Targeting of adenosine receptors in ischemia-reperfusion injury.

Targeting of adenosine receptors in ischemia-reperfusion injury.
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DOI:
10.1517/14728222.2011.541441
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发表时间:
2011-01
影响因子:
5.8
通讯作者:
Okusa MD
Okusa MD
中科院分区:
医学2区
文献类型:
--
作者:
Laubach VE;French BA;Okusa MD

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Ischemia-reperfusion (IR) injury is a common clinical problem after transplantation as well as myocardial infarction and stroke. IR initiates an inflammatory response leading to rapid tissue damage. Adenosine, produced in response to IR, is generally considered as a protective signaling molecule and elicits its physiological responses through four distinct adenosine receptors. The short half-life, lack of specificity, and rapid metabolism limits the use of adenosine as a therapeutic agent. Thus intense research efforts have focused on the synthesis and implementation of specific adenosine receptor agonists and antagonists as potential therapeutic agents for a variety of inflammatory conditions including IR injury. This review summarizes current knowledge on IR injury with a focus on lung, heart, and kidney, and examines studies that have advanced our understanding of the role of adenosine receptors and the therapeutic potential of adenosine receptor agonists and antagonists for the prevention of IR injury. The reader will gain insight into the role of adenosine receptor signaling in IR injury. No clinical therapies are currently available that specifically target IR injury; however, targeting of specific adenosine receptors may offer therapeutic strategies in this regard.
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