“…Moreover, A 2A R blockade actually exacerbates tissue damage involving inflammatory reactions in the periphery (reviewed in [295,296]), instead of the tissue protection, as observed in noxious brain conditions. Furthermore, all studies available indicate that the activation of A 2A Rs inhibits the release of pro-inflammatory cytokines from inflammatory cells, such as macrophages (e.g., [223, 314Y316]), dendritic cells [220,221], monocytes [317Y319] or T cells [320,321]. This latter cell type, in particular CD4 + T cells, are most relevant since it was recently shown that the key role of A 2A Rs in attenuating peripheral tissue damage from ischemiaYreperfusion injury is due to the activation of A 2A Rs in CD4 + T cells [322].…”