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Therapeutic potentials of adenosine receptors agonists and antagonists in colitis; Current status and perspectives
Amirhossein Bahreyni1, Seyed S Samani2, Majid Khazaei3
1Faculty of Medicine, Department of Clinical Biochemistry and Immunogenetic Research Center, Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran.
Abstract:
Increasing evidence suggests that adenosine is dysregulated in ulcerative colitis (UC), potentially affecting UC pathogenesis, diagnosis, and therapy. Dysregulation of the activity of adenosine generating enzymes including adenosine deaminase in serum of patients with acute colitis supports the role of this omnipresent metabolite in the pathogenesis of colitis. Adenosine regulates inflammatory responses including epithelial barrier hyper-permeability, myeloperoxidase activity, and neuromuscular motility in colitis, supporting the therapeutic potency of adenosine receptors agonists and antagonists in this disease. Depending upon the adenosine receptor subtype, activation or suppression of the receptor with pharmacological agonists or antagonists attenuates colitis pathological symptoms in colitis model. This review summarizes the role of adenosine receptors agonists and antagonists in the pathogenesis of colitis for a better understanding and hence a better management of this disease.
Insights
Adenosine dysregulation impacts ulcerative colitis (UC) development and progression. Targeting adenosine receptors with agonists or antagonists may offer new therapeutic strategies for managing colitis.
Area of Science:
- Gastroenterology
- Immunology
- Pharmacology
Background:
- Ulcerative colitis (UC) involves adenosine dysregulation, influencing disease pathogenesis.
- Adenosine's role in inflammatory responses like epithelial barrier function and motility is implicated in colitis.
Purpose of the Study:
- To review the role of adenosine receptors (ARs) in ulcerative colitis (UC) pathogenesis.
- To explore the therapeutic potential of AR agonists and antagonists in managing colitis.
Main Methods:
- Literature review of studies investigating adenosine and its receptors in colitis models and patients.
- Analysis of evidence linking adenosine metabolism and AR signaling to UC pathology.
Main Results:
- Adenosine generating enzyme activity is altered in colitis patients.
- Adenosine modulates key inflammatory pathways relevant to UC.
- AR agonists and antagonists demonstrate therapeutic effects in preclinical colitis models.
Conclusions:
- Adenosine signaling is a critical factor in UC pathogenesis.
- Modulating adenosine receptors presents a promising therapeutic avenue for ulcerative colitis treatment.
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