Endacea, Inc. - Science

Purinoceptor-Based Technologies

Purinoceptors are extracellular proteins located on a number of different cell types in the human body. They are coupled to intracellular signaling pathways and activation of these receptors produces a number of different physiological and pathophysiological effects. Professor Geoffrey Burnstock (Autonomic Neuroscience Institute, Royal Free Hospital School of Medicine, London) put forth the purinoceptor hypothesis in 1978. He described two classes of purinoceptors, adenosine-sensitive (P1) and ATP-sensitive (P2) receptors (see Figure below). Four human P1purinoceptors referred to as adenosine receptors (ARs) have been cloned, A1, A2a, A2b, and A3. Activation of these ARs produces the following effects:

  • A1 ARs: slowing of heart, depression of heart contractility, bronchoconstriction, renal and pulmonary vasoconstriction, proinflammatory cellular effects, angiogenesis, sleep induction, and antinociception.
  • A2a ARs: vasodilation, inhibition of platelet aggregation, pain at peripheral sites, and anti-inflammatory cellular effects.
  • A2b ARs: hydration of the airway; release of cytokines from human airway bronchial and smooth muscle cells and fibroblasts; anti-inflammatory cellular and bronchorelaxant effects; decrease endothelial permeability.
  • A3 ARs: anti-inflammatory cellular effects.

For a thorough and up to date review of ARs, see Wilson CN, Mustafa SJ (eds.), Adenosine Receptors in Health and Disease, Handbook of Experimental Pharmacology 193, Springer-Verlag Berlin Heidelberg 2009.

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In 1985, Professor Burnstock described two major classes of ATP-sensitive P2 purinoceptors, P2X and P2Y. Seven P2X and eight P2Y purinoceptors have been cloned and characterized. Activation of P2X purinoceptors produces the following effects: vasoconstriction, platelet aggregation, contraction of the urinary bladder and colon, nociception, release of mediators from macrophages (which are important in septic shock), and activation of immune cells to produce cell death of target cells by apoptosis.

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Activation of A1 ARs and P2X purinoceptors on a number of different cell types, including airway epithelial and smooth muscle cells, endothelial cells, macrophages, and immune cells produces bronchoconstriction, endothelial cell damage, tissue edema, hemorrhage, inflammation and death of immune cells and target cancer cells that underlie a number of different medical conditions including:

  • asthma, chronic obstructive pulmonary disease (COPD), allergic rhinitis;
  • septicemia;
  • ischemia-reperfusion organ injury;
  • fibrosis (e.g. airway remodeling of asthma; cirrhosis of the liver);
  • sclerosis (e.g. atherosclerosis);
  • Alzheimer’s disease; and
  • cancer

For a discussion of ARs in asthma and in inflammation see:

  1. Wilson CN, Nadeem A, Spina D, Brown R, Page CP, Mustafa SJ (2009). Adenosine receptors and asthma. In Wilson CN, Mustafa SJ (eds) Adenosine Receptors in Health and Disease, Handbook of Experimental Pharmacology, Springer-Verlag Berlin Heidelberg, 193, pp 329-362.
  2. Blackburn MR, Vance CO, Morschl E, Wilson CN (2009). Adenosine receptors and inflammation. In Wilson CN, Mustafa SJ (eds) Adenosine Receptors in Health and Disease, Handbook of Experimental Pharmacology, Springer-Verlag Berlin Heidelberg, 193, pp 215-269.