Adenosine Receptor Agonists

Adenosine is a purine nucleoside that binds to adenosine cell surface receptors, which are widely expressed in heart and blood vessel cells as well as in the brain, kidney and adipose tissue. There are 4 subtypes of P1 (adenosine) G protein-coupled receptors (GPCR), named A1, A2A, A2B, and A3, which...

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Main Authors: Markus Wallner, Piotr Ponikowski
Format: Article
Language:English
Published: Barcaray International 2019-01-01
Series:International Cardiovascular Forum Journal
Subjects:
Online Access:https://icfjournal.org/index.php/icfj/article/view/613/pdf
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author Markus Wallner
Piotr Ponikowski
author_facet Markus Wallner
Piotr Ponikowski
author_sort Markus Wallner
collection DOAJ
description Adenosine is a purine nucleoside that binds to adenosine cell surface receptors, which are widely expressed in heart and blood vessel cells as well as in the brain, kidney and adipose tissue. There are 4 subtypes of P1 (adenosine) G protein-coupled receptors (GPCR), named A1, A2A, A2B, and A3, which mediate a variety of cardioprotective and regenerative effects. In the heart, these effects are predominantly mediated through A1 receptors (A1R), which are expressed in atrial and ventricular cardiomyocytes and smooth muscle cells. Pre-clinical studies have reported multiple potential benefits achievable by modulation of adenyl cyclase with beneficial effects in a variety of pre-clinical models of cardiovascular disease including chronic heart failure (HF). A1R blockade (e.g. rolofylline) was however not successful in the PROTECT trial, where 2033 patients with acute HF and renal dysfunction were randomized to rolofylline or placebo, showed no benefit on renal function, symptoms, rehospitalization, or mortality. Following this attention turned to partial adenosine agonists, capadenoson and neladenoson bialanate hydrochloride, which has two phase II studies underway, PANACHE (HFpEF) and PANTHEON (HFrEF).
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spelling doaj.art-4e66a13b5ee34ad5b7a9129c2d63e57f2022-12-22T03:05:57ZengBarcaray InternationalInternational Cardiovascular Forum Journal2410-26362409-34242019-01-01181114https://doi.org/10.17987/icfj.v18i0.613Adenosine Receptor AgonistsMarkus Wallner0Piotr Ponikowski1Division of Cardiology Medical University of Graz, AustriaHead of the Department of Heart Diseases, Wroclaw Medical University and Head of the Cardiology Department at the Center for Heart Diseases at 4th Military Hospital, Wroclaw, PolandAdenosine is a purine nucleoside that binds to adenosine cell surface receptors, which are widely expressed in heart and blood vessel cells as well as in the brain, kidney and adipose tissue. There are 4 subtypes of P1 (adenosine) G protein-coupled receptors (GPCR), named A1, A2A, A2B, and A3, which mediate a variety of cardioprotective and regenerative effects. In the heart, these effects are predominantly mediated through A1 receptors (A1R), which are expressed in atrial and ventricular cardiomyocytes and smooth muscle cells. Pre-clinical studies have reported multiple potential benefits achievable by modulation of adenyl cyclase with beneficial effects in a variety of pre-clinical models of cardiovascular disease including chronic heart failure (HF). A1R blockade (e.g. rolofylline) was however not successful in the PROTECT trial, where 2033 patients with acute HF and renal dysfunction were randomized to rolofylline or placebo, showed no benefit on renal function, symptoms, rehospitalization, or mortality. Following this attention turned to partial adenosine agonists, capadenoson and neladenoson bialanate hydrochloride, which has two phase II studies underway, PANACHE (HFpEF) and PANTHEON (HFrEF).https://icfjournal.org/index.php/icfj/article/view/613/pdfheart failureadenosine receptor agonists
spellingShingle Markus Wallner
Piotr Ponikowski
Adenosine Receptor Agonists
International Cardiovascular Forum Journal
heart failure
adenosine receptor agonists
title Adenosine Receptor Agonists
title_full Adenosine Receptor Agonists
title_fullStr Adenosine Receptor Agonists
title_full_unstemmed Adenosine Receptor Agonists
title_short Adenosine Receptor Agonists
title_sort adenosine receptor agonists
topic heart failure
adenosine receptor agonists
url https://icfjournal.org/index.php/icfj/article/view/613/pdf
work_keys_str_mv AT markuswallner adenosinereceptoragonists
AT piotrponikowski adenosinereceptoragonists