Regulation of macrophage function by adenosine

Abstract

Following its release into the extracellular space in response to metabolic disturbances, the endogenous nucleoside adenosine exerts a range of immunomodulatory effects and cells of the mononuclear phagocyte system are among its major targets. Adenosine governs mononuclear phagocyte functions via 4 G-protein-coupled cell membrane receptors, which are denoted A 1, A 2A, A 2B, and A 3 receptors. Adenosine promotes osteoclast differentiation via A 1 receptors and alters monocyte to dendritic cell differentiation through A 2B receptors. Adenosine downregulates classical macrophage activation mainly through A 2A receptors. In contrast A 2B receptor activation upregulates alternative macrophage activation. Adenosine promotes angiogenesis, which is mediated by inducing the production of vascular endothelial growth factor by mononuclear phagocytes through A 2A, A 2B, and A 3 receptors. By regulating mononuclear phagocyte function adenosine dictates the course of inflammatory and vascular diseases and cancer. © 2012 American Heart Association, Inc.