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Adenosine A2 receptors reverse ischemia-reperfusion lung injury independent of beta-receptors.

Abstract
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.
AuthorsP L Khimenko, T M Moore, L W Hill, P S Wilson, S Coleman, A Rizzo, A E Taylor
JournalJournal of applied physiology (Bethesda, Md. : 1985) (J Appl Physiol (1985)) Vol. 78 Issue 3 Pg. 990-6 (Mar 1995) ISSN: 8750-7587 [Print] United States
PMID7775345 (Publication Type: Journal Article)
Chemical References
  • Receptors, Adrenergic, beta
  • Receptors, Purinergic P1
  • Adenosine-5'-(N-ethylcarboxamide)
  • Cyclic AMP-Dependent Protein Kinases
  • Adenosine
Topics
  • Adenosine (analogs & derivatives, pharmacology)
  • Adenosine-5'-(N-ethylcarboxamide)
  • Animals
  • Cyclic AMP-Dependent Protein Kinases (antagonists & inhibitors)
  • Endothelium (pathology, physiopathology)
  • Ischemia (pathology, physiopathology)
  • Lung (pathology)
  • Male
  • Organ Size
  • Pulmonary Circulation
  • Rats
  • Receptors, Adrenergic, beta (physiology)
  • Receptors, Purinergic P1 (drug effects, physiology)
  • Reperfusion Injury (pathology, physiopathology)

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