To evaluate the
adenosine systems ability to reverse the endothelial damage produced by
ischemia and reperfusion (I/R), we studied several different selective
adenosine-receptor agonists and antagonists, a
protein kinase A inhibitor, and a beta-adrenoreceptor antagonist in isolated
buffer-perfused rat lungs. I/R (45 min/105 min) produced a sixfold increase in endothelial permeability as measured by the capillary filtration coefficient. Both a selective A2-receptor agonist (
CGS-21680, 300 nM) and a beta-receptor agonist (
isoproterenol, 10 microM) reversed the increased microvascular permeability. A nonselective
adenosine-receptor antagonist (SPT, 20 microM) and a selective A1-receptor antagonist (
DPCPX, 10 nM) had no effect on increased microvascular permeability. Also,
isoproterenol and CGS-21680 reversed the damage being introduced after a selective A1-receptor agonist (CCPA, 100 nM). The nonspecific
adenosine A1- and A2-receptor agonist
NECA (12 nM) appeared to desensitize the A2 receptors and a
protein kinase A inhibitor, adenosine-3',5'-cyclic monophosphothioate (
Rp-cAMPS, 100 microM), blocked the reversal of endothelial damage by
isoproterenol or A2-receptor agonist.
Propranolol (100 microM) blocked the effect of
isoproterenol but not the effect of CGS-21680. From this study we conclude that A2-receptor activation reverses endothelial damage associated with I/R by a mechanism independent of beta-receptors or Gi
protein. However, a
protein kinase A-3',5',-cyclic
adenosine monophosphate pathway is activated by both the
adenosine systems and beta-receptor activation.