Purinergic Signaling in Pulmonary Inflammation

Purine nucleotides and nucleosides are at the center of biologic reactions. In particular, adenosine triphosphate (ATP) is the fundamental energy currency of cellular activity and adenosine has been demonstrated to play essential roles in human physiology and pathophysiology. In this review, we exam...

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Main Authors: Thanh-Thuy T. Le, Nathaniel K. Berg, Matthew T. Harting, Xiangyun Li, Holger K. Eltzschig, Xiaoyi Yuan
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-07-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2019.01633/full
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author Thanh-Thuy T. Le
Nathaniel K. Berg
Matthew T. Harting
Xiangyun Li
Xiangyun Li
Holger K. Eltzschig
Xiaoyi Yuan
author_facet Thanh-Thuy T. Le
Nathaniel K. Berg
Matthew T. Harting
Xiangyun Li
Xiangyun Li
Holger K. Eltzschig
Xiaoyi Yuan
author_sort Thanh-Thuy T. Le
collection DOAJ
description Purine nucleotides and nucleosides are at the center of biologic reactions. In particular, adenosine triphosphate (ATP) is the fundamental energy currency of cellular activity and adenosine has been demonstrated to play essential roles in human physiology and pathophysiology. In this review, we examine the role of purinergic signaling in acute and chronic pulmonary inflammation, with emphasis on ATP and adenosine. ATP is released into extracellular space in response to cellular injury and necrosis. It is then metabolized to adenosine monophosphate (AMP) via ectonucleoside triphosphate diphosphohydrolase-1 (CD39) and further hydrolyzed to adenosine via ecto-5′-nucleotidase (CD73). Adenosine signals via one of four adenosine receptors to exert pro- or anti-inflammatory effects. Adenosine signaling is terminated by intracellular transport by concentrative or equilibrative nucleoside transporters (CNTs and ENTs), deamination to inosine by adenosine deaminase (ADA), or phosphorylation back into AMP via adenosine kinase (AK). Pulmonary inflammatory and hypoxic conditions lead to increased extracellular ATP, adenosine diphosphate (ADP) and adenosine levels, which translates to increased adenosine signaling. Adenosine signaling is central to the pulmonary injury response, leading to various effects on inflammation, repair and remodeling processes that are either tissue-protective or tissue destructive. In the acute setting, particularly through activation of adenosine 2A and 2B receptors, adenosine signaling serves an anti-inflammatory, tissue-protective role. However, excessive adenosine signaling in the chronic setting promotes pro-inflammatory, tissue destructive effects in chronic pulmonary inflammation.
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spelling doaj.art-2a6aabc9089a4ebba7ab17a8ad4900c02022-12-22T01:15:19ZengFrontiers Media S.A.Frontiers in Immunology1664-32242019-07-011010.3389/fimmu.2019.01633473011Purinergic Signaling in Pulmonary InflammationThanh-Thuy T. Le0Nathaniel K. Berg1Matthew T. Harting2Xiangyun Li3Xiangyun Li4Holger K. Eltzschig5Xiaoyi Yuan6Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, United StatesDepartment of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, United StatesDepartment of Pediatric Surgery, McGovern Medical School, Children's Memorial Hermann Hospital, The University of Texas Health Science Center at Houston, Houston, TX, United StatesDepartment of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, United StatesDepartment of Anesthesiology, Tianjin Nankai Hospital, Tianjin Medical University, Tianjin, ChinaDepartment of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, United StatesDepartment of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, United StatesPurine nucleotides and nucleosides are at the center of biologic reactions. In particular, adenosine triphosphate (ATP) is the fundamental energy currency of cellular activity and adenosine has been demonstrated to play essential roles in human physiology and pathophysiology. In this review, we examine the role of purinergic signaling in acute and chronic pulmonary inflammation, with emphasis on ATP and adenosine. ATP is released into extracellular space in response to cellular injury and necrosis. It is then metabolized to adenosine monophosphate (AMP) via ectonucleoside triphosphate diphosphohydrolase-1 (CD39) and further hydrolyzed to adenosine via ecto-5′-nucleotidase (CD73). Adenosine signals via one of four adenosine receptors to exert pro- or anti-inflammatory effects. Adenosine signaling is terminated by intracellular transport by concentrative or equilibrative nucleoside transporters (CNTs and ENTs), deamination to inosine by adenosine deaminase (ADA), or phosphorylation back into AMP via adenosine kinase (AK). Pulmonary inflammatory and hypoxic conditions lead to increased extracellular ATP, adenosine diphosphate (ADP) and adenosine levels, which translates to increased adenosine signaling. Adenosine signaling is central to the pulmonary injury response, leading to various effects on inflammation, repair and remodeling processes that are either tissue-protective or tissue destructive. In the acute setting, particularly through activation of adenosine 2A and 2B receptors, adenosine signaling serves an anti-inflammatory, tissue-protective role. However, excessive adenosine signaling in the chronic setting promotes pro-inflammatory, tissue destructive effects in chronic pulmonary inflammation.https://www.frontiersin.org/article/10.3389/fimmu.2019.01633/fullpurinergic signalingnucleotidesectonucleotidaseadenosineacute pulmonary inflammationchronic pulmonary inflammation
spellingShingle Thanh-Thuy T. Le
Nathaniel K. Berg
Matthew T. Harting
Xiangyun Li
Xiangyun Li
Holger K. Eltzschig
Xiaoyi Yuan
Purinergic Signaling in Pulmonary Inflammation
Frontiers in Immunology
purinergic signaling
nucleotides
ectonucleotidase
adenosine
acute pulmonary inflammation
chronic pulmonary inflammation
title Purinergic Signaling in Pulmonary Inflammation
title_full Purinergic Signaling in Pulmonary Inflammation
title_fullStr Purinergic Signaling in Pulmonary Inflammation
title_full_unstemmed Purinergic Signaling in Pulmonary Inflammation
title_short Purinergic Signaling in Pulmonary Inflammation
title_sort purinergic signaling in pulmonary inflammation
topic purinergic signaling
nucleotides
ectonucleotidase
adenosine
acute pulmonary inflammation
chronic pulmonary inflammation
url https://www.frontiersin.org/article/10.3389/fimmu.2019.01633/full
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AT xiangyunli purinergicsignalinginpulmonaryinflammation
AT xiangyunli purinergicsignalinginpulmonaryinflammation
AT holgerkeltzschig purinergicsignalinginpulmonaryinflammation
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