Abstract
Adenosine is an endogenous nucleoside, released into the extracellular space in response to metabolic stress and cell damage and critically involved in the maintenance of tissue integrity by modulation of the immune system.
The magnitude and duration of adenosine signaling are dictated by the expression and activity of a plethora of synthetic and catabolic enzymes as well as nucleoside transporters, which calibrate finely the concentration of this nucleoside in the biophase of specific receptors. Indeed, once released into the extracellular space, adenosine governs several aspects of immune cell functions by interaction with four G-protein-coupled cell membrane receptors, designated as A1, A2A, A2B, and A3 receptors.
The engagement of such receptors, expressed heterogeneously on the surface of several immune cell populations, including neutrophils, macrophages, dendritic cells, mast cells, and lymphocytes, shapes a broad array of immune cell functions, which include cytokine production, degranulation, chemotaxis, cytotoxicity, apoptosis, and proliferation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Abbracchio MP, Burnstock G (1994) Purinoceptors: are there families of P2X and P2Y purinoceptors? Pharmacol Ther 64:445–475
Alfaro TM, Rodrigues DI, Tome AR et al (2017) Adenosine A2A receptors are up-regulated and control the activation of human alveolar macrophages. Pulm Pharmacol Ther 45:90–94
Allison AC, Hovi T, Watts RW et al (1977). The role of de novo purine synthesis in lymphocyte transformation. Ciba Found Symp. 48:207–224
Antonioli L, Fornai M, Colucci R et al (2008) Regulation of enteric functions by adenosine: pathophysiological and pharmacological implications. Pharmacol Ther 120:233–253
Antonioli L, Colucci R, La Motta C et al (2012) Adenosine deaminase in the modulation of immune system and its potential as a novel target for treatment of inflammatory disorders. Curr Drug Targets 13:842–862
Antonioli L, Blandizzi C, Pacher P et al (2013a) Immunity, inflammation and cancer: a leading role for adenosine. Nat Rev Cancer 13:842–857
Antonioli L, Pacher P, Vizi ES et al (2013b) CD39 and CD73 in immunity and inflammation. Trends Mol Med 19:355–367
Antonioli L, Csoka B, Fornai M et al (2014) Adenosine and inflammation: what’s new on the horizon? Drug Discov Today 19:1051–1068. https://doi.org/10.1016/j.drudis.2014.02.010
Antonioli L, Yegutkin GG, Pacher P et al (2016) Anti-CD73 in cancer immunotherapy: awakening new opportunities. Trends in cancer 2:95–109
Antonioli L, Novitskiy SV, Sachsenmeier KF et al (2017) Switching off CD73: a way to boost the activity of conventional and targeted antineoplastic therapies. Drug Discov Today 22:1686–1696. https://doi.org/10.1016/j.drudis.2017.06.005
Ballet JJ, Insel R, Merler E et al (1976) Inhibition of maturation of human precursor lymphocytes by coformycin, an inhibitor of the enzyme adenosine deaminase. J Exp Med 143:1271–1276
Barletta KE, Ley K, Mehrad B (2012) Regulation of neutrophil function by adenosine. Arterioscler Thromb Vasc Biol 32:856–864
Birch RE, Polmar SH (1986) Adenosine induced immunosuppression: the role of the adenosine receptor--adenylate cyclase interaction in the alteration of T-lymphocyte surface phenotype and immunoregulatory function. Int J Immunopharmacol 8:329–337
Bours MJ, Swennen EL, Di Virgilio F et al (2006) Adenosine 5′-triphosphate and adenosine as endogenous signaling molecules in immunity and inflammation. Pharmacol Ther 112:358–404
Bowlin TL, Borcherding DR, Edwards CK 3rd et al (1997) Adenosine A3 receptor agonists inhibit murine macrophage tumor necrosis factor-alpha production in vitro and in vivo. Cell Mol Biol 43:345–349
Burnstock G (1976) Purinergic receptors. J Theor Biol 62:491–503
Burnstock G, Kennedy C (1985) Is there a basis for distinguishing two types of P2-purinoceptor? Gen Pharmacol 16:433–440
Burridge PW, Paetkau V, Henderson JF (1977) Studies of the relationship between adenosine deaminase and immune function. J Immunol 119:675–678
Cekic C, Linden J (2016) Purinergic regulation of the immune system. Nat Rev Immunol 16:177–192
Chan ES, Cronstein BN (2010) Methotrexate--how does it really work? Nat Rev Rheumatol 6:175–178
Chan ES, Cronstein BN (2013) Mechanisms of action of methotrexate. Bulletin of the Hospital for Joint Disease 71(Suppl 1):S5–S8
Chen Y, Corriden R, Inoue Y et al (2006) ATP release guides neutrophil chemotaxis via P2Y2 and A3 receptors. Science 314:1792–1795
Cohen F (1975) Adenosine deaminase and immunodeficiency. Birth Defects Orig Artic Ser 11:124–127
Cohen A, Gudas LJ, Ullman B et al (1978) Nucleotide metabolism in cultured T cells and in cells of patients deficient in adenosine deaminase and purine nucleoside phosphorylase. Ciba Found Symp. 68:101–114
Cohen HB, Ward A, Hamidzadeh K et al (2015) IFN-gamma prevents adenosine receptor (A2bR) upregulation to sustain the macrophage activation response. J Immunol 195:3828–3837
Corriden R, Self T, Akong-Moore K et al (2013) Adenosine-A3 receptors in neutrophil microdomains promote the formation of bacteria-tethering cytonemes. EMBO Rep 14:726–732
Cronstein BN, Sitkovsky M (2017) Adenosine and adenosine receptors in the pathogenesis and treatment of rheumatic diseases. Nat Rev Rheumatol 13:41–51
Cronstein BN, Kramer SB, Rosenstein ED et al (1985a) Adenosine modulates the generation of superoxide anion by stimulated human neutrophils via interaction with a specific cell surface receptor. Ann N Y Acad Sci 451:291–301
Cronstein BN, Rosenstein ED, Kramer SB et al (1985b) Adenosine; a physiologic modulator of superoxide anion generation by human neutrophils. Adenosine acts via an A2 receptor on human neutrophils Journal of immunology 135:1366–1371
Cronstein BN, Van de Stouwe M, Druska L et al (1994) Nonsteroidal antiinflammatory agents inhibit stimulated neutrophil adhesion to endothelium: adenosine dependent and independent mechanisms. Inflammation 18:323–335
Cronstein BN, Montesinos MC, Weissmann G (1999) Salicylates and sulfasalazine, but not glucocorticoids, inhibit leukocyte accumulation by an adenosine-dependent mechanism that is independent of inhibition of prostaglandin synthesis and p105 of NFkappaB. Proc Natl Acad Sci U S A 96:6377–6381
Csoka B, Himer L, Selmeczy Z et al (2008) Adenosine A2A receptor activation inhibits T helper 1 and T helper 2 cell development and effector function. FASEB journal : official publication of the Federation of American Societies for Experimental Biology 22:3491–3499
Csoka B, Selmeczy Z, Koscsó B et al (2012) Adenosine promotes alternative macrophage activation via A2A and A2B receptors. FASEB journal : official publication of the Federation of American Societies for Experimental Biology 26:376–386
Deaglio S, Dwyer KM, Gao W et al (2007) Adenosine generation catalyzed by CD39 and CD73 expressed on regulatory T cells mediates immune suppression. J Exp Med 204:1257–1265
Delikouras A, Fairbanks LD, Simmonds AH et al (2003) Endothelial cell cytoprotection induced in vitro by allo- or xenoreactive antibodies is mediated by signaling through adenosine A2 receptors. Eur J Immunol 33:3127–3135
DePierre JW, Karnovsky ML (1974) Ecto-enzyme of granulocytes: 5′-nucleotidase. Science 183:1096–1098
Dickenson JM, Reeder S, Rees B et al (2003) Functional expression of adenosine A2A and A3 receptors in the mouse dendritic cell line XS-106. Eur J Pharmacol 474:43–51
Dinjens WN, van Doorn R, van Laarhoven JP et al (1986) Adenosine receptors on human T lymphocytes and human thymocytes. Adv Exp Med Biol 195 Pt B:1–6
Dubois KP, Petersen DF (1954) Adenosine triphosphatase and 5-nucleotidase activity of hematopoietic tissues of irradiated animals. Am J Phys 176:282–286
Eltzschig HK, Thompson LF, Karhausen J et al (2004) Endogenous adenosine produced during hypoxia attenuates neutrophil accumulation: coordination by extracellular nucleotide metabolism. Blood 104:3986–3992
Erdmann AA, Gao ZG, Jung U et al (2005) Activation of Th1 and Tc1 cell adenosine A2A receptors directly inhibits IL-2 secretion in vitro and IL-2-driven expansion in vivo. Blood 105:4707–4714
Ferrante CJ, Pinhal-Enfield G, Elson G et al (2013) The adenosine-dependent angiogenic switch of macrophages to an M2-like phenotype is independent of interleukin-4 receptor alpha (IL-4Ralpha) signaling. Inflammation 36:921–931
Fleit H, Conklyn M, Stebbins RD et al (1975) Function of 5′-nucleotidase in the uptake of adenosine from AMP by human lymphocytes. J Biol Chem 250:8889–8892
Frasson AP, Menezes CB, Goelzer GK et al (2017) Adenosine reduces reactive oxygen species and interleukin-8 production by Trichomonas vaginalis-stimulated neutrophils. Purinergic signalling 13:569–577
Gessi S, Varani K, Merighi S et al (2001) Pharmacological and biochemical characterization of A3 adenosine receptors in Jurkat T cells. Br J Pharmacol 134:116–126
Gessi S, Varani K, Merighi S et al (2004) Expression of A3 adenosine receptors in human lymphocytes: up-regulation in T cell activation. Mol Pharmacol 65:711–719
Giambelluca MS, Pouliot M (2017) Early tyrosine phosphorylation events following adenosine A2A receptor in human neutrophils: identification of regulated pathways. J Leukoc Biol 102:829–836
Giblett ER, Anderson JE, Cohen F et al (1972) Adenosine-deaminase deficiency in two patients with severely impaired cellular immunity. Lancet 2:1067–1069
Gordon S, Pluddemann A, Martinez Estrada F (2014) Macrophage heterogeneity in tissues: phenotypic diversity and functions. Immunol Rev 262:36–55
Green H, Chan T (1973) Pyrimidine starvation induced by adenosine in fibroblasts and lymphoid cells: role of adenosine deaminase. Science 182:836–837
Hall JG (1963) Adenosine deaminase activity in lymphoid cells during antibody production. Aust J Exp Biol Med Sci 41:93–97
Harrap KR, Paine RM (1976) Adenosine metabolism in cultured lymphoid cells. Adv Enzym Regul 15:169–193
Hasko G, Cronstein BN (2004) Adenosine: an endogenous regulator of innate immunity. Trends Immunol 25:33–39
Hasko G, Cronstein B (2013) Regulation of inflammation by adenosine. Front Immunol 4:85
Hasko G, Pacher P (2012) Regulation of macrophage function by adenosine. Arterioscler Thromb Vasc Biol 32:865–869
Hasko G, Szabo C, Nemeth ZH et al (1996) Adenosine receptor agonists differentially regulate IL-10, TNF-alpha, and nitric oxide production in RAW 264.7 macrophages and in endotoxemic mice. J Immunol 157:4634–4640
Hasko G, Kuhel DG, Chen JF et al (2000) Adenosine inhibits IL-12 and TNF-[alpha] production via adenosine A2a receptor-dependent and independent mechanisms. FASEB journal : official publication of the Federation of American Societies for Experimental Biology 14:2065–2074
Hasko G, Pacher P, Deitch EA et al (2007) Shaping of monocyte and macrophage function by adenosine receptors. Pharmacol Ther 113:264–275
Hasko G, Linden J, Cronstein B et al (2008) Adenosine receptors: therapeutic aspects for inflammatory and immune diseases. Nat Rev Drug Discov 7:759–770.
Hasko G, Csoka B, Nemeth ZH et al (2009) A(2B) adenosine receptors in immunity and inflammation. Trends Immunol 30:263–270
Hauser RA, Stocchi F, Rascol O et al (2015) Preladenant as an adjunctive therapy with levodopa in Parkinson disease: two randomized clinical trials and lessons learned. JAMA Neurol 72:1491–1500
Hoskin DW, Butler JJ, Drapeau D et al (2002) Adenosine acts through an A3 receptor to prevent the induction of murine anti-CD3-activated killer T cells. International journal of cancer Journal international du cancer 99:386–395
Hovi T, Smyth JF, Allison AC et al (1976) Role of adenosine deaminase in lymphocyte proliferation. Clin Exp Immunol 23:395–403
Inoue Y, Chen Y, Hirsh MI et al (2008) A3 and P2Y2 receptors control the recruitment of neutrophils to the lungs in a mouse model of sepsis. Shock 30:173–177
Johnston A, Gudjonsson JE, Sigmundsdottir H et al (2005) The anti-inflammatory action of methotrexate is not mediated by lymphocyte apoptosis, but by the suppression of activation and adhesion molecules. Clin Immunol 114:154–163
Joos G, Jákim J, Kiss B et al (2017) Involvement of adenosine A3 receptors in the chemotactic navigation of macrophages towards apoptotic cells. Immunol Lett 183:62–72
Karker H (1965) Adenosine deaminase activity in normal leukocytes. Scand J Clin Lab Invest 17:95–98
Khoa ND, Montesinos MC, Reiss AB et al (2001) Inflammatory cytokines regulate function and expression of adenosine A(2A) receptors in human monocytic THP-1 cells. J Immunol 167:4026–4032
Koscso B, Csóka B, Kókai E et al (2013) Adenosine augments IL-10-induced STAT3 signaling in M2c macrophages. J Leukoc Biol 94:1309–1315
Koshiba M, Rosin DL, Hayashi N et al (1999) Patterns of A2A extracellular adenosine receptor expression in different functional subsets of human peripheral T cells. Flow cytometry studies with anti-A2A receptor monoclonal antibodies. Mol Pharmacol 55:614–624
Lappas CM, Rieger JM, Linden J (2005) A2A adenosine receptor induction inhibits IFN-gamma production in murine CD4+ T cells. J Immunol 174:1073–1080
Lee HS, Chung HJ, Lee HW et al (2011) Suppression of inflammation response by a novel A(3) adenosine receptor agonist thio-Cl-IB-MECA through inhibition of Akt and NF-kappaB signaling. Immunobiology 216:997–1003
Liang D, Zuo A, Shao H et al (2015) A2B adenosine receptor activation switches differentiation of bone marrow cells to a CD11c(+)Gr-1(+) dendritic cell subset that promotes the Th17 response. Immunity, inflammation and disease 3:360–373
Linden J (2006) Cell biology. Purinergic chemotaxis. Science 314:1689–1690
Linden J (2011) Regulation of leukocyte function by adenosine receptors. Adv Pharmacol 61:95–114
Linden J, Cekic C (2012) Regulation of lymphocyte function by adenosine. Arterioscler Thromb Vasc Biol 32:2097–2103
Londos C, Cooper DM, Wolff J (1980) Subclasses of external adenosine receptors. Proc Natl Acad Sci U S A 77:2551–2554
Lukashev DE, Smith PT, Caldwell CC et al (2003) Analysis of A2a receptor-deficient mice reveals no significant compensatory increases in the expression of A2b, A1, and A3 adenosine receptors in lymphoid organs. Biochem Pharmacol 65:2081–2090
Mabley J, Soriano F, Pacher P et al (2003) The adenosine A3 receptor agonist, N6-(3-iodobenzyl)-adenosine-5’-N-methyluronamide, is protective in two murine models of colitis. Eur J Pharmacol 466:323–329
Marone G, Triggiani M, Kagey-Sobotka A et al (1986) Adenosine receptors on human basophils and lung mast cells. Adv Exp Med Biol 195 Pt B:35–42
Mayadas TN, Cullere X, Lowell CA (2014) The multifaceted functions of neutrophils. Annu Rev Pathol 9:181–218
McWhinney CD, Dudley MW, Bowlin TL et al (1996) Activation of adenosine A3 receptors on macrophages inhibits tumor necrosis factor-alpha. Eur J Pharmacol 310:209–216
Meuwissen HJ, Pickering RJ, Pollara B (1975) Adenosine deaminase deficiency in combined immunologic deficiency disease. Birth Defects Orig Artic Ser 11:117–119
Mirabet M, Herrera C, Cordero OJ et al (1999) Expression of A2B adenosine receptors in human lymphocytes: their role in T cell activation. J Cell Sci 112(Pt 4):491–502
Naganuma M, Wiznerowicz EB, Lappas CM et al (2006) Cutting edge: critical role for A2A adenosine receptors in the T cell-mediated regulation of colitis. J Immunol 177:2765–2769
Nemeth ZH, Lutz CS, Csóka B et al (2005) Adenosine augments IL-10 production by macrophages through an A2B receptor-mediated posttranscriptional mechanism. J Immunol 175:8260–8270
Nishida Y, Takeuchi A, Miyamoto T (1986) Modulation of polymorphonuclear leukocyte function by adenosine analogues. Adv Exp Med Biol 195 Pt A:487–490
Novitskiy SV Ryzhov S, Zaynagetdinov R et al (2008) Adenosine receptors in regulation of dendritic cell differentiation and function. Blood 112:1822–1831
Ohta A, Sitkovsky M (2001) Role of G-protein-coupled adenosine receptors in downregulation of inflammation and protection from tissue damage. Nature 414:916–920
Ohta A, Kini R, Ohta A et al (2012) The development and immunosuppressive functions of CD4(+) CD25(+) FoxP3(+) regulatory T cells are under influence of the adenosine-A2A adenosine receptor pathway. Front Immunol 3:190
Pacheco R, Martinez-Navio JM, Lejeune M et al (2005) CD26, adenosine deaminase, and adenosine receptors mediate costimulatory signals in the immunological synapse. Proc Natl Acad Sci U S A 102:9583–9588
Raskovalova T, Huang X, Sitkovsky M et al (2005) Gs protein-coupled adenosine receptor signaling and lytic function of activated NK cells. J Immunol 175:4383–4391
Romio M, Reinbeck B, Bongardt S et al (2011) Extracellular purine metabolism and signaling of CD73-derived adenosine in murine Treg and Teff cells. Am J Physiol Cell Physiol 301:C530–C539
Rudich N, Ravid K, Sagi-Eisenberg R (2012) Mast cell adenosine receptors function: a focus on the a3 adenosine receptor and inflammation. Front Immunol 3:134
Samet MK (1986) Evidence against functional adenosine receptors on murine lymphocytes. Int J Immunopharmacol 8:179–188
Schnurr M, Toy T, Shin A et al (2004) Role of adenosine receptors in regulating chemotaxis and cytokine production of plasmacytoid dendritic cells. Blood 103:1391–1397
Schwartz AL, Stern RC, Polmar SH (1978) Demonstration of adenosine receptor on human lymphocytes in vitro and its possible role in the adenosine deaminase-deficient form of severe combined immunodeficiency. Clin Immunol Immunopathol 9:499–505
Seegmiller JE, Watanabe T, Schreier MH (1977a) The effect of adenosine on lymphoid cell proliferation and antibody formation. Ciba Found Symp. 48:249–276
Seegmiller JE, Watanabe T, Shreier MH et al (1977b) Immunological aspects of purine metabolism. Adv Exp Med Biol 76A:412–433
Sevigny CP, Li L, Awad AS et al (2007) Activation of adenosine 2A receptors attenuates allograft rejection and alloantigen recognition. J Immunol 178:4240–4249
Sevigny J, Martin-Satue M, Pintor J (2015) Purinergic signalling in immune system regulation in health and disease. Mediat Inflamm 2015:106863
Silverman MH, Strand V, Markovits D et al (2008) Clinical evidence for utilization of the A3 adenosine receptor as a target to treat rheumatoid arthritis: data from a phase II clinical trial. J Rheumatol 35:41–48
Sitkovsky M, Lukashev D (2005) Regulation of immune cells by local-tissue oxygen tension: HIF1 alpha and adenosine receptors. Nat Rev Immunol 5:712–721
Sitkovsky MV, Ohta A (2005) The ‘danger’ sensors that STOP the immune response: the A2 adenosine receptors? Trends Immunol 26:299–304
Smith SR, Denhardt G, Terminelli C (2002) A role for histamine in cytokine modulation by the adenosine A(3) receptor agonist, 2-Cl-IB-MECA. Eur J Pharmacol 457:57–69
Snyder FF, Mendelsohn J, Seegmiller JE (1976) Adenosine metabolism in phytohemagglutinin-stimulated human lymphocytes. J Clin Invest 58:654–666
Snyder FF, Mendelsohn J, Seegmiller JE (1977) Adenosine and guanosine metabolism during phytohemagglutinin induced transformation of human lymphocytes. Adv Exp Med Biol 76A:441–447
Stocchi F, Rascol O, Hauser RA et al (2017) Randomized trial of preladenant, given as monotherapy, in patients with early Parkinson disease. Neurology 88:2198–2206
Sun WC, Moore JN, Hurley DJ et al (2007) Effects of stimulation of adenosine A2A receptors on lipopolysaccharide-induced production of reactive oxygen species by equine neutrophils. Am J Vet Res 68:649–656
Szabo C, Scott GS, Virag L et al (1998) Suppression of macrophage inflammatory protein (MIP)-1alpha production and collagen-induced arthritis by adenosine receptor agonists. Br J Pharmacol 125:379–387
Thacker MA, Clark AK, Marchand F et al (2007) Pathophysiology of peripheral neuropathic pain: immune cells and molecules. Anesth Analg 105:838–847
Thiele A, Kronstein R, Wetzel A et al (2004) Regulation of adenosine receptor subtypes during cultivation of human monocytes: role of receptors in preventing lipopolysaccharide-triggered respiratory burst. Infect Immun 72:1349–1357
van Calker D, Muller M, Hamprecht B (1979) Adenosine regulates via two different types of receptors, the accumulation of cyclic AMP in cultured brain cells. J Neurochem 33:999–1005
van der Hoeven D, Wan TC, Auchampach JA (2008) Activation of the A(3) adenosine receptor suppresses superoxide production and chemotaxis of mouse bone marrow neutrophils. Mol Pharmacol 74:685–696
van der Hoeven D, Wan TC, Gizewski ET et al (2011) A role for the low-affinity A2B adenosine receptor in regulating superoxide generation by murine neutrophils. J Pharmacol Exp Ther 338:1004–1012
Williams AJ, Cronstein BN (2012) The effect of A(2A) adenosine receptor activation on C-C chemokine receptor 7 expression in human THP1 macrophages during inflammation. Inflammation 35:614–622
Yago T, Tsukamoto H, Liu Z et al (2015) Multi-inhibitory effects of A2A adenosine receptor signaling on neutrophil adhesion under flow. J Immunol 195:3880–3889
Yang Z, Day YJ, Toufektsian MC et al (2005) Infarct-sparing effect of A2A-adenosine receptor activation is due primarily to its action on lymphocytes. Circulation 111:2190–2197
Yip KH, Lau HY, Wise H (2011) Reciprocal modulation of anti-IgE induced histamine release from human mast cells by A(1) and A(2B) adenosine receptors. Br J Pharmacol 164:807–819
Zalavary S, Bengtsson T (1998) Adenosine inhibits actin dynamics in human neutrophils: evidence for the involvement of cAMP. Eur J Cell Biol 75:128–139
Zhang H, Conrad DM, Butler JJ et al (2004) Adenosine acts through A2 receptors to inhibit IL-2-induced tyrosine phosphorylation of STAT5 in T lymphocytes: role of cyclic adenosine 3′,5′-monophosphate and phosphatases. J Immunol 173:932–944
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Antonioli, L., Fornai, M., Blandizzi, C., Haskó, G. (2018). Adenosine Regulation of the Immune System. In: Borea, P., Varani, K., Gessi, S., Merighi, S., Vincenzi, F. (eds) The Adenosine Receptors. The Receptors, vol 34. Humana Press, Cham. https://doi.org/10.1007/978-3-319-90808-3_20
Download citation
DOI: https://doi.org/10.1007/978-3-319-90808-3_20
Published:
Publisher Name: Humana Press, Cham
Print ISBN: 978-3-319-90807-6
Online ISBN: 978-3-319-90808-3
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)