2011
DOI: 10.1681/asn.2010080890
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A2B Adenosine Receptor–Mediated Induction of IL-6 Promotes CKD

Abstract: Chronic elevation of adenosine, which occurs in the setting of repeated or prolonged tissue injury, can exacerbate cellular dysfunction, suggesting that it may contribute to the pathogenesis of CKD. Here, mice with chronically elevated levels of adenosine, resulting from a deficiency in adenosine deaminase (ADA), developed renal dysfunction and fibrosis. Both the administration of polyethylene glycol-modified ADA to reduce adenosine levels and the inhibition of the A 2B adenosine receptor (A 2B R) attenuated r… Show more

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Cited by 90 publications
(103 citation statements)
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“…32 In addition, the progression of renal fibrosis generated in the ADA À / À animals or in mice infused with angiotensin II (Ang II)or subjected to unilateral ureteral obstruction can be blocked using an A 2B AR antagonist, suggesting a common pathogenic pathway involving adenosine signaling in chronic kidney disease. 32 Our major contribution is to demonstrate that this pathogenic pathway also occurs early in the progression of the renal disease derived from diabetes thus supporting the option of a DN pharmacological A 2B AR target intervention.…”
Section: Discussionmentioning
confidence: 99%
“…32 In addition, the progression of renal fibrosis generated in the ADA À / À animals or in mice infused with angiotensin II (Ang II)or subjected to unilateral ureteral obstruction can be blocked using an A 2B AR antagonist, suggesting a common pathogenic pathway involving adenosine signaling in chronic kidney disease. 32 Our major contribution is to demonstrate that this pathogenic pathway also occurs early in the progression of the renal disease derived from diabetes thus supporting the option of a DN pharmacological A 2B AR target intervention.…”
Section: Discussionmentioning
confidence: 99%
“…A 2A R KO mice develop increased renal fibrosis and increased inflammatory cell infiltrate compared to WT mice on days 3 and 7 of UUO; however, by day 14, the extent of fibrosis was comparable in both groups [9]. Dai et al demonstrated that A 2B R KO mice developed less renal fibrosis after 14 days of UUO compared to WT mice, indicating a pro-fibrotic role of the A 2B R in the UUO model [11]. These data suggest that the A 2A R may modulate the early stages of UUO, whereas the A 2B R plays a more significant role in the latter stages of fibrosis.…”
Section: Introductionmentioning
confidence: 99%
“…In mice deficient of the enzyme adenosine deaminase (ADA), which converts adenosine to inosine, high levels of renal adenosine content lead to increased renal fibrosis via the A 2B R [11]. In a model of angiotensin IIinduced hypertension, renal fibrosis develops through increased activity of CD73 and adenosine generation.…”
Section: Introductionmentioning
confidence: 99%
“…For example, the uncontrolled accumulation of adenosine in ADA-deficient mice leads to widespread activation of adenosine receptors with detrimental effects in many areas of pathology including pulmonary inflammatory damage, 20,48,49 priapism, 50,51 and chronic kidney injury. 37 Our study here using ADAdeficient mice and PEG-ADA enzyme therapy provides genetic evidence indicating the important and previously unknown function of excess adenosine signaling in regulating erythrocyte SphK1 activity. PEG-ADA enzyme therapy has been used to treat ADA-deficient humans for .30 years.…”
Section: Discussionmentioning
confidence: 71%
“…The Gs-coupled ADORA2B signaling involves many downstream components including PKA 37 and ERK1/2. 38 Previous study showed the involvement of PKA in adenosine-ADORA2B-mediated induction of 2,3-bisphosphoglycerate in erythrocytes.…”
Section: Blood 5 March 2015 X Volume 125 Number 10 Regulation Of Nomentioning
confidence: 99%