“…However, the proinflammatory effects of mast-cell adenosine receptor stimulation, especially in situations associated with long-lasting high adenosine concentrations, seem to overshadowed the anti-inflammatory potential. Recent studies have revealed that mice, which accumulate high levels of endogenous adenosine owing to a deficiency of the adenosine catabolizing enzyme, adenosine deaminase, develop a pulmonary phenotype with mast cell-mediated inflammation resembling the symptoms of asthma [50][51][52]. This evidence, together with the observation that patients suffering from asthma have elevated pulmonary adenosine levels as well as augmented expression of adenosine receptors, suggests that increased adenosine signaling could be an important feature of asthma and chronic obstructive pulmonary diseases [53].…”