Alteration of Adenosine Receptors in Patients with Chronic Obstructive Pulmonary Disease

Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of mortality worldwide. Adenosine is an inflammatory regulator that acts through four distinct receptors to mediate pro- and antiinflammatory effects. The primary aim of this study was to investigate the expression, affinity, a...

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Veröffentlicht in:American journal of respiratory and critical care medicine 2006-02, Vol.173 (4), p.398-406
Hauptverfasser: Varani, Katia, Caramori, Gaetano, Vincenzi, Fabrizio, Adcock, Ian, Casolari, Paolo, Leung, Edward, MacLennan, Stephen, Gessi, Stefania, Morello, Silvana, Barnes, Peter J, Ito, Kazuhiro, Chung, Kian Fan, Cavallesco, Giorgio, Azzena, Gianfranco, Papi, Alberto, Borea, Pier Andrea
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container_issue 4
container_start_page 398
container_title American journal of respiratory and critical care medicine
container_volume 173
creator Varani, Katia
Caramori, Gaetano
Vincenzi, Fabrizio
Adcock, Ian
Casolari, Paolo
Leung, Edward
MacLennan, Stephen
Gessi, Stefania
Morello, Silvana
Barnes, Peter J
Ito, Kazuhiro
Chung, Kian Fan
Cavallesco, Giorgio
Azzena, Gianfranco
Papi, Alberto
Borea, Pier Andrea
description Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of mortality worldwide. Adenosine is an inflammatory regulator that acts through four distinct receptors to mediate pro- and antiinflammatory effects. The primary aim of this study was to investigate the expression, affinity, and density of adenosine receptors in peripheral lung parenchyma from age-matched smokers with COPD (n = 14) and smokers with normal lung function (control group; n = 20). Adenosine receptors were analyzed by immunohistochemistry and saturation binding assays using typical antagonist radioligands. A(1), A(2A), A(2B), and A(3) receptors were expressed in different cells in peripheral lung parenchyma. The affinity of A(1), A(2A), and A(3) receptors was significantly decreased in patients with COPD compared with the control group (K(D)[A(1)] = 3.15 +/- 0.19 vs. 1.70 +/- 0.14 nM; K(D)[A(2A)] = 7.88 +/- 0.68 vs. 1.87 +/- 0.09 nM; K(D)[A(3)] = 9.34 +/- 0.27 vs. 4.41 +/- 0.25 nM; p < 0.01), whereas their density was increased (Bmax[A(1)] = 53 +/- 4 vs. 32 +/- 3 fmol/mg protein; Bmax[A(2A)] = 852 +/- 50 vs. 302 +/- 12 fmol/mg protein; Bmax[A(3)] = 2,078 +/- 108 vs. 770 +/- 34 fmol/mg protein; p < 0.01). The affinity of A(2B) receptors was not altered, but the density was significantly decreased in patients with COPD compared with the control group (Bmax = 66 +/- 5 vs. 189 +/- 16 fmol/mg protein; p < 0.01). A significant correlation was found between the affinity and density of the adenosine receptors and the FEV(1)/FVC ratio. This is the first report showing the presence of adenosine receptors in lung parenchyma in subjects with COPD compared with control smokers. These novel findings strengthen the hypothesis of a potential role played by adenosine receptors in the pathogenesis of COPD.
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Adenosine is an inflammatory regulator that acts through four distinct receptors to mediate pro- and antiinflammatory effects. The primary aim of this study was to investigate the expression, affinity, and density of adenosine receptors in peripheral lung parenchyma from age-matched smokers with COPD (n = 14) and smokers with normal lung function (control group; n = 20). Adenosine receptors were analyzed by immunohistochemistry and saturation binding assays using typical antagonist radioligands. A(1), A(2A), A(2B), and A(3) receptors were expressed in different cells in peripheral lung parenchyma. The affinity of A(1), A(2A), and A(3) receptors was significantly decreased in patients with COPD compared with the control group (K(D)[A(1)] = 3.15 +/- 0.19 vs. 1.70 +/- 0.14 nM; K(D)[A(2A)] = 7.88 +/- 0.68 vs. 1.87 +/- 0.09 nM; K(D)[A(3)] = 9.34 +/- 0.27 vs. 4.41 +/- 0.25 nM; p &lt; 0.01), whereas their density was increased (Bmax[A(1)] = 53 +/- 4 vs. 32 +/- 3 fmol/mg protein; Bmax[A(2A)] = 852 +/- 50 vs. 302 +/- 12 fmol/mg protein; Bmax[A(3)] = 2,078 +/- 108 vs. 770 +/- 34 fmol/mg protein; p &lt; 0.01). The affinity of A(2B) receptors was not altered, but the density was significantly decreased in patients with COPD compared with the control group (Bmax = 66 +/- 5 vs. 189 +/- 16 fmol/mg protein; p &lt; 0.01). A significant correlation was found between the affinity and density of the adenosine receptors and the FEV(1)/FVC ratio. This is the first report showing the presence of adenosine receptors in lung parenchyma in subjects with COPD compared with control smokers. 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The affinity of A(1), A(2A), and A(3) receptors was significantly decreased in patients with COPD compared with the control group (K(D)[A(1)] = 3.15 +/- 0.19 vs. 1.70 +/- 0.14 nM; K(D)[A(2A)] = 7.88 +/- 0.68 vs. 1.87 +/- 0.09 nM; K(D)[A(3)] = 9.34 +/- 0.27 vs. 4.41 +/- 0.25 nM; p &lt; 0.01), whereas their density was increased (Bmax[A(1)] = 53 +/- 4 vs. 32 +/- 3 fmol/mg protein; Bmax[A(2A)] = 852 +/- 50 vs. 302 +/- 12 fmol/mg protein; Bmax[A(3)] = 2,078 +/- 108 vs. 770 +/- 34 fmol/mg protein; p &lt; 0.01). The affinity of A(2B) receptors was not altered, but the density was significantly decreased in patients with COPD compared with the control group (Bmax = 66 +/- 5 vs. 189 +/- 16 fmol/mg protein; p &lt; 0.01). A significant correlation was found between the affinity and density of the adenosine receptors and the FEV(1)/FVC ratio. This is the first report showing the presence of adenosine receptors in lung parenchyma in subjects with COPD compared with control smokers. 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Adenosine is an inflammatory regulator that acts through four distinct receptors to mediate pro- and antiinflammatory effects. The primary aim of this study was to investigate the expression, affinity, and density of adenosine receptors in peripheral lung parenchyma from age-matched smokers with COPD (n = 14) and smokers with normal lung function (control group; n = 20). Adenosine receptors were analyzed by immunohistochemistry and saturation binding assays using typical antagonist radioligands. A(1), A(2A), A(2B), and A(3) receptors were expressed in different cells in peripheral lung parenchyma. 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subjects Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Chronic obstructive pulmonary disease, asthma
Female
Humans
Immunohistochemistry
Intensive care medicine
Lung - chemistry
Lung - immunology
Male
Medical sciences
Pneumology
Pulmonary Disease, Chronic Obstructive - immunology
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
Receptors, Purinergic P1 - analysis
Receptors, Purinergic P1 - biosynthesis
title Alteration of Adenosine Receptors in Patients with Chronic Obstructive Pulmonary Disease
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