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Alteration of adenosine receptore in patients with chronic obstructive pulmonary disease

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Alteration of adenosine receptors in patients with chronic obstructive

pulmonary disease

Katia Varani,

1

* Gaetano Caramori,

2

* Fabrizio Vincenzi,

1

Ian Adcock,

4

Paolo Casolari,

2

Edward

Leung,

3

Stephen MacLennan,

3

Stefania Gessi,

1

Silvana Morello,

4

Peter J Barnes

4

, Kazuhiro Ito,

4

Kian

Fan Chung,

4

Giorgio Cavallesco,

5

Gianfranco Azzena,

5

Alberto Papi,

2

* Pier Andrea Borea

1

*

1

Department of Clinical and Experimental Medicine, Pharmacology Section, and 2Department of Clinical and Experimental Medicine, Respiratory Disease Section, and 5Department of Surgical Sciences, Thoracic Surgery Section, University of Ferrara; Ferrara, Italy; 3 King Pharmaceuticals Research & Development, Cary, North Carolina, USA;4Airway Disease Section, National Heart & Lung Institute, Imperial College London, UK. (*these authors contributed equally to this work).

Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of mortality worldwide. Adenosine acts through four distinct receptors to mediate pro- and anti-inflammatory effects. The primary aim of this study is to investigate the expression in peripheral lung parenchyma, the major site of airflow obstruction in COPD, using immunohistochemistry, radioligand binding and real time quantitative polymerase chain reaction. Adenosine receptors were analyzed in age-matched smokers with COPD (n = 14) and smokers with normal lung function (control group; n = 20). A1, A2A, A2Band A3receptors were differentially expressed in peripheral lung parenc-hyma. The affinity of A1, A2Aand A3 receptors was significantly decreased in COPD patients compared with control group [KD(A1) = 3.15T 0.19* versus 1.70 T 0.14 nM; KD(A2A) = 7.88T 0.68* versus 1.87 T 0.09 nM; KD(A3) = 9.34T 0.27* versus 4.41 T 0.25 nM; *p < 0.01] whereas their density was increased [Bmax(A1) = 53T 4* versus 32 T 3 fmol/mg protein; Bmax(A2A) = 852T 50* versus 302 T 12 fmol/mg protein; Bmax(A3) = 2078T 108* versus 770 T 34 fmol/mg protein; *p < 0.01]. The affinity of A2Breceptors was not altered but the density was significantly decreased in COPD patients compared with the control group (Bmax = 66T 5* versus 189 T 16 fmol/mg protein; *p < 0.01). A significant correlation was found between the affinity and density of the adenosine receptors and forced expiratory volume in one second (FEV1)/forced vital capacity (FVC) ratio, an established index of airflow obstruction. In conclusion, this is the first report showing the presence of adenosine receptors differentially ex-pressed in lung parenchyma in COPD compared with control smokers. These novel findings strengthen the hy-pothesis of a potential role played by adenosine receptors in the pathogenesis of COPD.

ALTERED DISTRIBUTION, SIGNALLING AND FUNCTION OF A

1

AND

A

2a

ADENOSINE RECEPTORS IN THE BRAIN OF WAG/RIJ RATS WITH

GENETIC ABSENCE EPILEPSY BEFORE AND AFTER THE DISEASE

APPEARANCE

1

D

_Auro M.,

1

D

_Alimonte I.,

2

Citraro R.,

1

Di Iorio P.,

1

Giuliani P.,

1

Caciagli F.,

2

De Sarro G.,

1

Ciccarelli R.

1

Department of Biomedical Sciences, University of Chieti-Pescara. Chieti. Italy.2Department of Experimental and Clinical Medicine, ‘‘Magna Graecia’’ University. Catanzaro. Italy.

mimmidauro@yahoo.com

Adenosine shows anticonvulsant properties in different types of epilepsy, but its role in absence seizures is still to be defined. Here, we investigated the distribution as well as the signalling pathways and function of A1and A2A adenosine receptors in genetically absence epileptic Wistar Albino Glaxo/Rijswijk (WAG/Rij) rats compared with August Copenhagen Irish (ACI) rats, not prone to develop this kind of epilepsy. In WAG/Rij rats, the disease onset occurs after 2 months of age, due to generation of abnormal oscillatory rhythms within the thalamocortical circuitry, including the reticular (nRT), ventroposterolateral and ventroposteromedial thalamic nuclei as well as the frontoparietal somatosensory cortex. Our study, carried out in young (1,5 months) and adult (6 months) animals, i.e. before and after seizure occurrence, focussed on cerebral areas above mentioned in comparison with hippocampus, not involved in seizure triggering. Immunohistochemistry and Western Blot analyses showed a

Communications 115

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