1. Adenosine regulation of alveolar fluid clearance
- Author
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Factor, Phillip, Mutlu, Goskhan M., Chen, Lan, Mohameed, Jameel, Akhmedov, Alexander T., Meng, Fan Jing, Jilling, Tamas, Lewis, Erin Rachel, Johnson, Meshell D., Xu, Anna, Kass, Daniel, Martino, Janice M., Bellmeyer, Amy, Albazi, John S., Emala, Charles, Lee, H.T., Dobbs, Leland G., and Matalon, Sadis
- Subjects
Adenosine kinase -- Research ,G proteins -- Research ,Macrophages -- Research ,Cystic fibrosis -- Research ,Science and technology - Abstract
Adenosine is a purine nucleoside that regulates cell function through G protein-coupled receptors that activate or inhibit adenylyl cyclase. Based on the understanding that cAMP regulates alveolar epithelial active [Na.sup.+] transport, we hypothesized that adenosine and its receptors have the potential to regulate alveolar ion transport and airspace fluid content. Herein, we report that type 1 ([A.sub.1]R), 2a ([A.sub.2a]R), 2b ([A.sub.2b]R), and 3 ([A.sub.3]R) adenosine receptors are present in rat and mouse lungs and alveolar type 1 and 2 epithelial cells (AT1 and AT2). Rat AT2 cells generated and produced cAMP in response to adenosine, and micromolar concentrations of adenosine were measured in bronchoalveolar lavage fluid from mice. Ussing chamber studies of rat AT2 cells indicated that adenosine affects ion transport through engagement of [A.sub.1]R, [A.sub.2a]R, and/or [A.sub.3]R through a mechanism that increases CFTR and amiloride-sensitive channel function. Intratracheal instillation of low concentrations of adenosine ([less than or equal to] [10.sup.-8]M) or either [A.sub.2a]R- or [A.sub.3R]-specific agonists increased alveolar fluid clearance (AFC), whereas physiologic concentrations of adenosine ([greater than or equal to] [10.sup.-6]M) reduced AFC in mice and rats via an [A.sub.1]R-dependent pathway. Instillation of a CFTR inhibitor (CFT[R.sub.inh-172]) attenuated adenosine-mediated down-regulation of AFC, suggesting that adenosine causes C[I.sup.-] efflux by means of CFTR. These studies report a role for adenosine in regulation of alveolar ion transport and fluid clearance. These findings suggest that physiologic concentrations of adenosine allow the alveolar epithelium to counterbalance active [Na.sup.+] absorption with C[I.sup.-] efflux through engagement of the [A.sub.1]R and raise the possibility that adenosine receptor ligands can be used to treat pulmonary edema. active sodium transport | adenosine receptors | cystic fibrosis transmembrane conductance regulator
- Published
- 2007