Adenosine receptor (ARs) and P2Y receptors (P2YRs) that respond to extracellular
nucleosides/tides are associated with new directions for therapeutics. The X-ray structures of the A
2A AR complexes with agonists and antagonists are examined in relationship to the G
protein-coupled receptor (GPCR) superfamily and applied to drug discovery. Much of the data on AR
ligand structure from early SAR studies, now is explainable from the A 2A AR X-ray
crystallography. The ligand-receptor interactions in related GPCR complexes can be identified by
means of modeling approaches, e.g. molecular docking. Thus, molecular recognition in binding and
activation processes has been studied effectively using homology modeling and applied to ligand
design. Virtual screening has yielded new nonnucleoside AR antagonists, and existing ligands have
been improved with knowledge of the receptor interactions. New agonists are being explored for CNS
and peripheral therapeutics based on in vivo activity, such as chronic neuropathic pain. Ligands for
receptors more distantly related to the X-ray template, i.e. P2YRs, have been introduced and are
mainly used as pharmacological tools for elucidating the physiological role of extracellular
nucleotides. Other ligand tools for drug discovery include fluorescent probes, radioactive probes,
multivalent probes, and functionalized nanoparticles.