Abstract
Neuroinflammation, mainly sustained by microglial activation, is one of the hallmarks of many neurodegenerative diseases, including Parkinson’s disease, Huntington’s disease, Alzheimer’s disease, and amyotrophic lateral sclerosis. A broad spectrum of functionally distinct microglial phenotypes has been described, differently affecting the central nervous system (CNS) homeostasis. Manipulating the activation state of microglia toward neuroprotective functions can thus be of therapeutic benefit in a number of CNS diseases.
Adenosine is an endogenous neuromodulator acting through the stimulation of four receptor subtypes, namely, A1, A2A, A2B, and A3 receptors (Rs). Among its numerous effects, adenosine plays an important immunoregulatory role in the CNS. A2AR activation, in particular, appears to play a crucial role mainly by regulating microglial function. Emerging evidence indicates that such receptors may mediate different and even opposite effects on brain inflammation according to the stage of the pathological condition and to the different inflammatory cell types involved in that particular stage. The complex role of A2ARs in controlling neuroinflammation is strongly dependent also on the interplay with other neurotransmitters.
In this chapter, we will critically discuss the role of adenosine receptors in neuroinflammation (with particular emphasis on the A2AR subtype), and its possible relevance to neurodegeneration.
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Ferrante, A., De Simone, R., Ajmone-Cat, M.A., Minghetti, L., Popoli, P. (2018). Adenosine Receptors and Neuroinflammation. In: Borea, P., Varani, K., Gessi, S., Merighi, S., Vincenzi, F. (eds) The Adenosine Receptors. The Receptors, vol 34. Humana Press, Cham. https://doi.org/10.1007/978-3-319-90808-3_9
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