“…In fact, it is important to emphasize that efflux of cAMP/ cGMP seems to be a widespread signaling mechanism (Hofer and Lefkimmiatis, 2007;Sager and Ravna, 2009) reported in vascular smooth muscle cells (Dubey et al, 1996), cardiac fibroblasts (Dubey et al, 2001), oviduct cells (Cometti et al, 2003), kidney (Jackson and Raghvendra, 2004;Dubey et al, 2010), adipose tissue (Strouch et al, 2005) gastrointestinal tract (Giron et al, 2008), human placenta explants (Biondi et al, 2010), astrocytes, and microglial cells (Verrier et al, 2011). Thus, the extracellular cAMP-adenosine pathway may represent a general autocrine and/or paracrine mechanism that indirectly modulates the signaling triggered by distinct receptors coupled to G s proteins, qualifying cyclic nucleotides as extracellular third messengers, and the extracellular cAMP-adenosine signaling pathway as a potential pharmacological target for therapeutic intervention.…”