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Sorrentino et al.                                                                                                                                                                               Role of A 2B  receptor in cancer

           infiltrating myeloid cells CD11b high /Gr-1 high , suggesting   and selective antagonist of A  adenosine receptors
                                                                                         2B
           that A  receptor suppresses immune surveillance.    or  silencing A   receptors  blocked  the  proliferative
                                                         [72]
                 2B
                                                                           2B
           Later, Cekic et al. [104]  showed that the selective blockade   effects induced by a non-selective adenosine analog
           of  A   receptor  inhibits bladder and breast tumor   NECA. [107,108]  Other studies indicate that A  adenosine
                                                                                                   2B
               2B
           growth in mice, by inducing a T-cell mediated response   receptor is highly expressed also in oral squamous
           in a CXCR3-dependent manner. In a mouse model of   carcinoma cell lines, as well as in human oral
           melanoma, selective blockade of A  receptor inhibits   carcinoma tissues, where its expression is correlated
                                           2B
           tumor growth. [105]  This effect was associated with lower   with those of HIF-1. [109]  Studies by Gessi  et al. [110]
           levels of IL-10 and MCP-1 in the tumor tissue and   demonstrate that in colon cancer cells, although at the
           reduced accumulation of tumor-infiltrating MDSCs. [105]    mRNA levels A  receptor is more expressed than A ,
                                                                                                             1
                                                                           2B
           Notably, the levels of MDSCs in secondary lymphoid   A  and A , the density of A  receptors is the highest
                                                               2A
                                                                                       3
                                                                       3
           organs remained unchanged in mice treated with the   among the adenosine receptor subtypes. Later,
           selective A   receptor antagonist, consistent  with a   other studies have demonstrated that the adenosine
                     2B
           selective activity of the antagonist on the recruitment   A  receptor is up-regulated in colorectal carcinoma
                                                               2B
           of MDSCs to tumor lesions rather than with a putative   tissues and colon cancer cell lines compared with
           systemic effects. [105]  Blockade of  A  receptor within   normal colorectal mucosa under hypoxic conditions. [111]
                                           2B
           the  tumor microenvironment  modulates the intra-  Antagonists  of A   receptors  inhibit  cancer  cell
                                                                               2B
           tumoral levels of various inflammatory mediators and   proliferation, suggesting that this receptor may be a
           growth factors that could in turn influence the features   potential therapeutic target for colorectal cancer. [111]
           of  tumor-infiltrating  immune  cells,  promoting  the
           recruitment/accumulation of MDSC. [106]  Accordingly, the   In contrast, in gastric cancer cells  A  adenosine
                                                                                                  2B
           percentage of tumor-infiltrating CD8+ T cells upon A    receptor  has  been  identified  as  target  of  miR-
                                                          2B
           receptor blockade enhanced in the tumor lesions. [105]    128b, a proto-oncogene miRNA down-regulated in
           Furthermore, treatment of mice with the A  receptor   gastric  cancer  tissues. [112]   In  this  work,  the  authors
                                                  2B
           antagonist PSB1115 in combination with dacarbazine,   demonstrate that the down-regulation of miR-128b
           a chemotherapeutic  agent commonly  employed       in gastric cancer cell is associated with an over-
           in melanoma  patients, reduces  tumor growth and   expression of A  adenosine receptor and decreased
                                                                            2B
           significantly increases the number of CD8  T cells in   cell  apoptosis  rate. [112]   In  osteosarcoma  cells  it
                                                 +
           the melanoma lesions demonstrating the high potential   has  been  demonstrated  that  p73  upregulates  A
                                                                                                            2B
           of combining A receptor blockade and chemotherapy   adenosine  receptor  and  A 2B  receptor  agonists  can
                        2B
           for cancer treatment. [105,106]                    enhance  p73-dependent  cell  death  in  response
                                                              to chemotherapy. [113]  Moreover, stimulation of  A
                                                                                                            2B
           In conclusion, the experimental evidence in some tumor   receptor with a non-selective adenosine analog
           mouse  models  suggest  that  the  selective  blockade   NECA induces apoptosis in ovarian cancer cells. [114]
           of  A 2B   receptor  may  ameliorate  T  cell-mediated   Nonetheless,while a number of studies demonstrate
           immune surveillance by impairing the accumulation   that stimulation of  A  adenosine receptor in some
                                                                                 2B
           of  suppressive  cells  and  the  levels  of  inflammatory   cancer cell types promotes proliferation, whereby
           factors in  the  tumor  microenvironment. [72,104-106]    knockdown  or  pharmacological  inhibition  of  this
           However, despite the relevance of these observations,   receptor reduces tumor cell growth and promotes
           more studies are needed  to provide a detailed     apoptosis, [107-111]  opposite results have been also
           understanding of the role of A  receptor in modulating   described. [112,113]  The discrepancy might likely depend
                                     2B
           the immune responses in tumor environments.        on the cancer cell types, the expression levels of this
                                                              receptor on tumor cells and the selectivity and/or
           A  RECEPTOR AND TUMOR STROMA                       concentrations of pharmacological tools used in the
             2B
                                                              experimental settings.
           A number of studies indicate that A  receptor can
                                             2B
           directly  affect  the  proliferation/migration  of  tumor   It has been demonstrated that agonists of  A
                                                                                                            2B
           cells and the function of other stroma cells that   receptor induce anti-proliferative and pro-apoptotic
           populate the tumor niche, including endothelial cells   effects on glioblastoma cancer stem cells (CSCs). [115]
           and fibroblasts.                                   Furthermore,  stimulation  of  A   receptors  as  well
                                                                                          2B
                                                              as A  receptors sensitize glioblastoma CSCs to
                                                                   1
           A critical role for A  adenosine receptor in mediating   chemotherapy. [115]
                            2B
           proliferation and/or apoptosis in different cancer cell
           lines has been delineated.  A  adenosine receptor   A role of  A  receptor in promoting the migration
                                       2B
                                                                         2B
           is highly expressed in prostate cancer cell lines   of  tumor  cells  in  vitro  and  in  vivo  has  been  clearly
            132                                                                       Journal of Cancer Metastasis and Treatment ¦ Volume 3 ¦ July 17, 2017
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