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A2B Adenosine Receptor and Cancer
Zhan-Guo Gao1, Kenneth A Jacobson2
1Molecular Recognition Section, Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD 20892-0810, USA. zg21o@nih.gov.
Abstract:
There are four subtypes of adenosine receptors (ARs), named A1, A2A, A2B and A3, all of which are G protein-coupled receptors (GPCRs). Locally produced adenosine is a suppressant in anti-tumor immune surveillance. The A2BAR, coupled to both Gαs and Gαi G proteins, is one of the several GPCRs that are expressed in a significantly higher level in certain cancer tissues, in comparison to adjacent normal tissues. There is growing evidence that the A2BAR plays an important role in tumor cell proliferation, angiogenesis, metastasis, and immune suppression. Thus, A2BAR antagonists are novel, potentially attractive anticancer agents. Several antagonists targeting A2BAR are currently in clinical trials for various types of cancers. In this review, we first describe the signaling, agonists, and antagonists of the A2BAR. We further discuss the role of the A2BAR in the progression of various cancers, and the rationale of using A2BAR antagonists in cancer therapy.
Insights
Adenosine receptors (ARs) are GPCRs. Targeting the A2BAR, which is upregulated in cancers, with antagonists may offer a novel anticancer therapy approach by inhibiting tumor progression and immune suppression.
Area of Science:
- Pharmacology
- Immunology
- Oncology
Background:
- Adenosine receptors (ARs) are G protein-coupled receptors (GPCRs) with four subtypes: A1, A2A, A2B, and A3.
- Locally produced adenosine suppresses anti-tumor immune surveillance.
- The A2BAR subtype is significantly overexpressed in various cancer tissues compared to normal tissues.
Purpose of the Study:
- To review the signaling, agonists, and antagonists of the A2BAR.
- To discuss the role of A2BAR in cancer progression, including proliferation, angiogenesis, metastasis, and immune suppression.
- To explore the rationale for using A2BAR antagonists as a potential anticancer therapeutic strategy.
Main Methods:
- Literature review of A2BAR signaling pathways.
- Analysis of studies on A2BAR expression in different cancer types.
- Review of preclinical and clinical data on A2BAR antagonists in cancer therapy.
Main Results:
- A2BAR plays a critical role in promoting tumor cell proliferation, angiogenesis, metastasis, and immune evasion.
- A2BAR antagonists have demonstrated potential as anticancer agents in preclinical studies.
- Several A2BAR antagonists are currently undergoing clinical trials for various cancers.
Conclusions:
- A2BAR is a promising therapeutic target for cancer treatment.
- Targeting A2BAR may overcome tumor-induced immune suppression and inhibit cancer progression.
- A2BAR antagonists represent a novel class of anticancer agents with potential clinical applications.
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