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Vol. 53, Issue 4, 527-552, December 2001

International Union of Pharmacology. XXV. Nomenclature and Classification of Adenosine Receptors

Bertil B. Fredholm1, Adriaan P. IJzerman, Kenneth A. Jacobson, Karl-Norbert Klotz and Joel Linden

Department of Physiology and Pharmacology, Section of Molecular Neuropharmacology, Karolinska Institutet, Stockholm, Sweden (B.B.F.); Leiden/Amsterdam Center for Drug Research, Gorlaeus Laboratories, Leiden, The Netherlands (A.P.I.); Molecular Recognition Section, National Institutes of Health, Bethesda, Maryland (K.A.J.); Institut für Pharmakologie und Toxikologie, Universität Würzburg, Würzburg, Germany (K.-N.K.); and Department of Physiology, Health Sciences Center, University of Virginia, Charlottesville, Virginia (J.L.)

I. Introduction
II. Molecular Basis for Receptor Nomenclature
III. Formation and Levels of the Endogenous Agonist Adenosine
IV. Structure
V. Gene Structure
VI. Binding Sites As Revealed by Site-Directed Mutagenesis
VII. Distribution
VIII. Classification of Adenosine Receptors Using Pharmacological Tools
IX. Signaling
    A. G Protein Coupling
    B. Second Messengers and Signals
    C. Adenosine Receptor-Mediated Changes in Cell Proliferation and in Mitogen-Activated Protein Kinase Activation
    D. Interactions with Other Receptor Systems
X. Receptor Regulation
XI. Assay Systems
XII. Physiological Roles---Therapeutic Potential
References

Four adenosine receptors have been cloned and characterized from several mammalian species. The receptors are named adenosine A1, A2A, A2B, and A3. The A2A and A2B receptors preferably interact with members of the Gs family of G proteins and the A1 and A3 receptors with Gi/o proteins. However, other G protein interactions have also been described. Adenosine is the preferred endogenous agonist at all these receptors, but inosine can also activate the A3 receptor. The levels of adenosine seen under basal conditions are sufficient to cause some activation of all the receptors, at least where they are abundantly expressed. Adenosine levels during, e.g., ischemia can activate all receptors even when expressed in low abundance. Accordingly, experiments with receptor antagonists and mice with targeted disruption of adenosine A1, A2A, and A3 expression reveal roles for these receptors under physiological and particularly pathophysiological conditions. There are pharmacological tools that can be used to classify A1, A2A, and A3 receptors but few drugs that interact selectively with A2B receptors. Testable models of the interaction of these drugs with their receptors have been generated by site-directed mutagenesis and homology-based modelling. Both agonists and antagonists are being developed as potential drugs.


1 Address for correspondence: Bertil B. Fredholm, Department of Physiology and Pharmacology, Section of Molecular Neuropharmacology, Karolinska Institutet, 171 77 Stockholm, Sweden. E-mail: Bertil.Fredholm{at}fyfa.ki.se


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Copyright © 2001 by The American Society for Pharmacology and Experimental Therapeutics



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C.-B. Zhu, J. A. Steiner, J. L. Munn, L. C. Daws, W. A. Hewlett, and R. D. Blakely
Rapid Stimulation of Presynaptic Serotonin Transport by A3 Adenosine Receptors
J. Pharmacol. Exp. Ther., July 1, 2007; 322(1): 332 - 340.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
M. R. Blackburn
A role for neural pathways in adenosine-induced bronchoconstriction
Am J Physiol Lung Cell Mol Physiol, July 1, 2007; 293(1): L22 - L24.
[Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
S. J. Swoap, M. Rathvon, and M. Gutilla
AMP does not induce torpor
Am J Physiol Regulatory Integrative Comp Physiol, July 1, 2007; 293(1): R468 - R473.
[Abstract] [Full Text] [PDF]


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J. Physiol.Home page
A. Gundlfinger, J. Bischofberger, F. W. Johenning, M. Torvinen, D. Schmitz, and J. Breustedt
Adenosine modulates transmission at the hippocampal mossy fibre synapse via direct inhibition of presynaptic calcium channels
J. Physiol., July 1, 2007; 582(1): 263 - 277.
[Abstract] [Full Text] [PDF]


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J. Physiol.Home page
T. Tabata, D. Kawakami, K. Hashimoto, H. Kassai, T. Yoshida, Y. Hashimotodani, B. B. Fredholm, Y. Sekino, A. Aiba, and M. Kano
G protein-independent neuromodulatory action of adenosine on metabotropic glutamate signalling in mouse cerebellar Purkinje cells
J. Physiol., June 1, 2007; 581(2): 693 - 708.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
A. Haschemi, O. Wagner, R. Marculescu, B. Wegiel, S. C. Robson, N. Gagliani, D. Gallo, J.-F. Chen, F. H. Bach, and L. E. Otterbein
Cross-Regulation of Carbon Monoxide and the Adenosine A2a Receptor in Macrophages
J. Immunol., May 1, 2007; 178(9): 5921 - 5929.
[Abstract] [Full Text] [PDF]


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Physiol. Rev.Home page
G. Burnstock
Physiology and Pathophysiology of Purinergic Neurotransmission
Physiol Rev, April 1, 2007; 87(2): 659 - 797.
[Abstract] [Full Text] [PDF]


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FASEB J.Home page
A. Mohsenin, M. D. Burdick, J. G. Molina, M. P. Keane, and M. R. Blackburn
Enhanced CXCL1 production and angiogenesis in adenosine-mediated lung disease
FASEB J, April 1, 2007; 21(4): 1026 - 1036.
[Abstract] [Full Text] [PDF]


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Nephrol Dial TransplantHome page
L. Carrega, E. Fenouillet, P. Giaime, A. Charavil, L. Mercier, V. Gerolami, J.-L. Berge-Lefranc, Y. Berland, J. Ruf, A. Saadjian, et al.
Influence of haemodialysis and left ventricular failure on peripheral A2A adenosine receptor expression
Nephrol. Dial. Transplant., March 1, 2007; 22(3): 851 - 856.
[Abstract] [Full Text] [PDF]


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J. Pharmacol. Exp. Ther.Home page
Q. Li, K. Ye, C. C. Blad, H. den Dulk, J. Brouwer, A. P. IJzerman, and M. W. Beukers
ZM241385, DPCPX, MRS1706 Are Inverse Agonists with Different Relative Intrinsic Efficacies on Constitutively Active Mutants of the Human Adenosine A2B Receptor
J. Pharmacol. Exp. Ther., February 1, 2007; 320(2): 637 - 645.
[Abstract] [Full Text] [PDF]


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J. Pharmacol. Exp. Ther.Home page
S. Ryzhov, J. L. McCaleb, A. E. Goldstein, I. Biaggioni, and I. Feoktistov
Role of Adenosine Receptors in the Regulation of Angiogenic Factors and Neovascularization in Hypoxia
J. Pharmacol. Exp. Ther., February 1, 2007; 320(2): 565 - 572.
[Abstract] [Full Text] [PDF]


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J. Pharmacol. Exp. Ther.Home page
S. Husain, T. W. Shearer, and C. E. Crosson
Mechanisms Linking Adenosine A1 Receptors and Extracellular Signal-Regulated Kinase 1/2 Activation in Human Trabecular Meshwork Cells
J. Pharmacol. Exp. Ther., January 1, 2007; 320(1): 258 - 265.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
R. D. Lasley, G. Kristo, B. J. Keith, and R. M. Mentzer Jr.
The A2a/A2b receptor antagonist ZM-241385 blocks the cardioprotective effect of adenosine agonist pretreatment in in vivo rat myocardium
Am J Physiol Heart Circ Physiol, January 1, 2007; 292(1): H426 - H431.
[Abstract] [Full Text] [PDF]


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ScienceHome page
Y. Chen, R. Corriden, Y. Inoue, L. Yip, N. Hashiguchi, A. Zinkernagel, V. Nizet, P. A. Insel, and W. G. Junger
ATP Release Guides Neutrophil Chemotaxis via P2Y2 and A3 Receptors
Science, December 15, 2006; 314(5806): 1792 - 1795.
[Abstract] [Full Text] [PDF]


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FASEB J.Home page
B. M. Lewis, A. Pexa, K. Francis, V. Verma, A. M. McNicol, M. Scanlon, A. Deussen, W. H. Evans, D. A. Rees, and J. Ham
Adenosine stimulates connexin 43 expression and gap junctional communication in pituitary folliculostellate cells
FASEB J, December 1, 2006; 20(14): 2585 - 2587.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. Wang and V. H. Huxley
Adenosine A2A receptor modulation of juvenile female rat skeletal muscle microvessel permeability
Am J Physiol Heart Circ Physiol, December 1, 2006; 291(6): H3094 - H3105.
[Abstract] [Full Text] [PDF]


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J. Neurophysiol.Home page
A. Ilie, D. Ciocan, A.-M. Zagrean, D. A. Nita, L. Zagrean, and M. Moldovan
Endogenous Activation of Adenosine A1 Receptors Accelerates Ischemic Suppression of Spontaneous Electrocortical Activity
J Neurophysiol, November 1, 2006; 96(5): 2809 - 2814.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Cell Mol. Bio.Home page
H. W. J. Young, C.-X. Sun, C. M. Evans, B. F. Dickey, and M. R. Blackburn
A3 Adenosine Receptor Signaling Contributes to Airway Mucin Secretion after Allergen Challenge
Am. J. Respir. Cell Mol. Biol., November 1, 2006; 35(5): 549 - 558.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Cell Mol. Bio.Home page
H. Zhong, Y. Wu, L. Belardinelli, and D. Zeng
A2B Adenosine Receptors Induce IL-19 from Bronchial Epithelial Cells, Resulting in TNF-{alpha} Increase
Am. J. Respir. Cell Mol. Biol., November 1, 2006; 35(5): 587 - 592.
[Abstract] [Full Text] [PDF]


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J. Pharmacol. Exp. Ther.Home page
M. Faria, T. Magalhaes-Cardoso, J.-M. Lafuente-de-Carvalho, and P. Correia-de-Sa
Corpus Cavernosum from Men with Vasculogenic Impotence Is Partially Resistant to Adenosine Relaxation due to Endothelial A2B Receptor Dysfunction
J. Pharmacol. Exp. Ther., October 1, 2006; 319(1): 405 - 413.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Cell Mol. Bio.Home page
M. F. Ethier and J. M. Madison
Adenosine A1 Receptors Mediate Mobilization of Calcium in Human Bronchial Smooth Muscle Cells
Am. J. Respir. Cell Mol. Biol., October 1, 2006; 35(4): 496 - 502.
[Abstract] [Full Text] [PDF]


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Toxicol SciHome page
R. P. Vaughan, M. T. Szewczyk Jr, M. J. Lanosa, C. R. DeSesa, G. Gianutsos, and J. B. Morris
Adenosine Sensory Transduction Pathways Contribute to Activation of the Sensory Irritation Response to Inspired Irritant Vapors
Toxicol. Sci., October 1, 2006; 93(2): 411 - 421.
[Abstract] [Full Text] [PDF]


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J. Neurosci.Home page
J. Mojsilovic-Petrovic, G.-B. Jeong, A. Crocker, A. Arneja, S. David, D. Russell, and R. G. Kalb
Protecting Motor Neurons from Toxic Insult by Antagonism of Adenosine A2a and Trk Receptors
J. Neurosci., September 6, 2006; 26(36): 9250 - 9263.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
E. Y. Tan, C. L. Richard, H. Zhang, D. W. Hoskin, and J. Blay
Adenosine downregulates DPPIV on HT-29 colon cancer cells by stimulating protein tyrosine phosphatase(s) and reducing ERK1/2 activity via a novel pathway
Am J Physiol Cell Physiol, September 1, 2006; 291(3): C433 - C444.
[Abstract] [Full Text] [PDF]


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J. Physiol.Home page
B. Chuaychoo, M.-G. Lee, M. Kollarik, R. Pullmann Jr, and B. J. Undem
Evidence for both adenosine A1 and A2A receptors activating single vagal sensory C-fibres in guinea pig lungs
J. Physiol., September 1, 2006; 575(2): 481 - 490.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
A. Ohta, E. Gorelik, S. J. Prasad, F. Ronchese, D. Lukashev, M. K. K. Wong, X. Huang, S. Caldwell, K. Liu, P. Smith, et al.
A2A adenosine receptor protects tumors from antitumor T cells
PNAS, August 29, 2006; 103(35): 13132 - 13137.
[Abstract] [Full Text] [PDF]


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Mol. Pharmacol.Home page
S. Ryzhov, A. E. Goldstein, I. Biaggioni, and I. Feoktistov
Cross-Talk between Gs- and Gq-Coupled Pathways in Regulation of Interleukin-4 by A2B Adenosine Receptors in Human Mast Cells
Mol. Pharmacol., August 1, 2006; 70(2): 727 - 735.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
W. Yu, L. C. Zacharia, E. K. Jackson, and G. Apodaca
Adenosine receptor expression and function in bladder uroepithelium
Am J Physiol Cell Physiol, August 1, 2006; 291(2): C254 - C265.
[Abstract] [Full Text] [PDF]


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J. Physiol.Home page
K.-i. Otsuguro, Y. Yamaji, M. Ban, T. Ohta, and S. Ito
Involvement of adenosine in depression of synaptic transmission during hypercapnia in isolated spinal cord of neonatal rats
J. Physiol., August 1, 2006; 574(3): 835 - 847.
[Abstract] [Full Text] [PDF]


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Physiol. Rev.Home page
V. Vallon, B. Muhlbauer, and H. Osswald
Adenosine and kidney function.
Physiol Rev, July 1, 2006; 86(3): 901 - 940.
[Abstract] [Full Text] [PDF]


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CirculationHome page
A. Zernecke, K. Bidzhekov, B. Ozuyaman, L. Fraemohs, E. A. Liehn, J. M. Luscher-Firzlaff, B. Luscher, J. Schrader, and C. Weber
CD73/Ecto-5'-Nucleotidase Protects Against Vascular Inflammation and Neointima Formation
Circulation, May 2, 2006; 113(17): 2120 - 2127.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
I. C. Cavalcante, M. V. Castro, A. R. F. Barreto, G. W. Sullivan, M. Vale, P. R. C. Almeida, J. Linden, J. M. Rieger, F. Q. Cunha, R. L. Guerrant, et al.
Effect of Novel A2A Adenosine Receptor Agonist ATL 313 on Clostridium difficile Toxin A-Induced Murine Ileal Enteritis.
Infect. Immun., May 1, 2006; 74(5): 2606 - 2612.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
Z. H. Nemeth, B. Csoka, J. Wilmanski, D. Xu, Q. Lu, C. Ledent, E. A. Deitch, P. Pacher, Z. Spolarics, and G. Hasko
Adenosine A2A Receptor Inactivation Increases Survival in Polymicrobial Sepsis
J. Immunol., May 1, 2006; 176(9): 5616 - 5626.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
O. Bonneau, D. Wyss, S. Ferretti, C. Blaydon, C. S. Stevenson, and A. Trifilieff
Effect of adenosine A2A receptor activation in murine models of respiratory disorders
Am J Physiol Lung Cell Mol Physiol, May 1, 2006; 290(5): L1036 - L1043.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
R. D. Brown, P. Thoren, A. Steege, R. Mrowka, J. Sallstrom, O. Skott, B. B. Fredholm, and A. E. G. Persson
Influence of the adenosine A1 receptor on blood pressure regulation and renin release
Am J Physiol Regulatory Integrative Comp Physiol, May 1, 2006; 290(5): R1324 - R1329.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
Y. Wei, P. Sun, Z. Wang, B. Yang, M. A. Carroll, and W.-H. Wang
Adenosine inhibits ENaC via cytochrome P-450 epoxygenase-dependent metabolites of arachidonic acid
Am J Physiol Renal Physiol, May 1, 2006; 290(5): F1163 - F1168.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
J. B. Volmer, L. F. Thompson, and M. R. Blackburn
Ecto-5'-Nucleotidase (CD73)-Mediated Adenosine Production Is Tissue Protective in a Model of Bleomycin-Induced Lung Injury
J. Immunol., April 1, 2006; 176(7): 4449 - 4458.
[Abstract] [Full Text] [PDF]


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Mol. Pharmacol.Home page
N. D. Khoa, M. Postow, J. Danielsson, and B. N. Cronstein
Tumor Necrosis Factor-{alpha} Prevents Desensitization of G{alpha}s-Coupled Receptors by Regulating GRK2 Association with the Plasma Membrane
Mol. Pharmacol., April 1, 2006; 69(4): 1311 - 1319.
[Abstract] [Full Text] [PDF]


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Ann Rheum DisHome page
N P Riksen, P Barrera, P H H van den Broek, P L C M van Riel, P Smits, and G A Rongen
Methotrexate modulates the kinetics of adenosine in humans in vivo
Ann Rheum Dis, April 1, 2006; 65(4): 465 - 470.
[Abstract] [Full Text] [PDF]




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