Abstract
The low affinity A(2B) adenosine receptor, like any other adenosine
receptor subtype, belongs to the super-family of seven transmembrane
domain protein-coupled receptors (7TMs GPCR) and is classified by
the GPCR database in the family of rhodopsin like receptors (Class
A of GPCR). It has been cloned from various species, including rat
and human, and its sequences are highly similar across species, ranging
from 85% identity between human and mouse and 95% identity between
rat and mouse. The A(2B)receptors show a ubiquitous distribution,
the highest levels are present in cecum, colon and bladder, followed
by blood vessels, lung, eye and mast cells. Through A(2B) receptors
adenosine seems to cause mast cells degranulation, vasodilation,
cardiac fibroblast proliferation, inhibition of Tumor Necrosis Factor
(TNF-alpha), increased synthesis of interleukin-6 (IL-6), stimulation
of Cl(-) secretion in intestinal epithelia and hepatic glucose production.
Hence, A(2B) adenosine receptor agonists could be useful in the treatment
of cardiac diseases like hypertension or myocardial infarction and
in the management of septic shock, while antagonists may serve as
novel drugs for asthma, Alzheimer's disease, cystic fibrosis and
type-II diabetes. No potent and selective A(2B) agonists have been
reported so far; 5'-N-ethylcarboxamidoadenosine (NECA) is one of
the most active. The monosubstitution on N(6)-position of adenosine
is well tolerated and that position appears to be a useful site for
increasing A(2B) potency. Among substituents in 2-position of adenosine
only 1-alkynyl chains are effective for A(2B) potency. In particular,
the (S)-2-hydroxypropynyl substituents brought about the highest
activity demonstrating that the A(2B) receptors discriminate between
(R) and (S) diastereomers. Hence, (S)-2-phenylhydroxypropynylNECA
(PHPNECA), with an EC(50) = 0.22 micro M, proved to be the most potent
A(2B) agonist reported so far. Classical antagonists for adenosine
receptors are alkylxanthines which show considerable potency at A(2B)
receptors. Para substituted 1,3-dialkyl-8-phenylxanthines possess
high affinity in binding assays; the 3-unsubstituted 1-alkyl analogues
resulted more A(2B) selective with the 8-4-(N-(2-hydroxyethyl)carboxamidomethyl)oxyphenyl-1-propylxanthine
(60) showing the highest affinity (K(i) = 1.2 nM) and selectivity
(A(1)/A(2B) = 60, A(2A)/A(2B) = 1,790, A(3)/A(2B) = 360). Among non-xanthine
derivatives very promising are substituted purines, in which combination
of appropriate substituents in 2-, 8-, and 9-position could lead
to very potent and selective A(2B) antagonists.
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