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ADENOSINE RECEPTOR 2006-12-7 Adenosine 1. coupling of cellular metabolism to energy supply. 2. Suppresses neuronal firing and increases blood flow. 3. four types : A1, A2A, A2B, A3 Adenosine in the brain 1. physiological neuromodulator 2. extracellular adenosine rises from nmol to mol under seizures, ischaemia and hypoxia 3. Function: a. neuroprotective effect mainly by A1 receptors. b. in neurons: inhibits the release of excitatory neurotransmitters hyperpolarization. c. stimulation of glial adenosine receptors synthesis of various neuroprotective substances. d. adenosine A1 receptor stimulation in astrocytes release of nerve growth factor and S100B protein. e. stimulation of adenosine A2B receptors in astrocytes induces synthesis and release of interleukin-6 (IL-6). Selective adenosine receptor agonists: a. CPA (A1) and CGS 21680 (A2A) b. NECA: agonist, A3 receptors c. 8PT: antagonist, high affinity for A1, A2A, intermediate affinity for A2B, very low affinity for A3 adenosine receptors Adenosine production a. S-adenosylhomocysteine (SAH) by SAH hydrolase to l-homocysteine and adenosine b. hydrolysis of AMP by 5'- nucleotidase, predominates during ischemic or hypoxic conditions. Potential signaling pathways for adenosine in modulating cardiomyocyte hypertrophy. a. Stimulator of Gq-coupled receptors a) norepinephrine phenylephrine angiotensin II endothelin-1 b) pathways: activates a Gq-PLC/PLD (phospholipase C , D) signaling pathway b. stimulator of Gs-coupled receptors a) ß1-adrenergic receptors (isoproterenol) b) pathway: activates the Gs-cAMP signaling pathway. c. Activation of Gq and Gs results: activation of Ca2+ and cAMP signaling → contractility and energy demands and results in hypertrophy d. Activation of the Gi-coupled adenosine A1 receptor results: → inhibits Gs and Gq signaling and protects the myocytes from hypertrophy Adenosine A1 receptor a. overexpression → increased myocardial resistance to ischemia b. Adenosine inhibits norepinephrine release from presynaptic vesicles→ attenuates the renin- angiotensin system, decreases endothelin-1 release, and exerts antiinflammatory effects Adenosine A1 and A3: contribute to myocardial preconditioning Adenosine A2A receptors: a. vascular system → vasodilation. b. also found in cardiac myocytes → coupling to cAMP ( reported in rat but not in porcine) c. suggests: many adenosine effects have the potential to influence the cardiac response to stress Adenosine: attenuate myocardial hypertrophy a. CAD (2-chloroadenosine ): a stable analogue of adenosine→ inhibited the hypertrophic response to phenylephrine, endothelin-1, angiotensin II, or isoproterenol. b. adenosine A1 agonist mimick (N-cyclopentyl adenosine , CPA) c. A2 or A3 agonists: did not FINE 2006-12-7 CN Molecular genetic analysis of the calcineurin signaling pathways 1. calcineurin :Ca2 and calmodulin-dependent protein phosphatase (type 2B) 2. serine:threonine-specific protein phosphatases 3. target of the immunosuppressant drugreceptor 4. Inhibitor: cyclosporin A (CsA)-cyclophilin and tacrolimus (FK506)-FKBP 5. Structure: heterodimer a. catalytic (calcineurin A) b. regulatory (calcineurin B) (fig. 1) Fig. 1 1. Molecular cloning studies identified 3 distinct genes encoding the , , isoforms of calcineurin A 2. and isoforms serve different roles in neuronal signaling 3. isoform is expressed in the testis 4. calcineurin-mediated dephosphorylation and nuclear translocation is a central event in signal transduction, which responses to Ca2-mobilizing stimuli. T cell activation 1. Inhibitors: CsA and FK506 for treat graft rejection 2. Pathway: T cell receptor (TCR)-activated signal transduction pathway 3. Procedure: Antigen + TCR → Ca2↑ → calmodulin + calcineurin B → bind to Ca2 → moveaway Cn A from the catalytic active site of calcineurin → Cn activated 4. Cn→ dephosphorylates NF-AT (nuclear factor of activated T cells) → DNA recognition → bind with activator protein-1 (AP-1, transcription factor ) (fig. 2) Activated calcineurin 5. Cn → dephosphorylates NF-AT → into nucleus → transcription of the T cell gene↑→ IL-2↑ FIG.2 INHIBITOR: immunosuppressants 1. CsA → bound to cyclophilin (receptor) 2. FK506 → bound to FKBP 3. The complexes → inhibit calcineurin →dephosphorylation↓ → activation of NFAT↓ → suppression of the TCR-activated signal transduction pathway by CsA and FK506 FIG. 3 NF-AT kinases (fig. 1) counteracts calcineurin 1. c-Jun amino-terminal kinase (JNK): a. function: phosphorylate NF-AT4 b. JNK activation → nuclear exclusion of NF-AT4 2. Casein kinase Ia (CKIa): binds and phosphorylates NF-AT4→ inhibition of NF-AT4 nuclear translocation. 3. Mitogen-activated protein kinase:extracellular signal-regulated kinase kinase 1 (MEKK1) →stabilizing the interaction between NF- AT4 and CKI → suppresses NF-AT4 nuclear import 4. Glycogen synthase kinase-3 (GSK-3) : phosphorylation and translocation of NFAT Muscle hypertrophy 1. cardiac hypertrophy: calcineurin→ NF-AT3 interacts with the cardiac zinc finger transcription factor GATA-4 → synergistic activation of cardiac transcription (fig. 2) 2. Immunosuppressants prevented hypertrophic cardiomyopathy 3. CsA: similar effect , suggesting similar pathway of T cell activation FINE