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Prepublished online as a Blood First Edition Paper on January 30, 2003; DOI 10.1182/blood-2002-10-3027.

Submitted October 18, 2002
Accepted December 18, 2002
Inactivation of the human P2Y12 receptor by thiol reagents requires interaction with both extracellular cysteine residues, C17 and C270
Zhongren Ding, Soochong Kim, Robert T Dorsam, Jianguo Jin, and Satya P Kunapuli*
Department of Physiology, Temple University Medical School, Philadelphia, PA, USA
Department of Pharmacology, Temple University Medical School, Philadelphia, PA, USA
Sol Sherry Thrombosis Research Center, Temple University Medical School, Philadelphia, PA, USA
* Corresponding author; email: kunapuli{at}nimbus.temple.edu.
Human platelets express two G protein-coupled nucleotide receptors: the P2Y1 receptor, coupled to Gq, and the P2Y12 receptor, coupled to Gi. Although these two receptors have similar pharmacological profiles, they have different reactivities towards thiol reagents. The thiol agent p-chloromercuribenzenesulfonic acid (pCMBS), and the active metabolites from antiplatelet drugs, clopidogrel and CS747, inactivate the P2Y12 receptor and are predicted to interact with the extracellular cysteine residues on the P2Y12 receptor. In this study we identified the reactive cysteine residues on the human P2Y12 receptor by site-directed mutagenesis using pCMBS as the thiol reagent. C97S and C175S mutants of the P2Y12 receptor did not express when transfected into CHO-K1 cells, indicating the essential nature of a disulfide bridge between these residues. The C17S, C270S, and C17S/C270S double mutants had similar EC50 values for ADP and 2MeSADP when compared with the wild type P2Y12. Similarly, IC50 values for BzATP, an antagonist of the P2Y12 receptor, also did not differ dramatically among these mutants and the wild type P2Y12 receptor. pCMBS inactivated the wild type P2Y12 receptor in a concentration-dependent manner, whereas it had no effect on the P2Y1 receptor. Finally, pCMBS partially affected the Gi coupling of C17S or C270S receptor mutants, but had no effect on C17S/C270S P2Y12 receptor-mediated inhibition of adenylyl cyclase. These results indicate that, unlike the P2Y1 receptor, which has two essential disulfide bridges linking its extracellular domains, the P2Y12 receptor has two free cysteines in its extracellular domains (C17 and C270), both of which are targets of thiol reagents. We speculate that the active metabolites of clopidogrel and CS747 form disulfide bridges with both C17 and C270 in the P2Y12 receptor, and thereby inactivate the receptor.

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