full activity of the kinase. (PMID:15653687)
  • Our results show the genotype GG adrenergic alpha2a receptor with higher mean body weight gain than genotype CC. The finding identify a genetic factor associated with clozapine-induced weight gain in schizophrenic patients. (PMID:15795790)
  • ADRA2A gene may be involved in attention deficit disorder with hyperactivity (PMID:16172611)
  • Preliminary evidence for association of ADRA2A with comorbid ADHD and reading disability (PMID:16178932)
  • Results provide weak evidence for a possible role of ADRA2A in attention-deficit/hyperactivity disorder symptom expression. (PMID:16389583)
  • Common genetic ADRA2A variants are not important determinants of baseline cardiovascular measures (plasma norepinephrine, heart rate, and blood pressure) in healthy volunteers (PMID:16513442)
  • These results suggest a possible role of APLP1 in regulation of alpha2A-adrenergic receptor trafficking. (PMID:16531006)
  • Thus, the alpha(2C)AR alters alpha(2A)AR signaling by forming oligomers, and these complexes, which appear to be preferred over the homodimers, should be considered a functional signaling unit in cells in which both subtypes are expressed. (PMID:16605244)
  • Both DraI restriction fragment length polymorphism in ADRA2A and ADRA2C (Del 322 to 325) can be excluded as major candidate alleles for hypertension in blacks. (Alpha2 adrenergic receptors ADRA2A and ADRA2C) (PMID:16636200)
  • ADRA2A may be associated with attention-deficit/hyperactivity disorder (ADHD) inattentive symptoms. (PMID:16806103)
  • Data demonstrate that the alpha(2A)AR evokes ERK phosphorylation through both an arrestin/Src-dependent and a Src-independent pathway, both of which are G protein dependent and converge on the Ras-Raf-MEK pathway. (PMID:16809338)
  • we screened the sequence variations in the transcriptional region of ADRA2A gene and analyzed the relationship between the two common polymorphisms and platelet function (PMID:16854373)
  • Genetic and the binding studies indicate that the alpha-2 adrenergic receptor may play a role in attention deficit hyperactivity disorder. (PMID:16917924)
  • No association between ADRA2A polymorphisms and schizophrenia. (PMID:17034020)
  • In the present study it was found that stimulated alpha2-adrenergic receptors induce delayed transactivation of TrkA in PC12 cells. (PMID:17215105)
  • The C-1291G genotype had a significant effect on the consumption of ready-made sweet food products. (PMID:17522710)
  • there is a role for the ADRA2A polymorphism in the predisposition to tobacco smoking (PMID:17612790)
  • In conclusion, alpha(2A)-adrenoreceptor activates ERK and Akt in intestinal cells by a common pathway which depends on PI3-kinase activation and results from EGF receptor transactivation. (PMID:17655843)
  • With CC and CG genotypes girls had higher scores on extraversion scales than boys, but with GG genotype boys score higher than girls with GG genotype. (PMID:17894416)
  • Polymorphisms are not associated with Toureett’s syndrome in this study. (PMID:18075481)
  • the influence of the G allele at the ADRA2A -1291 C > G polymorphism on the improvement of inattentive symptoms with methylphenidate in children with all ADHD subtypes. (PMID:18200436)
  • Involvement of the ADRA2A MspI and DraI polymorphisms in the etiology of ADHD in Korean subjects. (PMID:18314873)
  • PAR4-pretreated platelets, epinephrine caused dense granule secretion, and subsequent signaling from the ATP-gated P2X(1)-receptor and the alpha(2A)-adrenergic receptor induced aggregation. (PMID:18480058)
  • Our results raise the possibility that promoter genetic variation in the ADRA2A gene is associated with either suicide or violent suicide in females (PMID:18547701)
  • shows strong affinity to idazoxan and excists in MAO of mitochondria which has imidazoline-ligand binding sites in its molecule. (PMID:18561481)
  • the alpha 2A adrenergic receptor 2372A/G polymorphism is associated with plasma von Willebrand factor levels in a general population. (PMID:18600088)

Cross-species orthologs

4 orthologs

OrganismSymbolGene ID
danio_rerioadra2aENSDARG00000040841
mus_musculusAdra2aENSMUSG00000033717
rattus_norvegicusAdra2aENSRNOG00000047545
caenorhabditis_elegansser-5WBGENE00008890

Paralogs (18): ADRB1 (ENSG00000043591), ADRA1A (ENSG00000120907), DRD2 (ENSG00000149295), GPR101 (ENSG00000165370), ADRB2 (ENSG00000169252), ADRA1B (ENSG00000170214), ADRA1D (ENSG00000171873), OR5T3 (ENSG00000172489), OR56A1 (ENSG00000180934), OR5T1 (ENSG00000181698), OR5T2 (ENSG00000181718), OR56A4 (ENSG00000183389), ADRA2C (ENSG00000184160), OR56A3 (ENSG00000184478), OR13F1 (ENSG00000186881), OR56A5 (ENSG00000188691), ADRB3 (ENSG00000188778), ADRA2B (ENSG00000274286)

Protein

Protein identifiers

Alpha-2A adrenergic receptorP08913 (reviewed: P08913)

Alternative names: Alpha-2 adrenergic receptor subtype C10, Alpha-2A adrenoreceptor

All UniProt accessions (1): P08913

UniProt curated annotations — full annotation on UniProt →

Function. Alpha-2 adrenergic receptors are G protein-coupled receptors for catecholamines that activate the G(i/o) protein pathway, thereby promoting adenylyl cyclase inhibition, ERK1/2 stimulation, and voltage-gated calcium channels suppression. Control a variety of physiological processes, such as regulation of blood pressure, lipolysis and insulin release. ADRA2A and ADRA2C mediates the presynaptic feedback inhibition of neurotransmitter release from noradrenergic nerve terminals in sympathetic and central nervous systems. ADRA2A inhibits transmitter release at high stimulation frequencies, whereas ADRA2C modulates neurotransmission at lower levels of nerve activity. The rank order of potency for agonists of ADRA2A is oxymetazoline > clonidine > epinephrine > norepinephrine > phenylephrine > dopamine > p-synephrine > p-tyramine > serotonin = p-octopamine. For antagonists, the rank order is yohimbine > phentolamine = mianserine > chlorpromazine = spiperone = prazosin > propanolol > alprenolol = pindolol.

Subcellular location. Cell membrane.

Disease relevance. Lipodystrophy, familial partial, 8 (FPLD8) [MIM:620679] An autosomal dominant form of partial lipodystrophy, a disorder characterized by abnormal subcutaneous fat distribution. FPLD8 patients show selective loss of subcutaneous adipose tissue from the limbs, beginning around 13 to 15 years of age, and abnormal accumulation of subcutaneous adipose tissue in the dorsal neck and face, as well as in the posterior thoracic and abdominal regions. The disorder is associated with metabolic abnormalities, including diabetes mellitus and hyperlipidemia. The disease may be caused by variants affecting the gene represented in this entry.

Similarity. Belongs to the G-protein coupled receptor 1 family. Adrenergic receptor subfamily. ADRA2A sub-subfamily.

RefSeq proteins (1): NP_000672* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR000276GPCR_RhodpsnFamily
IPR001946ADRA2A_rcptFamily
IPR002233ADR_famFamily
IPR017452GPCR_Rhodpsn_7TMDomain

Pfam: PF00001

UniProt features (73 total): helix 20, mutagenesis site 10, topological domain 8, transmembrane region 7, site 6, sequence conflict 4, sequence variant 3, strand 3, turn 3, modified residue 2, glycosylation site 2, chain 1, region of interest 1, compositionally biased region 1, lipid moiety-binding region 1, disulfide bond 1

Structure

Experimental structures (PDB)

19 structures.

PDBMethodResolution (Å)
6KUXX-RAY DIFFRACTION2.7
9PLOELECTRON MICROSCOPY2.74
9CBLELECTRON MICROSCOPY2.8
9PLNELECTRON MICROSCOPY2.8
7EJ8ELECTRON MICROSCOPY3
6KUYX-RAY DIFFRACTION3.2
7EJ0ELECTRON MICROSCOPY3.2
9CBMELECTRON MICROSCOPY3.2
9PQDELECTRON MICROSCOPY3.29
7EJKELECTRON MICROSCOPY3.4
7W7EELECTRON MICROSCOPY3.4
9IQRELECTRON MICROSCOPY3.4
7W6PELECTRON MICROSCOPY3.47
7EJAELECTRON MICROSCOPY3.6
6K42ELECTRON MICROSCOPY4.1
1HLLSOLUTION NMR
1HO9SOLUTION NMR
1HODSOLUTION NMR
1HOFSOLUTION NMR

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P08913-F171.700.41

Antibody-complex structures (SAbDab): 76K42, 7EJ0, 7EJ8, 7EJA, 7EJK, 7W6P, 7W7E

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Catalytic / active sites (6): 128 (implicated in norepinephrine binding); 215 (implicated in catechol and norepinephrine agonist binding and receptor activation); 219 (implicated in catechol agonist binding and receptor activation); 409 (implicated in norepinephrine binding and receptor activation); 427 (implicated in norepinephrine binding and receptor activation); 431 (implicated in norepinephrine binding and receptor activation)

Post-translational modifications (3): 346, 368, 457

Disulfide bonds (1): 121–203

Glycosylation sites (2): 25, 29

Mutagenesis-validated functional residues (10):

PositionPhenotype
94no change in binding affinity. eliminates guanine nucleotide-sensitive agonist binding.
128loss of receptor activation by norepinephrine.
128no binding to yohimbine. increase in adenylate cyclase activity.
145lower affinity for agonists. eliminates guanine nucleotide-sensitive agonist binding.
215lower affinity for agonists. no change in guanine nucleotide-sensitive agonist binding. impaired receptor activation by
219lower affinity for agonists. reduced guanine nucleotide-sensitive agonist binding.
409impaired receptor activation by norepinephrine.
427impaired receptor activation by norepinephrine.
427350-fold reduced affinity for alpha-2 antagonist yohimbine, 3000-fold increase for beta-antagonist alprenolol.
431impaired receptor activation by norepinephrine.

Function

Pathways and Gene Ontology

Reactome pathways

19 pathways

IDPathway
R-HSA-390696Adrenoceptors
R-HSA-392023Adrenaline signalling through Alpha-2 adrenergic receptor
R-HSA-400042Adrenaline,noradrenaline inhibits insulin secretion
R-HSA-418594G alpha (i) signalling events
R-HSA-418597G alpha (z) signalling events
R-HSA-5683826Surfactant metabolism
R-HSA-109582Hemostasis
R-HSA-1430728Metabolism
R-HSA-162582Signal Transduction
R-HSA-163685Integration of energy metabolism
R-HSA-372790Signaling by GPCR
R-HSA-373076Class A/1 (Rhodopsin-like receptors)
R-HSA-375280Amine ligand-binding receptors
R-HSA-388396GPCR downstream signalling
R-HSA-392499Metabolism of proteins
R-HSA-422356Regulation of insulin secretion
R-HSA-500792GPCR ligand binding
R-HSA-76002Platelet activation, signaling and aggregation
R-HSA-76009Platelet Aggregation (Plug Formation)

MSigDB gene sets: 418 (showing top): GOBP_POTASSIUM_ION_TRANSPORT, GOBP_DIGESTION, GOBP_RESPONSE_TO_NITROGEN_COMPOUND, BENPORATH_ES_WITH_H3K27ME3, GOBP_SENSORY_PERCEPTION_OF_TEMPERATURE_STIMULUS, GOBP_REGULATION_OF_ERBB_SIGNALING_PATHWAY, GOBP_REGULATION_OF_WOUND_HEALING, GOBP_CIRCULATORY_SYSTEM_PROCESS, REACTOME_ADRENALINE_NORADRENALINE_INHIBITS_INSULIN_SECRETION, GOBP_NEGATIVE_REGULATION_OF_LIPID_METABOLIC_PROCESS, REACTOME_PLATELET_AGGREGATION_PLUG_FORMATION, GOBP_NEGATIVE_REGULATION_OF_MUSCLE_CONTRACTION, REACTOME_PLATELET_ACTIVATION_SIGNALING_AND_AGGREGATION, REACTOME_G_ALPHA_Z_SIGNALLING_EVENTS, GOBP_PLATELET_ACTIVATION

GO Biological Process (43): positive regulation of cytokine production (GO:0001819), DNA replication (GO:0006260), epidermal growth factor receptor signaling pathway (GO:0007173), G protein-coupled receptor signaling pathway (GO:0007186), adenylate cyclase-activating G protein-coupled receptor signaling pathway (GO:0007189), adenylate cyclase-inhibiting G protein-coupled receptor signaling pathway (GO:0007193), Ras protein signal transduction (GO:0007265), Rho protein signal transduction (GO:0007266), female pregnancy (GO:0007565), positive regulation of cell population proliferation (GO:0008284), negative regulation of norepinephrine secretion (GO:0010700), regulation of vasoconstriction (GO:0019229), actin cytoskeleton organization (GO:0030036), platelet activation (GO:0030168), positive regulation of cell migration (GO:0030335), negative regulation of epinephrine secretion (GO:0032811), cellular response to hormone stimulus (GO:0032870), vasodilation (GO:0042311), glucose homeostasis (GO:0042593), fear response (GO:0042596), positive regulation of potassium ion transport (GO:0043268), response to morphine (GO:0043278), positive regulation of MAPK cascade (GO:0043410), positive regulation of epidermal growth factor receptor signaling pathway (GO:0045742), negative regulation of calcium ion-dependent exocytosis (GO:0045955), negative regulation of insulin secretion (GO:0046676), intestinal absorption (GO:0050892), thermoception (GO:0050955), negative regulation of lipid catabolic process (GO:0050995), positive regulation of membrane protein ectodomain proteolysis (GO:0051044), positive regulation of phosphatidylinositol 3-kinase/protein kinase B signal transduction (GO:0051897), negative regulation of calcium ion transport (GO:0051926), negative regulation of insulin secretion involved in cellular response to glucose stimulus (GO:0061179), negative regulation of uterine smooth muscle contraction (GO:0070473), adrenergic receptor signaling pathway (GO:0071875), adenylate cyclase-activating adrenergic receptor signaling pathway (GO:0071880), adenylate cyclase-inhibiting adrenergic receptor signaling pathway (GO:0071881), phospholipase C-activating adrenergic receptor signaling pathway (GO:0071882), positive regulation of wound healing (GO:0090303), response to alcohol (GO:0097305)

GO Molecular Function (14): alpha2-adrenergic receptor activity (GO:0004938), protein kinase binding (GO:0019901), alpha-1B adrenergic receptor binding (GO:0031692), alpha-2C adrenergic receptor binding (GO:0031696), thioesterase binding (GO:0031996), heterotrimeric G-protein binding (GO:0032795), protein homodimerization activity (GO:0042803), protein heterodimerization activity (GO:0046982), epinephrine binding (GO:0051379), norepinephrine binding (GO:0051380), G protein-coupled receptor activity (GO:0004930), adrenergic receptor activity (GO:0004935), guanyl-nucleotide exchange factor activity (GO:0005085), protein binding (GO:0005515)

GO Cellular Component (13): cytoplasm (GO:0005737), plasma membrane (GO:0005886), basolateral plasma membrane (GO:0016323), neuronal cell body (GO:0043025), signaling receptor complex (GO:0043235), axon terminus (GO:0043679), presynaptic active zone membrane (GO:0048787), dopaminergic synapse (GO:0098691), postsynaptic density membrane (GO:0098839), glutamatergic synapse (GO:0098978), GABA-ergic synapse (GO:0098982), membrane (GO:0016020), postsynaptic membrane (GO:0045211)

Reactome top-level categories

Rollup of top-13 pathways:

CategoryPathways
GPCR downstream signalling2
Signaling by GPCR2
Amine ligand-binding receptors1
Platelet Aggregation (Plug Formation)1
Regulation of insulin secretion1
Metabolism of proteins1
Metabolism1
Signal Transduction1
GPCR ligand binding1
Class A/1 (Rhodopsin-like receptors)1
Integration of energy metabolism1
Hemostasis1
Platelet activation, signaling and aggregation1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
synapse3
adenylate cyclase-modulating G protein-coupled receptor signaling pathway2
small GTPase-mediated signal transduction2
negative regulation of catecholamine secretion2
blood vessel diameter maintenance2
adrenergic receptor binding2
protein dimerization activity2
cation binding2
catecholamine binding2
cellular anatomical structure2
synaptic membrane2
cytokine production1
regulation of cytokine production1
positive regulation of gene expression1
positive regulation of multicellular organismal process1
DNA metabolic process1
DNA biosynthetic process1
ERBB signaling pathway1
G protein-coupled receptor activity1
signal transduction1
adenylate cyclase activator activity1
adenylate cyclase inhibitor activity1
multi-organism reproductive process1
multi-multicellular organism process1
cell population proliferation1
regulation of cell population proliferation1
positive regulation of cellular process1
regulation of norepinephrine secretion1
norepinephrine secretion1
vasoconstriction1
regulation of blood circulation1
cytoskeleton organization1
actin filament-based process1
cell activation1
blood coagulation1
cell migration1
regulation of cell migration1
positive regulation of cell motility1
regulation of epinephrine secretion1
epinephrine secretion1

Protein interactions and networks

STRING

1218 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
ADRA2ASLC6A3Q01959815
ADRA2ASLC6A2P23975788
ADRA2ACOMTP21964720
ADRA2ADBHP09172710
ADRA2ASLC6A4P31645701
ADRA2AOPRM1P35372669
ADRA2ASNAP25P13795652
ADRA2AKCNN3Q9UGI6649
ADRA2AARRB2P32121644
ADRA2AMAOAP21397611
ADRA2ASCN8AQ9UQD0598
ADRA2AGNAQP50148580
ADRA2AC2CD4BA6NLJ0570
ADRA2ASAGP10523568
ADRA2AGRK5P34947563

IntAct

16 interactions, top by confidence:

ABTypeScore
ADRA2AADRA2Apsi-mi:“MI:2364”(proximity)0.470
ADRA2AADRA2Cpsi-mi:“MI:2364”(proximity)0.470
ADRA2AADRA2Cpsi-mi:“MI:0915”(physical association)0.470
ADRA2AADRA2Apsi-mi:“MI:0915”(physical association)0.470
ADRA2ASH3GL3psi-mi:“MI:0915”(physical association)0.400
SH3GL2ADRA2Apsi-mi:“MI:0915”(physical association)0.400
ADRA2ASH3GL1psi-mi:“MI:0915”(physical association)0.400
ADRA2Apsi-mi:“MI:0915”(physical association)0.400
RAMP1ADRA2Apsi-mi:“MI:0915”(physical association)0.400
ADRA2ARAMP2psi-mi:“MI:0915”(physical association)0.400
RAMP3ADRA2Apsi-mi:“MI:0915”(physical association)0.400
ADRA2AHacd3psi-mi:“MI:0915”(physical association)0.400
PSMD2ADRA2Apsi-mi:“MI:0915”(physical association)0.400
Usp19ADRA2Apsi-mi:“MI:0915”(physical association)0.400

BioGRID (12): GGA3 (Reconstituted Complex), ADRA2A (Reconstituted Complex), ADRA2A (Cross-Linking-MS (XL-MS)), UCHL1 (Two-hybrid), UCHL1 (Reconstituted Complex), UCHL1 (Affinity Capture-Western), GNAI2 (FRET), GNB1 (FRET), GNG2 (FRET), ADRA2A (Protein-peptide), ADRA2A (FRET), GNAO1 (FRET)

ESM2 similar proteins: O02662, O02666, O19025, O19032, O19054, O77721, O77830, P07700, P08588, P08913, P11615, P15823, P18089, P18090, P18825, P18841, P18871, P19328, P22086, P22909, P23944, P25100, P25115, P25962, P26255, P30545, P34971, P35368, P43141, P47899, P79148, P97714, P97717, Q01337, Q01338, Q17239, Q28838, Q28927, Q28998, Q60474

Diamond homologs: E7EM37, G3M4F8, O02213, O08890, O18935, O19014, O19025, O42384, O42385, O73810, O77715, O77723, O77830, P08908, P08909, P08913, P11614, P14416, P18825, P18871, P19020, P20288, P21917, P22086, P22270, P22909, P24628, P28221, P28222, P28334, P28335, P28564, P28566, P30545, P30728, P30729, P30939, P32304, P32305, P34968

SIGNOR signaling

22 interactions.

AEffectBMechanism
ADRA2A“up-regulates activity”GNAI1binding
ADRA2A“up-regulates activity”GNAI3binding
ADRA2A“up-regulates activity”GNAO1binding
ADRA2A“up-regulates activity”GNAZbinding
(R)-noradrenaline“up-regulates activity”ADRA2A“chemical activation”
brimonidine“up-regulates activity”ADRA2A“chemical activation”
clonidine“up-regulates activity”ADRA2A“chemical activation”
dexmedetomidine“up-regulates activity”ADRA2A“chemical activation”
Guanabenz“up-regulates activity”ADRA2A“chemical activation”
tolazoline“down-regulates activity”ADRA2A“chemical inhibition”
oxymetazoline“up-regulates activity”ADRA2A“chemical activation”
Guanfacine“up-regulates activity”ADRA2A“chemical activation”
N-(2,6-dimethylphenyl)-5,6-dihydro-4H-1,3-thiazin-2-amine“up-regulates activity”ADRA2A“chemical activation”
PRKCD“up-regulates activity”ADRA2Aphosphorylation
GRK2“down-regulates activity”ADRA2Aphosphorylation
lurasidone“down-regulates activity”ADRA2A“chemical inhibition”
lofexidine“up-regulates activity”ADRA2A“chemical activation”
apraclonidine“up-regulates activity”ADRA2A“chemical activation”

Disease & clinical

Clinical variants and AI predictions

ClinVar

79 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic1
Likely pathogenic0
Uncertain significance67
Likely benign8
Benign3

Top pathogenic / likely-pathogenic (1)

Variant IDHGVSClassification
2691730NM_000681.4(ADRA2A):c.*427A>GPathogenic

SpliceAI

49 predictions. Top by Δscore:

VariantEffectΔscore
10:111077362:G:GTdonor_gain0.8000
10:111079278:T:TAacceptor_gain0.7600
10:111077462:A:AGdonor_gain0.6200
10:111079225:C:Gacceptor_gain0.5300
10:111077223:A:Tdonor_gain0.3900
10:111077258:G:GTdonor_gain0.3900
10:111077685:A:Cacceptor_gain0.3900
10:111077444:G:Tdonor_gain0.3800
10:111079379:G:GTdonor_gain0.3800
10:111080296:TCCAG:Tacceptor_gain0.3800
10:111077562:G:GTdonor_gain0.3700
10:111077457:C:CAdonor_gain0.3600
10:111077646:A:Gacceptor_gain0.3600
10:111079224:AC:Aacceptor_gain0.3500
10:111077463:T:Gdonor_gain0.3400
10:111080298:CAGTG:Cacceptor_gain0.3400
10:111078115:C:CTacceptor_gain0.3200
10:111079224:A:AGacceptor_gain0.3200
10:111080297:CCAG:Cacceptor_gain0.3200
10:111077444:G:GTdonor_gain0.3100
10:111077732:C:Aacceptor_gain0.3100
10:111079223:C:Gacceptor_gain0.2800
10:111079283:C:CAacceptor_gain0.2700
10:111077475:T:Gdonor_gain0.2600
10:111077645:A:ACacceptor_gain0.2600
10:111077262:G:GTdonor_gain0.2500
10:111077471:GGGAT:Gdonor_gain0.2400
10:111077472:GGATG:Gdonor_gain0.2400
10:111077553:ACACG:Adonor_loss0.2400
10:111077554:CACG:Cdonor_loss0.2400

AlphaMissense

2986 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
10:111078194:C:AN66K1.000
10:111078194:C:GN66K1.000
10:111078232:T:AL79H1.000
10:111078232:T:CL79P1.000
10:111078256:T:AL87Q1.000
10:111078265:T:AL90Q1.000
10:111078265:T:CL90P1.000
10:111078276:G:CD94H1.000
10:111078277:A:CD94A1.000
10:111078277:A:GD94G1.000
10:111078277:A:TD94V1.000
10:111078412:T:CL139P1.000
10:111078421:T:AI142N1.000
10:111078423:A:CS143R1.000
10:111078425:C:AS143R1.000
10:111078425:C:GS143R1.000
10:111078427:T:CL144P1.000
10:111078430:A:CD145A1.000
10:111078430:A:TD145V1.000
10:111078432:C:AR146S1.000
10:111078433:G:CR146P1.000
10:111078513:T:AW173R1.000
10:111078513:T:CW173R1.000
10:111079168:T:AL391Q1.000
10:111079168:T:CL391P1.000
10:111079188:T:CF398L1.000
10:111079190:C:AF398L1.000
10:111079190:C:GF398L1.000
10:111079200:T:AW402R1.000
10:111079200:T:CW402R1.000

dbSNP variants (sampled 300 via entrez): RS1000498121 (10:111080966 A>G), RS1000763258 (10:111075118 C>T), RS1001765223 (10:111076434 T>C), RS1001864049 (10:111080006 A>G), RS1001955436 (10:111076198 TAGG>T), RS1002553556 (10:111077458 G>A), RS1003225113 (10:111077742 T>C), RS1003792959 (10:111077647 G>A), RS1003840369 (10:111078904 C>G,T), RS1004192709 (10:111078801 G>A,C), RS1004790812 (10:111080084 C>T), RS1004855490 (10:111080963 G>A), RS1005138458 (10:111080691 G>A,T), RS1005180206 (10:111076940 T>G), RS1005246646 (10:111080508 G>T)

Disease associations

OMIM: gene MIM:104210 | disease phenotypes: MIM:610759, MIM:620679

GenCC curated gene-disease

DiseaseClassificationInheritance
lipodystrophyLimitedAutosomal dominant
lipodystrophy, familial partial, type 8LimitedAutosomal dominant

Mondo (4): Cornelia de Lange syndrome 3 (MONDO:0012555), RASopathy (MONDO:0021060), lipodystrophy, familial partial, type 8 (MONDO:0958022), lipodystrophy (MONDO:0006573)

Orphanet (2): Cornelia de Lange syndrome (Orphanet:199), RASopathy (Orphanet:536391)

HPO phenotypes

14 total (14 of 14 shown, HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000819Diabetes mellitus
HP:0000822Hypertension
HP:0000956Acanthosis nigricans
HP:0001997Gout
HP:0002149Hyperuricemia
HP:0002155Hypertriglyceridemia
HP:0002240Hepatomegaly
HP:0002870Obstructive sleep apnea
HP:0003074Hyperglycemia
HP:0003236Elevated circulating creatine kinase concentration
HP:0003621Juvenile onset
HP:0009125Lipodystrophy
HP:0025383Dorsocervical fat pad

GWAS associations

11 associations (top):

StudyTraitp-value
GCST000568_11Fasting blood glucose3.000000e-16
GCST000693_11Platelet aggregation3.000000e-12
GCST001527_29Fasting blood glucose (BMI interaction)9.000000e-08
GCST002981_2Longitudinal alcohol consumption5.000000e-07
GCST005180_3Homeostasis model assessment of beta-cell function2.000000e-06
GCST005186_28Fasting blood glucose2.000000e-07
GCST008171_10Platelet aggregation1.000000e-08
GCST008171_13Platelet aggregation1.000000e-07
GCST008171_24Platelet aggregation3.000000e-06
GCST010142_18Fish- and plant-related diet3.000000e-10
GCST010142_84Fish- and plant-related diet4.000000e-08

EFO canonical traits (4, from GWAS)

EFO IDTrait name
EFO:0004340body mass index
EFO:0007645longitudinal alcohol consumption measurement
EFO:0004469HOMA-B
EFO:0008111diet measurement

MeSH disease descriptors (1)

DescriptorNameTree numbers
D008060LipodystrophyC17.800.849.391; C18.452.584.625; C18.452.880.391

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (6): CHEMBL1867 (SINGLE PROTEIN), CHEMBL2095158 (PROTEIN FAMILY), CHEMBL2095203 (PROTEIN FAMILY), CHEMBL2331074 (PROTEIN FAMILY), CHEMBL3883321 (PROTEIN COMPLEX), CHEMBL3885512 (PROTEIN COMPLEX)

Molecules with ChEMBL bioactivity

418 molecules (phase ≥1), by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 434,835 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).

MoleculeNamePhasePatents
CHEMBL1014CANDESARTAN CILEXETIL411,194
CHEMBL1017TELMISARTAN427,457
CHEMBL1023BEXAROTENE440,951
CHEMBL104CLOTRIMAZOLE456,325
CHEMBL1065METHYSERGIDE48,455
CHEMBL1079TIZANIDINE412,099
CHEMBL1085ACETOPHENAZINE45,134
CHEMBL1088MESORIDAZINE412,814
CHEMBL1089PHENELZINE418,793
CHEMBL1106EPINASTINE48,530
CHEMBL1108DROPERIDOL416,888
CHEMBL1112ARIPIPRAZOLE424,205
CHEMBL1113AMOXAPINE420,128
CHEMBL1162NORETHINDRONE491,150
CHEMBL1172DESLORATADINE419,720
CHEMBL117785TETRABENAZINE49,645
CHEMBL1189679PALONOSETRON49,399
CHEMBL1194666DIETHYLPROPION412,073
CHEMBL1200329TIZANIDINE HYDROCHLORIDE43,451
CHEMBL1200406DIMENHYDRINATE426,424
CHEMBL1200492NEFAZODONE HYDROCHLORIDE4
CHEMBL1200494GUANFACINE HYDROCHLORIDE4
CHEMBL1200517DIHYDROERGOTAMINE MESYLATE4
CHEMBL1200791OXYMETAZOLINE HYDROCHLORIDE4
CHEMBL1200809AZELASTINE HYDROCHLORIDE4
CHEMBL1201THIOTHIXENE4
CHEMBL1201039BENZTHIAZIDE4
CHEMBL1201087CABERGOLINE4
CHEMBL1201196SERTACONAZOLE4
CHEMBL1201203BENZTROPINE4

PharmGKB: 1 entry (VIP=true, CPIC=false)

PharmGKB clinical annotations

8 annotations.

VariantTypeLevelDrugsPhenotypes
rs1800035Efficacy3dexmedetomidinePain;Postoperative
rs1800544Other3dexmedetomidine
rs1800544Efficacy3milnacipranDepressive Disorder
rs1800544Efficacy3Selective serotonin reuptake inhibitorsMajor Depressive Disorder
rs1800544Efficacy4methylphenidateAttention Deficit Disorder with Hyperactivity
rs1800545Efficacy3atenololHypertrophy;Left Ventricular
rs201376588Efficacy3dexmedetomidinePain;Postoperative
rs775887911Efficacy3dexmedetomidinePain;Postoperative

PharmGKB variants

12 variants.

VariantGenesLevelScore#Clin annotsDrugs
rs1800544ADRA2A32.754dexmedetomidine;methylphenidate;Selective serotonin reuptake inhibitors;milnacipran
rs1800545ADRA2A32.001atenolol
rs2484516ADRA2A0.000
rs11195419ADRA2A0.000
rs1800038ADRA2A0.000
rs3750625ADRA2A0.000
rs11195418ADRA2A0.000
rs553668ADRA2A0.000
rs1800035ADRA2A32.751dexmedetomidine
rs201376588ADRA2A32.751dexmedetomidine
rs775887911ADRA2A32.751dexmedetomidine
rs521674ADRA2A0.000

GtoPdb / IUPHAR curated pharmacology

(IUPHAR/BPS Guide to Pharmacology — expert-curated)

Target class: gpcr — Adrenoceptors

Most potent curated ligand interactions (51 total), top 25:

LigandActionAffinityParameter
lisurideAntagonist10.3pKi
[3H]rauwolscineAntagonist9.5pKd
[3H]RX821002Antagonist9.5pKd
tergurideAntagonist9.5pKi
RX821002Antagonist9.4pKi
[3H]brimonidine (UK14304)Agonist9.1pKd
RS79948Antagonist8.9pKi
WB 4101Antagonist8.9pKi
brimonidine (UK14304)Agonist8.9pIC50
[3H]MK-912Antagonist8.9pKd
[125I]p-iodoclonidinePartial agonist8.8pKd
yohimbineAntagonist8.7pKi
atipamezoleAntagonist8.7pKi
MK-912Antagonist8.7pKi
apraclonidineAgonist8.5pKi
rauwolscineAntagonist8.4pKi
oxymetazolinePartial agonist8.4pIC50
lofexidineAgonist8.36pKi
muscarinic toxin 3Antagonist8.3pKi
bromocriptineAntagonist8.3pKi
BRL 44408Antagonist8.2pKi
idazoxanAntagonist8.0pKi
cabergolineAntagonist7.9pKi
guanabenzAgonist7.7pKi
[3H]clonidinePartial agonist7.6pKd

Binding affinities (BindingDB)

98 measured of 146 human assays (189 total across all organisms); most potent 50 below. Values come from heterogeneous assays and are not directly comparable.

LigandMeasureValuePatent
WIN 53782KI0.05 nM
CAS_76727-72-5KI0.06 nM
NSC_104911KI0.1 nM
roxindoleKI0.11 nM
3,3-diethyl-1-[(4R,7R)-6-methyl-6,11-diazatetracyclo[7.6.1.0^{2,7}.0^{12,16}]hexadeca-1(15),2,9,12(16),13-pentaen-4-yl]ureaKI0.15 nM
NSC_125992KI0.2 nM
(S,S)-reboxetineKI0.3 nM
NSC_71310KI0.33 nM
CAS_196343KI0.36 nM
WIN 52664KI0.4 nM
MK-912KI0.42 nM
2-Chlor-11-(2-dimethylaminoaethoxy)-dibenzo(b,f)-thiepinKI0.5 nM
3-(10,11-dihydro-5H-dibenzo[b,f]azepin-5-yl)-N-methylpropan-1-amineKI0.6 nM
CAS_34772KI0.93 nM
8-(2,3-Dihydro-benzo[1,4]dioxin-2-ylmethyl)-1-phenyl-1,3,8-triaza-spiro[4.5]decan-4-oneKI1 nM
N-[(2S,11bR)-2,3,4,6,7,11b-hexahydro-1H-benzo[a]quinolizin-2-yl]-N-methylbutane-1-sulfonamide hydrochlorideKI1.4 nM
5-[2-(4-Benzo[d]isothiazol-3-yl-piperazin-1-yl)-ethyl]-6-chloro-1,3-dihydro-indol-2-oneKI1.9 nM
PermaxKI1.91 nM
CAS_133816KI2.2 nM
4-[4-(4-Chloro-phenyl)-4-hydroxy-piperidin-1-yl]-1-(4-fluoro-phenyl)-butan-1-one;propionate(HCl)KI2.92 nM
8-[4-(4-fluorophenyl)-4-keto-butyl]-1-phenyl-1,3,8-triazaspiro[4.5]decan-4-oneKI2.94 nMUS-9359372: Hexahydrodibenzo[a,g]quinolizine compound, preparation method thereof, pharmaceutical composition and use thereof
(S)-mianserinKI3 nM
TergurideKI3.47 nM
S18616KI3.98 nM
naphtalineKI4.57 nM
NSC_121850KI5.68 nM
p-AMINOCLONIDINEKI7.94 nM
CAS_67249-51-8KI7.94 nM
CAS_133305KI8.7 nM
CAS_125697KI11 nM
Bromocriptine+ (GTP+)KI12.9 nM
CAS_81447-78-1KI14.4 nM
MLS001401388KI16 nM
NSC_54746KI19.9 nM
L-644,763KI20 nM
1-(4-{3-[4-(6-Fluoro-benzo[d]isoxazol-3-yl)-piperidin-1-yl]-propoxy}-3-methoxy-phenyl)-ethanoneKI33 nM
Fluorocarazolol,(S)KI34 nM
L-639,019KI35 nM
NSC_8966KI38 nM
NSC_3519KI50.3 nM
cid_3396KI56 nM
ZanaflexKI62 nM
2-{3-[4-(3-chlorophenyl)piperazin-1-yl]propyl}-5-ethyl-4-(2-phenoxyethyl)-2,4-dihydro-3H-1,2,4-triazol-3-oneKI80 nM
NSC_40589KI85 nM
2-{3-[4-(3-chlorophenyl)piperazin-1-yl]propyl}[1,2,4]triazolo[4,3-a]pyridin-3(2H)-oneKI96 nM
2-[4-[3-[2-(trifluoromethyl)phenothiazin-10-yl]propyl]piperazin-1-yl]ethanol;hydrochlorideKI146 nM
CAS_105182-45-4KI158 nM
(R)-5-(1-(2,3-dimethylphenyl)ethyl)-1H-imidazoleKI200 nM
S32504KI257 nM
cis-doxepinKI276 nM

ChEMBL bioactivities

2152 potent at pChembl≥5 of 2381 total, top 50 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
10.85IC500.014nMCHEMBL553231
10.80IC500.016nMCHEMBL557985
10.55Ki0.02818nMCHEMBL1256414
10.47IC500.034nMCHEMBL537830
10.38Ki0.04169nMCHEMBL4482861
10.27Ki0.0537nMCHEMBL4536304
10.18Ki0.06607nMCHEMBL4438801
10.16Ki0.06918nMCHEMBL1256414
10.10Ki0.07943nMCHEMBL1256414
10.00Ki0.1nMCHEMBL435352
10.00Ki0.1nMCHEMBL176261
10.00Ki0.1nMRAUWOLSCINE
9.94Ki0.116nMLISURIDE
9.92IC500.12nMCHEMBL538801
9.86Ki0.138nMCHEMBL1255723
9.76Ki0.1738nMCHEMBL1256378
9.70Ki0.2nMCHEMBL180470
9.70Kd0.1995nMCHEMBL279807
9.70Kd0.1995nMCHEMBL62912
9.67IC500.2138nMCHEMBL351483
9.66Ki0.2188nMCHEMBL1256609
9.64EC500.23nMCHEMBL5532450
9.62Ki0.2399nMCHEMBL605405
9.62IC500.2399nMCHEMBL162682
9.60IC500.25nMCHEMBL194837
9.60Ki0.25nMCHEMBL50390
9.59EC500.26nMCHEMBL49137
9.59IC500.26nMCHEMBL554581
9.54Ki0.29nMOXYMETAZOLINE
9.54EC500.29nMCLONIDINE
9.54IC500.2884nMCHEMBL163190
9.53IC500.2951nMCHEMBL162490
9.52Ki0.3nMCHEMBL91157
9.52Ki0.3nMCHEMBL419316
9.52Ki0.3nMRAUWOLSCINE
9.52Ki0.3nMCHEMBL319119
9.52Ki0.3nMCHEMBL100879
9.51IC500.31nMLISURIDE
9.50Ki0.3162nMCHEMBL5517941
9.50EC500.3162nMCLONIDINE
9.49Ki0.3236nMCHEMBL4483022
9.48Ki0.3311nMCHEMBL1255617
9.47IC500.3388nMCHEMBL162232
9.46IC500.3467nMCHEMBL162370
9.45IC500.3548nMCHEMBL165350
9.44Ki0.3631nMCHEMBL10332
9.41Ki0.39nMCHEMBL554019
9.41Ki0.387nMDIHYDROERGOTAMINE
9.40Ki0.4nMCHEMBL176116
9.40Ki0.4nMYOHIMBINE

PubChem BioAssay actives

1279 with measured affinity, of 6100 total; 50 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.

CompoundAssayTypeValueUnit
Naphazoline Hydrochloride36185: Compound was evaluated for Adrenergic activity against Alpha-2 adrenergic receptor in human plateletsic50<0.0001uM
5-(1-naphthalen-1-ylethyl)-1H-imidazole;hydrochloride36187: Compound was tested for Adrenergic activity against Alpha-2 adrenergic receptor from rat aortaic50<0.0001uM
3-diethoxyphosphoryl-3,5-diphenyl-3a,6a-dihydropyrrolo[3,4-c]pyrrole-4,6-dione1561258: Displacement of [3H]RX821002 from alpha2-AR in human brain frontal cortex incubated for 30 mins by liquid scintillation spectrometryki<0.0001uM
2-(1-naphthalen-2-ylethyl)-4,5-dihydro-1H-imidazole;hydrochloride36185: Compound was evaluated for Adrenergic activity against Alpha-2 adrenergic receptor in human plateletsic50<0.0001uM
2-(naphthalen-1-ylmethyl)-1H-imidazole;hydrochloride36185: Compound was evaluated for Adrenergic activity against Alpha-2 adrenergic receptor in human plateletsic50<0.0001uM
2-(1-naphthalen-1-ylethyl)-4,5-dihydro-1H-imidazole;hydrochloride36185: Compound was evaluated for Adrenergic activity against Alpha-2 adrenergic receptor in human plateletsic50<0.0001uM
5-[(1aR,6aR)-1a,6-dihydro-1H-cyclopropa[a]inden-6a-yl]-1H-imidazole516907: Displacement of [3H]-RX821002 from human adrenergic alpha2A receptor expressed in rat C6 cells after 120 mins by liquid scintillation countingki<0.0001uM
2-[[(3R,3aS)-3-[[4-[(E)-2-methyl-3-phenylprop-2-enyl]piperazin-1-yl]methyl]-3a,4-dihydro-3H-chromeno[4,3-c][1,2]oxazol-7-yl]oxy]-N,N-dimethylethanamine238678: Binding affinity for alpha-2A adrenergic receptorki0.0001uM
(3R,3aS)-7-(2-methoxyethoxy)-3-[[4-[(E)-2-methyl-3-phenylprop-2-enyl]piperazin-1-yl]methyl]-3a,4-dihydro-3H-chromeno[4,3-c][1,2]oxazole238678: Binding affinity for alpha-2A adrenergic receptorki0.0001uM
3-diethoxyphosphoryl-5-(3-nitrophenyl)-3-phenyl-3a,6a-dihydropyrrolo[3,4-c]pyrrole-4,6-dione1561258: Displacement of [3H]RX821002 from alpha2-AR in human brain frontal cortex incubated for 30 mins by liquid scintillation spectrometryki0.0001uM
5-(1-naphthalen-2-ylethyl)-1H-imidazole;hydrochloride36185: Compound was evaluated for Adrenergic activity against Alpha-2 adrenergic receptor in human plateletsic500.0001uM
5-[(1S,1aR,6aS)-1-ethyl-1a,6-dihydro-1H-cyclopropa[a]inden-6a-yl]-1H-imidazole516907: Displacement of [3H]-RX821002 from human adrenergic alpha2A receptor expressed in rat C6 cells after 120 mins by liquid scintillation countingki0.0001uM
methyl (1S,15S,18S,19S,20S)-18-hydroxy-1,3,11,12,14,15,16,17,18,19,20,21-dodecahydroyohimban-19-carboxylate36340: Compound was evaluated for inhibition of binding of [3H]rauwolscine to Alpha-2 adrenergic receptor in opossum kidneyki0.0001uM
(3R,3aS)-3-[[4-[(E)-2-methyl-3-phenylprop-2-enyl]piperazin-1-yl]methyl]-3a,4-dihydro-3H-chromeno[4,3-c][1,2]oxazol-7-ol238678: Binding affinity for alpha-2A adrenergic receptorki0.0002uM
3-methoxy-12-methylsulfonyl-5,6,8,8a,9,10,11,12a,13,13a-decahydroisoquinolino[2,1-g][1,6]naphthyridine80588: Ability to reverse inhibitory effects of UK-14304 on the contraction of guinea pig ileum as a measure of alpha-2 adrenergic receptor antagonism.kd0.0002uM
5-(8-bromo-3,4-dihydro-2H-chromen-4-yl)-1H-imidazole2065728: Agonist activity at alpha2A-adrenoceptor (unknown origin) expressed in CHO-alpha2-AR-PKAcatEGFP cells assessed as intracellular cAMP concentration by measuring PKA translocation after 15 mins incubation by PKA redistribution assayec500.0002uM
3-[2-(3,4-dihydro-1H-[1]benzofuro[3,2-c]pyridin-2-yl)ethyl]-7-iodo-2-methylpyrido[1,2-a]pyrimidin-4-one36067: Binding affinity at human Alpha-2A adrenergic receptor in CHO cells by [3H]rauwolscine (1 nM) displacement.ic500.0002uM
7-chloro-3-[2-(3,4-dihydro-1H-[1]benzofuro[3,2-c]pyridin-2-yl)ethyl]-2-methylpyrido[1,2-a]pyrimidin-4-one36067: Binding affinity at human Alpha-2A adrenergic receptor in CHO cells by [3H]rauwolscine (1 nM) displacement.ic500.0002uM
2,8-dimethyl-5-[(Z)-2-phenylethenyl]-3,4-dihydro-1H-pyrido[4,3-b]indole452265: Displacement of [3H]MK-912 from human recombinant adrenergic alpha2A receptor expressed in insect Sf9 cellski0.0002uM
5-[(1aR,6S,6aR)-6-methyl-1a,6-dihydro-1H-cyclopropa[a]inden-6a-yl]-1H-imidazole516907: Displacement of [3H]-RX821002 from human adrenergic alpha2A receptor expressed in rat C6 cells after 120 mins by liquid scintillation countingki0.0002uM
5-[(1S,1aR,6aS)-1-methyl-1a,6-dihydro-1H-cyclopropa[a]inden-6a-yl]-1H-imidazole516907: Displacement of [3H]-RX821002 from human adrenergic alpha2A receptor expressed in rat C6 cells after 120 mins by liquid scintillation countingki0.0002uM
(8aR,12aR,13aS)-3-methoxy-12-methylsulfonyl-5,6,8,8a,9,10,11,12a,13,13a-decahydroisoquinolino[2,1-g][1,6]naphthyridine80588: Ability to reverse inhibitory effects of UK-14304 on the contraction of guinea pig ileum as a measure of alpha-2 adrenergic receptor antagonism.kd0.0002uM
(3R,3aS)-3-[[4-[(E)-3-(2,5-difluorophenyl)-2-methylprop-2-enyl]piperazin-1-yl]methyl]-7,8-dimethoxy-3a,4-dihydro-3H-chromeno[4,3-c][1,2]oxazole35948: In vitro binding affinity to the human alpha-2A adrenergic receptorki0.0003uM
2-(2,4-dichlorophenoxy)-N-[2-[2-(dimethylamino)ethoxy]-4-methylquinolin-6-yl]acetamide254838: Inhibitory concentration against alpha-2 adrenergic receptoric500.0003uM
(3R)-5-chlorospiro[2,4-dihydro-1H-naphthalene-3,2’-5H-1,3-oxazole]-4’-amine2065717: Binding affinity to human alpha2A-adrenoceptorki0.0003uM
N-(4,5-dihydro-1H-imidazol-2-yl)-5-methylquinoxalin-6-amine36513: Compound was tested for concentration that produced 50% contractile response relative to maximum response to norepinephrine for Alpha-2 adrenergic receptor in rabbit vas deferensec500.0003uM
3-[2-(3,4-dihydro-1H-[1]benzofuro[3,2-c]pyridin-2-yl)ethyl]-2,7-dimethylpyrido[1,2-a]pyrimidin-4-one36067: Binding affinity at human Alpha-2A adrenergic receptor in CHO cells by [3H]rauwolscine (1 nM) displacement.ic500.0003uM
3-[2-(3,4-dihydro-1H-[1]benzofuro[3,2-c]pyridin-2-yl)ethyl]-9-methoxy-2-methylpyrido[1,2-a]pyrimidin-4-one36067: Binding affinity at human Alpha-2A adrenergic receptor in CHO cells by [3H]rauwolscine (1 nM) displacement.ic500.0003uM
Clonidine2104625: Agonist activity at human recombinant adrenergic alpha-2A receptor expressed in CHO-K1 cells co-transfected with 22F-Glosensor assessed as inhibition of cAMP production measured after 30 mins incubation by Microbeta2Micro-plate counter analysisec500.0003uM
(3R,3aS)-7,8-dimethoxy-3-[[4-[(E)-2-methyl-3-phenylprop-2-enyl]piperazin-1-yl]methyl]-3a,4-dihydro-3H-chromeno[4,3-c][1,2]oxazole239434: Inhibition of [3H]- rauwolscine binding to human alpha-2A adrenergic receptorki0.0003uM
(3R,3aS)-7,8-dimethoxy-3-[[4-[(E)-3-phenylbut-2-enyl]piperazin-1-yl]methyl]-3a,4-dihydro-3H-chromeno[4,3-c][1,2]oxazole239434: Inhibition of [3H]- rauwolscine binding to human alpha-2A adrenergic receptorki0.0003uM
(3R,3aS)-7,8-dimethoxy-3-[[4-[(E)-3-thiophen-2-ylbut-2-enyl]piperazin-1-yl]methyl]-3a,4-dihydro-3H-chromeno[4,3-c][1,2]oxazole35948: In vitro binding affinity to the human alpha-2A adrenergic receptorki0.0003uM
3-[2-(3,4-dihydro-1H-[1]benzofuro[3,2-c]pyridin-2-yl)ethyl]-2,6-dimethylpyrido[1,2-a]pyrimidin-4-one36067: Binding affinity at human Alpha-2A adrenergic receptor in CHO cells by [3H]rauwolscine (1 nM) displacement.ic500.0003uM
3-[2-(3,4-dihydro-1H-[1]benzofuro[3,2-c]pyridin-2-yl)ethyl]-2,6,8-trimethylpyrido[1,2-a]pyrimidin-4-one36067: Binding affinity at human Alpha-2A adrenergic receptor in CHO cells by [3H]rauwolscine (1 nM) displacement.ic500.0003uM
2-(1-naphthalen-1-ylethyl)-1H-imidazole;hydrochloride36185: Compound was evaluated for Adrenergic activity against Alpha-2 adrenergic receptor in human plateletsic500.0003uM
Oxymetazoline1063789: Displacement of [125I]Clonidine from adrenergic alpha2A receptor (unknown origin)ki0.0003uM
5-[(1aR,6aS)-spiro[1,1a-dihydrocyclopropa[a]indene-6,1’-cyclopropane]-6a-yl]-1H-imidazole516907: Displacement of [3H]-RX821002 from human adrenergic alpha2A receptor expressed in rat C6 cells after 120 mins by liquid scintillation countingki0.0003uM
2-(3-methoxy-2H-1,4-benzodioxin-3-yl)-4,5-dihydro-1H-imidazole339888: Displacement of [3H]RS79948-197 from human recombinant adrenergic alpha2A receptor expressed in CHO cellski0.0004uM
[(3R,3aS)-3-[[4-[(E)-2-methyl-3-phenylprop-2-enyl]piperazin-1-yl]methyl]-3a,4-dihydro-3H-chromeno[4,3-c][1,2]oxazol-7-yl] acetate238678: Binding affinity for alpha-2A adrenergic receptorki0.0004uM
3-[2-(3,4-dihydro-1H-[1]benzofuro[3,2-c]pyridin-2-yl)ethyl]-2,8-dimethylpyrido[1,2-a]pyrimidin-4-one36067: Binding affinity at human Alpha-2A adrenergic receptor in CHO cells by [3H]rauwolscine (1 nM) displacement.ic500.0004uM
7-bromo-3-[2-(3,4-dihydro-1H-[1]benzofuro[3,2-c]pyridin-2-yl)ethyl]-2-methylpyrido[1,2-a]pyrimidin-4-one36067: Binding affinity at human Alpha-2A adrenergic receptor in CHO cells by [3H]rauwolscine (1 nM) displacement.ic500.0004uM
(1S,15R,18S,19R,20S)-18-hydroxy-N-[10-[[(1S,15R,18S,19R,20S)-18-hydroxy-1,3,11,12,14,15,16,17,18,19,20,21-dodecahydroyohimban-19-carbonyl]amino]decyl]-1,3,11,12,14,15,16,17,18,19,20,21-dodecahydroyohimban-19-carboxamide;dihydrochloride35935: Binding affinity against human Alpha-2A adrenergic receptor expressed stably in CHO cells using [3H]rauwolscine as radioligandki0.0004uM
5-[(1aR,6aR)-1a-methyl-1,6-dihydrocyclopropa[a]inden-6a-yl]-1H-imidazole516907: Displacement of [3H]-RX821002 from human adrenergic alpha2A receptor expressed in rat C6 cells after 120 mins by liquid scintillation countingki0.0004uM
5-[(1S,1aR,6aS)-1-propyl-1a,6-dihydro-1H-cyclopropa[a]inden-6a-yl]-1H-imidazole516907: Displacement of [3H]-RX821002 from human adrenergic alpha2A receptor expressed in rat C6 cells after 120 mins by liquid scintillation countingki0.0004uM
3-[2-(3,4-dihydro-1H-[1]benzofuro[3,2-c]pyridin-2-yl)ethyl]-2-methylpyrido[1,2-a]pyrimidin-4-one36067: Binding affinity at human Alpha-2A adrenergic receptor in CHO cells by [3H]rauwolscine (1 nM) displacement.ic500.0005uM
1-[(7-methyl-2,3-dihydro-1H-inden-4-yl)oxy]-3-(propan-2-ylamino)butan-2-ol752260: Binding affinity to human adrenergic alpha2 receptor by radioligand displacement assayic500.0005uM
7-methoxy-3-[[4-[(E)-3-phenylprop-2-enyl]piperazin-1-yl]methyl]-3a,4-dihydro-3H-chromeno[4,3-c][1,2]oxazole35947: In vitro binding affinity towards human alpha-2A adrenergic receptor using [3H]rauwolscineki0.0005uM
(3R,3aS)-3-[[4-[(E)-3-(furan-2-yl)but-2-enyl]piperazin-1-yl]methyl]-7,8-dimethoxy-3a,4-dihydro-3H-chromeno[4,3-c][1,2]oxazole35948: In vitro binding affinity to the human alpha-2A adrenergic receptorki0.0005uM
(3R,3aS)-7-methoxy-3-[[4-[(E)-2-methyl-3-phenylprop-2-enyl]piperazin-1-yl]methyl]-3a,4-dihydro-3H-chromeno[4,3-c][1,2]oxazole238678: Binding affinity for alpha-2A adrenergic receptorki0.0005uM
5-[(1aR,6S,6aS)-6-ethyl-1a,6-dihydro-1H-cyclopropa[a]inden-6a-yl]-1H-imidazole516907: Displacement of [3H]-RX821002 from human adrenergic alpha2A receptor expressed in rat C6 cells after 120 mins by liquid scintillation countingki0.0005uM

CTD chemical–gene interactions

69 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
Valproic Acidaffects expression, increases expression, increases methylation4
entinostatincreases expression, affects cotreatment2
Decitabineaffects expression, increases expression2
Epinephrineincreases phosphorylation, affects binding, increases activity, increases abundance, decreases reaction (+2 more)2
Norepinephrineaffects binding, decreases reaction, increases activity, increases abundance2
Tobacco Smoke Pollutiondecreases expression, decreases methylation2
Doxazosindecreases reaction, increases activity, decreases expression, affects binding2
Dexmedetomidineaffects binding, increases activity, decreases reaction2
aristolochic acid Iincreases expression1
bisphenol Fincreases expression, affects cotreatment1
aminomethylphosphonic acid (AMPA)increases expression1
bisphenol Adecreases expression1
xylometazolineaffects binding, decreases reaction1
2-methyl-4-isothiazolin-3-oneincreases expression1
trichostatin Aincreases expression1
amitrazdecreases activity1
talipexoleaffects binding, decreases reaction, increases activity1
phenethylamineaffects binding1
moxonidineaffects binding, increases activity1
5,6-dihydroxy-1-(2-imidazolinyl)tetralinaffects binding, increases activity1
2-methoxyidazoxanaffects binding, decreases reaction1
1-(6-((3-methoxyestra-1,3,5(10)-trien-17-yl)amino)hexyl)-1H-pyrrole-2,5-dioneaffects binding, decreases reaction, increases activity1
pentabromodiphenyl etherdecreases expression1
CGP 52608affects binding, increases reaction1
4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamideaffects cotreatment, increases expression1
abrinedecreases expression1
2,2’,4,4’-tetrabromodiphenyl etherdecreases expression1
dorsomorphinaffects cotreatment, increases expression1
(+)-JQ1 compounddecreases expression1
Brimonidine Tartrateaffects binding, decreases reaction, increases activity, increases reaction1

ChEMBL screening assays

896 unique, capped per target: 687 binding, 190 functional, 17 admet, 2 unclassified

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL1007882BindingInhibition of adrenergic alpha2A receptorDiscovery of imidazo[1,2-b]thiazole derivatives as novel SIRT1 activators. — J Med Chem
CHEMBL1015737FunctionalAntagonist activity at human recombinant adrenergic alpha2A receptor expressed in CHO cellsAlpha2-adrenoreceptors profile modulation. 4. From antagonist to agonist behavior. — J Med Chem
CHEMBL1737999UnclassifiedPUBCHEM_BIOASSAY: Late-stage radioligand binding dose response assay to identify inhibitors of NADPH oxidase 1 (NOX1): PDSP screen Ki. (Class of assay: screening) [Related pubchem assays (depositor defined):AID1792, AID1796, AID1823, AID253PubChem BioAssay data set

Cellosaurus cell lines

7 cell lines: 5 spontaneously immortalized cell line, 2 cancer cell line

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_9112L-alpha-2A L-cellsSpontaneously immortalized cell lineMale
CVCL_D9X9Ubigene HeLa ADRA2A KOCancer cell lineFemale
CVCL_H390CHO-K1/ADRA2A/Galpha15Spontaneously immortalized cell lineFemale
CVCL_KS26GeneBLAzer ADRA2A-Gqo5-NFAT-bla CHO-K1Spontaneously immortalized cell lineFemale
CVCL_KU76cAMP Hunter CHO-K1 ADRA2A GiSpontaneously immortalized cell lineFemale
CVCL_KW26PathHunter CHO-K1 ADRA2A beta-arrestinSpontaneously immortalized cell lineFemale
CVCL_ZJ95Tango ADRA2A-bla U2OSCancer cell lineFemale

Clinical trials (associated diseases)

90 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT00005764PHASE4COMPLETEDA Study of Increased Lactic Acid and Abnormal Fat Distribution in HIV-Positive Patients
NCT00006190PHASE4COMPLETEDA Study to Determine How and Why HIV-Infected Subjects on Anti-viral Treatment Develop Lipodystrophy
NCT00119769PHASE4COMPLETEDThe Effect of Low-Dose Human Growth Hormone Therapy in HIV Infected Patients
NCT00192621PHASE4COMPLETEDSeronegatives and Metabolic Abnormalities Protocol 2 (SAMA002): Study to Compare the Effect of Kaletra and Combivir® in HIV-Negative Healthy Subjects
NCT00202228PHASE4COMPLETEDLactate Metabolism Study in HIV Infected Persons
NCT00227500PHASE4COMPLETEDPravastatin for Hyperlipidaemia in HIV.
NCT00360139PHASE4WITHDRAWNClinical Trial to Determine the Efficacy of Sculptra™ Dermal Filler for the Correction of Contour Deformities Caused by Lipoatrophy
NCT00426296PHASE4UNKNOWNSHARE: Simple HAART With Abacavir, Reyataz, and Epivir
NCT00865007PHASE4COMPLETEDLopinavir/r Monotherapy Versus Abacavir/Lamivudine and Lopinavir/r for Limb Fat Recovery in Persons With Lipoatrophy
NCT01612858PHASE4COMPLETEDMetabolic Abnormalities in HIV-infected Persons
NCT00006412PHASE3COMPLETEDSafety and Effectiveness of Fenofibrate and Pravastatin in HIV-Positive Patients With Abnormal Blood Lipids
NCT00082628PHASE3COMPLETEDTreatment of Abnormal Adipose Tissue Accumulation in Human Immunodeficiency Virus (HIV) Patients
NCT00123253PHASE3COMPLETEDTH9507 in Patients With HIV-Associated Lipodystrophy
NCT00608023PHASE3COMPLETEDTH9507 Extension Study in Patients With HIV-Associated Lipodystrophy
NCT02262832PHASE3ACTIVE_NOT_RECRUITINGCompassionate Use of Metreleptin in Previously Treated People With Generalized Lipodystrophy
NCT04860063PHASE3UNKNOWNEffect of Berberine on Metabolic Syndrome, Efficacy and Safety in Combination With Antiretroviral Therapy in PLWH.
NCT00005905PHASE2COMPLETEDLeptin to Treat Lipodystrophy
NCT00021463PHASE2COMPLETEDChanging to Nonprotease Inhibitor Treatment to Improve Side Effects
NCT00025883PHASE2COMPLETEDLeptin to Treat Lipodystrophy
NCT00119379PHASE2COMPLETEDEffectiveness of Nucleoside Supplementation or Switch to Tenofovir in Reversing Fat Loss in HIV Infected Adults
NCT00461552PHASE2COMPLETEDTherapeutic Approaches to HAART-Induced Lipodystrophy
NCT00647946PHASE2COMPLETEDStudy to Evaluate Changes in Limb Fat When Switching From a Thymidine Analogue
NCT00656175PHASE2COMPLETEDRaltegravir Therapy for Women With HIV and Fat Accumulation
NCT01679197PHASE2COMPLETEDClinical Protocol to Investigate the Efficacy of Recombinant Human Leptin (Metreleptin) in Nonalcoholic Steatohepatitis (NASH) or Nonalcoholic Fatty Liver Disease (NAFLD) Associated With Lipodystrophy
NCT01778556PHASE2COMPLETEDShort-term Effects of Leptin in People With Lipodystrophy
NCT02262806PHASE2ACTIVE_NOT_RECRUITINGCompassionate Use of Metreleptin in Previously Treated People With Partial Lipodystrophy
NCT02639286PHASE2COMPLETEDEfficacy, Safety and Tolerability of ISIS 304801 in People With Partial Lipodystrophy With an Open-Label Extension
NCT07313787PHASE2NOT_YET_RECRUITINGEffects of Meal Macronutrients on Postprandial Lipids
NCT00006185PHASE1COMPLETEDUnderlying Abnormalities in Fat and Muscle Leading to Lipodystrophy Syndrome
NCT00017758PHASE1COMPLETEDThe Effect of Efavirenz and Nelfinavir on the Blood Levels of Certain Lipid-Lowering Drugs
NCT00715546PHASE1UNKNOWNAutologous Adipose-Derived Stem Cell Transplantation in Patients With Lipodystrophy
NCT02034786PHASE1UNKNOWNSafety Study of Filler Agent Composed of Autologous Mesenchymal Stem Cells and Hyaluronic Acid
NCT02647853PHASE1COMPLETEDPhase 1 Study to Assess the Safety and Tolerability of TAT4 Gel in Healthy Volunteers
NCT00910936PHASE2/PHASE3UNKNOWNExercise for Patients With HIV Infections
NCT00001142Not specifiedCOMPLETEDMetabolism and Body Shape of Healthy Children and Children With Chronic Infections
NCT00004329Not specifiedCOMPLETEDStudy of Alpha-2 Adrenergic Receptor Dysfunction in Regional Lipoatrophy
NCT00006064Not specifiedCOMPLETEDThe Effect of Anti-HIV Treatment on Body Characteristics of HIV-Infected Children
NCT00006290Not specifiedCOMPLETEDPerceived Changes in Body Build and Image in Patients Who Are Now Taking or Recently Have Stopped Taking Anti-HIV Drugs
NCT00015691Not specifiedCOMPLETEDMetformin and Rosiglitazone, Alone or in Combination, in HIV-Infected Patients With Insulin and Fat Abnormalities
NCT00028314Not specifiedCOMPLETEDEffects of Treatment Changes on Fat Wasting in the Arms and Legs of HIV Patients