Role of microglia adenosine A(2A) receptors in retinal and brain neurodegenerative diseases
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Updated: Apr 25, 2026

A Novel In Vitro Live-imaging Assay of Astrocyte-mediated Phagocytosis Using pH Indicator-conjugated Synaptosomes
Published on: February 5, 2018
Ana R Santiago1, Filipa I Baptista2, Paulo F Santos3
1Centre of Ophthalmology and Vision Sciences, IBILI, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal ; AIBILI, 3000-548 Coimbra, Portugal ; Center for Neuroscience and Cell Biology, Largo Marquês de Pombal, Universidade de Coimbra, 3004-517 Coimbra, Portugal ; Faculty of Medicine, University of Coimbra, Azinhaga de Santa Comba, Celas, 3000-548 Coimbra, Portugal.
Abstract:
Neuroinflammation mediated by microglial cells in the brain has been commonly associated with neurodegenerative diseases. Whether this microglia-mediated neuroinflammation is cause or consequence of neurodegeneration is still a matter of controversy. However, it is unequivocal that chronic neuroinflammation plays a role in disease progression and halting that process represents a potential therapeutic strategy. The neuromodulator adenosine emerges as a promising targeting candidate based on its ability to regulate microglial proliferation, chemotaxis, and reactivity through the activation of its G protein coupled A2A receptor (A2AR). This is in striking agreement with the ability of A2AR blockade to control several brain diseases. Retinal degenerative diseases have been also associated with microglia-mediated neuroinflammation, but the role of A2AR has been scarcely explored. This review aims to compare inflammatory features of Parkinson's and Alzheimer's diseases with glaucoma and diabetic retinopathy, discussing the therapeutic potential of A2AR in these degenerative conditions.
Insights
Microglia-driven neuroinflammation is implicated in neurodegenerative diseases. Targeting the adenosine A2A receptor (A2AR) offers a potential therapeutic strategy for brain and retinal conditions.
Area of Science:
- Neuroscience
- Immunology
- Ophthalmology
Background:
- Microglial cells mediate neuroinflammation, a hallmark of neurodegenerative diseases like Parkinson's and Alzheimer's.
- The role of neuroinflammation as a cause or consequence in disease progression remains debated, but its chronic presence impacts disease severity.
- Adenosine, acting via the A2A receptor (A2AR), modulates microglial activity, presenting a potential therapeutic target.
Purpose of the Study:
- To compare the inflammatory profiles of Parkinson's disease (PD) and Alzheimer's disease (AD) with retinal degenerative diseases such as glaucoma and diabetic retinopathy.
- To investigate the largely unexplored role of the adenosine A2A receptor (A2AR) in these retinal conditions.
- To discuss the therapeutic potential of A2AR blockade for both neurodegenerative and retinal degenerative diseases.
Main Methods:
- Review of existing literature on neuroinflammation in Parkinson's disease, Alzheimer's disease, glaucoma, and diabetic retinopathy.
- Analysis of the known functions of adenosine and its A2A receptor in microglial cell regulation.
- Comparative analysis of inflammatory pathways and A2AR involvement across the studied diseases.
Main Results:
- Chronic neuroinflammation, mediated by microglia, is a common feature in both brain and retinal degenerative diseases.
- Adenosine A2A receptor (A2AR) activation influences microglial proliferation, migration, and inflammatory responses.
- A2AR blockade has shown promise in managing various brain diseases, suggesting potential applicability to retinal conditions.
Conclusions:
- Targeting A2A receptors presents a promising therapeutic avenue for mitigating microglial-mediated neuroinflammation in neurodegenerative and retinal degenerative diseases.
- Further research is warranted to explore the specific role and therapeutic efficacy of A2AR modulation in glaucoma and diabetic retinopathy.
- A unified therapeutic strategy targeting A2AR may offer benefits across a spectrum of debilitating neurological and visual impairments.
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