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Corona et al. J Cancer Metastasis Treat 2017;3:206-8                                Journal of
           DOI: 10.20517/2394-4722.2017.50
                                                             Cancer Metastasis and Treatment

                                                                                               www.jcmtjournal.com
            Commentary                                                                          Open Access


           Adenosine A2B receptor: novel anti-cancer

           therapeutic implications



           Silvia Paola Corona , Navid Sobhani , Daniele Generali 2
                                           2
                            1
           1 Department of Radiation Oncology, Peter MacCallum Cancer Center, Moorabbin Campus, Bentleigh East VIC 3165, Australia.
           2 Department of Medical, Surgery and Health Sciences, University of Trieste, 34129 Trieste, Italy.

           Correspondence to: Dr. Silvia Paola Corona, Department of Radiation Oncology, Peter MacCallum Cancer Center, Moorabbin Campus, Bentleigh
           East VIC 3165, Australia. E-mail: sil.corona@hotmail.it
           How to cite this article: Corona SP, Sobhani N, Generali D. Adenosine A2B receptor: novel anti-cancer therapeutic implications.
           J Cancer Metastasis Treat 2017;3:206-8.
           Article history:  Received: 4 Aug 2017      Accepted: 15 Sep 2017      Published: 27 Sep 2017

           Extracellular  adenosine  is  a  product  of  the   cytokines and chemokines.  Also, it is involved in
           metabolism of nucleotides such as  ATP and  ADP    the regulation of dendritic cells and macrophages
           and mediates a wide range of events under normal   differentiation and function, aspects, these, crucial
           and pathological conditions [1,2] . Adenosine receptors   for tumour immune-surveillance. Lastly, via its  A2B
           belong to the G-coupled signalling receptors and are   receptor,  adenosine  modulates  the  inflammatory
           broadly expressed in normal tissues in 4 subtypes   response to the tumour and promotes tumour cells
           (A1, A2A, A2B, A3).                                migration and therefore metastasis.

           While A2B has traditionally been considered of less   The  effects  of  protracted  inflammation  can  be
           relevance in comparison to A2A due to lower affinity of   devastating on normal tissues. Adenosine modulates
           the ligand for this adenosine receptor subtype, recent   inflammation   by   enhancing   differentiation   of
           evidence  strongly  suggests  a  specific  role  of  this   T-regulatory and myeloid derived suppressor cells
           receptor in cancer and other pathological conditions [3,4] .  which are able to induce  T-cells anergy . Also,
                                                                                                      [5]
                                                              through its  A2B receptor, adenosine induces anti-
           The authors of this review are experts in the field of
           adenosine  signalling.  In  this  work  they  analyse  the   inflammatory cytokines such as IL-10, further limiting
           oncogenic role of the A2B receptor, also proposing   the  amplification  of  the  inflammatory  biochemical
           and discussing its targeted blockade as a new anti-  cascade. On the other hand, activation of the A2B
           cancer therapeutic option.                         receptor  can  be  associated  with  pro-inflammatory
                                                              effects  through  activation  of  mast  cells,  fibroblasts
                                                                                                            [6]
           As they explain, the mechanisms thought to be      and other epithelial cells, such as intestinal cells .
           involved in  A2B-mediated tumour progression are   The pro- or anti-inflammatory action of adenosine has
           multiple.  Adenosine  is  responsible for modulating   been subject to extensive study and debate through the
           the tumour microenvironment and the phenomenon     recent years and it seems to be dependent on specific
           of angiogenesis via production of growth factors,   cell  type  and  extracellular  microenvironment [7,8] .

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