Review Article

Adenosine Receptors Modulate Acute Injury and Neuroinflammation in Brain Ischemia

Figure 1

Schematic drawing of adenosine receptor localization on different cell types. Adenosine receptors are expressed at central level on presynaptic and postsynaptic neurons, on astrocytes, on microglia, and on oligodendrocytes. receptors are present also at peripheral level on leukocytes and vasculature. After cerebral ischemia, leukocytes infiltrate into ischemic tissue due to increased permeability of blood-brain barrier (BBB). During ischemia, extracellular adenosine level increases mainly due to (i) extracellular ATP degradation by NTPDases; (ii) release of adenosine per se from cells likely by the equilibrative nucleoside transporter (ENT); (iii) inhibition of adenosine-uptake processes due to downregulation of concentrative nucleoside transporters (CNT) 2 and 3 and of ENT. AC: adenylate cyclase; ADO: adenosine; ADP: adenosine diphosphate; AMP: adenosine monophosphate; ATP: adenosine triphosphate; cAMP: cyclic adenosine monophosphate; E5′-NT: ecto-5′-nucleotidase; NT: nucleoside transporter; Gs: stimulatory -protein; NTDPase: ecto-nucleoside triphosphate diphosphohydrolases. The proportions of the various components of the nervous tissue have not been kept.
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