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Franco R, Rivas-Santisteban R, Navarro G, Reyes-Resina I. Adenosine Receptor Antagonists to Combat Cancer and to Boost Anti-Cancer Chemotherapy and Immunotherapy. Cells 2021; 10:cells10112831. [PMID: 34831054 PMCID: PMC8616521 DOI: 10.3390/cells10112831] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 10/15/2021] [Accepted: 10/16/2021] [Indexed: 12/22/2022] Open
Abstract
Extracellular adenosine accumulates in the environment of numerous tumors. For years, this fact has fueled preclinical research to determine whether adenosine receptors (ARs) could be the target to fight cancer. The four ARs discovered so far, A1, A2A, A2B and A3, belong to the class A family of G protein-coupled receptors (GPCRs) and all four have been involved in one way or another in regulating tumor progression. Prompted by the successful anti-cancer immunotherapy, the focus was placed on the ARs more involved in regulation of immune cell differentiation and activation and that are able to establish molecular and functional interactions. This review focuses on the potential of A2A and A2B receptor antagonists in cancer control and in boosting anti-cancer chemotherapy and immunotherapy. The article also overviews the ongoing clinical trials in which A2AR and A2BR ligands are being tested in anti-cancer therapy.
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Affiliation(s)
- Rafael Franco
- CiberNed, Network Research Center, Neurodegenerative Diseases, Spanish National Health Institute Carlos III, 28034 Madrid, Spain; (R.R.-S.); (G.N.); (I.R.-R.)
- Department of Biochemistry and Molecular Biomedicine, University of Barcelona, 08028 Barcelona, Spain
- Correspondence: or
| | - Rafael Rivas-Santisteban
- CiberNed, Network Research Center, Neurodegenerative Diseases, Spanish National Health Institute Carlos III, 28034 Madrid, Spain; (R.R.-S.); (G.N.); (I.R.-R.)
- Department of Biochemistry and Molecular Biomedicine, University of Barcelona, 08028 Barcelona, Spain
| | - Gemma Navarro
- CiberNed, Network Research Center, Neurodegenerative Diseases, Spanish National Health Institute Carlos III, 28034 Madrid, Spain; (R.R.-S.); (G.N.); (I.R.-R.)
- Department of Biochemistry and Physiology, Faculty of Pharmacy and Food Science, University of Barcelona, 08028 Barcelona, Spain
| | - Irene Reyes-Resina
- CiberNed, Network Research Center, Neurodegenerative Diseases, Spanish National Health Institute Carlos III, 28034 Madrid, Spain; (R.R.-S.); (G.N.); (I.R.-R.)
- Department of Biochemistry and Molecular Biomedicine, University of Barcelona, 08028 Barcelona, Spain
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Naval-Macabuhay I, Casanova V, Navarro G, García F, León A, Miralles L, Rovira C, Martinez-Navio JM, Gallart T, Mallol J, Gatell JM, Lluís C, Franco R, McCormick PJ, Climent N. Adenosine deaminase regulates Treg expression in autologous T cell-dendritic cell cocultures from patients infected with HIV-1. J Leukoc Biol 2015; 99:349-59. [PMID: 26310829 DOI: 10.1189/jlb.3a1214-580rr] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2014] [Accepted: 08/15/2015] [Indexed: 12/26/2022] Open
Abstract
Regulatory T cells have an important role in immune suppression during HIV-1 infection. As regulatory T cells produce the immunomodulatory molecule adenosine, our aim here was to assess the potential of adenosine removal to revert the suppression of anti-HIV responses exerted by regulatory T cells. The experimental setup consisted of ex vivo cocultures of T and dendritic cells, to which adenosine deaminase, an enzyme that hydrolyzes adenosine, was added. In cells from healthy individuals, adenosine hydrolysis decreased CD4(+)CD25(hi) regulatory T cells. Addition of 5'-N-ethylcarboxamidoadenosine, an adenosine receptor agonist, significantly decreased CD4(+)CD25(lo) cells, confirming a modulatory role of adenosine acting via adenosine receptors. In autologous cocultures of T cells with HIV-1-pulsed dendritic cells, addition of adenosine deaminase led to a significant decrease of HIV-1-induced CD4(+)CD25(hi) forkhead box p3(+) cells and to a significant enhancement of the HIV-1-specific CD4(+) responder T cells. An increase in the effector response was confirmed by the enhanced production of CD4(+) and CD8(+) CD25(-)CD45RO(+) memory cell generation and secretion of Th1 cytokines, including IFN-γ and IL-15 and chemokines MIP-1α/CCL3, MIP-1β/CCL4, and RANTES/CCL5. These ex vivo results show, in a physiologically relevant model, that adenosine deaminase is able to enhance HIV-1 effector responses markedly. The possibility to revert regulatory T cell-mediated inhibition of immune responses by use of adenosine deaminase, an enzyme that hydrolyzes adenosine, merits attention for restoring T lymphocyte function in HIV-1 infection.
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Affiliation(s)
- Isaac Naval-Macabuhay
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
| | - Víctor Casanova
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
| | - Gemma Navarro
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
| | - Felipe García
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
| | - Agathe León
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
| | - Laia Miralles
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
| | - Cristina Rovira
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
| | - José M Martinez-Navio
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
| | - Teresa Gallart
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
| | - Josefa Mallol
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
| | - José M Gatell
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
| | - Carme Lluís
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
| | - Rafael Franco
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
| | - Peter J McCormick
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
| | - Núria Climent
- *Department of Biochemistry and Molecular Biology, Faculty of Biology, and Institute of Biomedicine of the University of Barcelona, University of Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi i Sunyer-AIDS Research Group and Catalonian Center for HIV Vaccines, Barcelona, Spain; Infectious Diseases and AIDS Unit and Service of Immunology, Hospital Clínic de Barcelona, Spain; and School of Pharmacy, University of East Anglia, Norwich, Norfolk, United Kingdom
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Sabe AA, Dalal RS, Chu LM, Elmadhun NY, Ramlawi B, Bianchi C, Sellke FW. Preoperative gene expression may be associated with neurocognitive decline after cardiopulmonary bypass. J Thorac Cardiovasc Surg 2014; 149:613-22; discussion 622-3. [PMID: 25483902 DOI: 10.1016/j.jtcvs.2014.10.050] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Revised: 09/29/2014] [Accepted: 10/09/2014] [Indexed: 12/13/2022]
Abstract
OBJECTIVE Despite advances in surgical techniques, neurocognitive decline after cardiopulmonary bypass remains a common and serious complication. We have previously demonstrated that patients with neurocognitive decline have unique genetic responses 6 hours after cardiopulmonary bypass when compared with normal patients. We used genomic microarray to objectively investigate whether patients with neurocognitive decline had associated preoperative gene expression profiles and how these profiles changed up to 4 days after surgery. METHODS Patients undergoing cardiac surgery underwent neurocognitive assessments preoperatively and 4 days after surgery. Skeletal muscle was collected intraoperatively. Whole blood collected before cardiopulmonary bypass, 6 hours after cardiopulmonary bypass, and on postoperative day 4 was hybridized to Affymetrix Gene Chip U133 Plus 2.0 microarrays (Affymetrix Inc, Santa Clara, Calif). Gene expression in patients with neurocognitive decline was compared with gene expression in the normal group using JMP Genomics (SAS Institute Inc, Cary, NC). Only genes that were commonly expressed in the 2 groups with a false discovery rate of 0.05 and a fold change greater than 1.5 were carried forward to pathway analysis using Ingenuity Pathway Analysis (Ingenuity Systems, Redwood City, Calif). Microarray gene expression was validated by Green real-time polymerase chain reaction and Western blotting. RESULTS Neurocognitive decline developed in 17 of 42 patients. A total of 54,675 common transcripts were identified on microarray in each group across all time points. Preoperatively, there were 140 genes that were significantly altered between the normal and neurocognitive decline groups (P < .05). Pathway analysis demonstrated that preoperatively, patients with neurocognitive decline had increased regulation in genes associated with inflammation, cell death, and neurologic dysfunction. Of note, the number of significantly regulated genes between the 2 groups changed over each time point and decreased from 140 preoperatively to 64 six hours after cardiopulmonary bypass and to 25 four days after surgery. There was no correlation in gene expression between the blood and the skeletal muscle. CONCLUSIONS Patients in whom neurocognitive decline developed after cardiopulmonary bypass had increased differential gene expression before surgery versus patients in whom neurocognitive decline did not develop. Although significant differences in gene expression also existed postoperatively, these differences gradually decreased over time. Preoperative gene expression may be associated with neurologic injury after cardiopulmonary bypass. Further investigation into these genetic pathways may help predict patient outcome and guide patient selection.
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Affiliation(s)
- Ashraf A Sabe
- Division of Cardiothoracic Surgery, Cardiovascular Research Center, Warren Alpert Medical School of Brown University, Providence, RI
| | - Rahul S Dalal
- Division of Cardiothoracic Surgery, Cardiovascular Research Center, Warren Alpert Medical School of Brown University, Providence, RI
| | - Louis M Chu
- Division of Cardiothoracic Surgery, Cardiovascular Research Center, Warren Alpert Medical School of Brown University, Providence, RI
| | - Nassrene Y Elmadhun
- Division of Cardiothoracic Surgery, Cardiovascular Research Center, Warren Alpert Medical School of Brown University, Providence, RI
| | - Basel Ramlawi
- Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Tex
| | - Cesario Bianchi
- Division of Cardiothoracic Surgery, Cardiovascular Research Center, Warren Alpert Medical School of Brown University, Providence, RI
| | - Frank W Sellke
- Division of Cardiothoracic Surgery, Cardiovascular Research Center, Warren Alpert Medical School of Brown University, Providence, RI.
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