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Pulmonary and Critical Care Division, Departments of Medicine, Physiology, Pathology, and Pharmacology, University of South Alabama College of Medicine, Mobile, Alabama 36688
The adenosine
agonist
5-(N-ethylcarboxamido)adenosine (NECA)
induces vasodilation in the pulmonary circulation via
A2-adenosine-receptor activation.
We addressed whether prolonged treatment with NECA desensitizes in
A2-adenosine- receptor function in
isolated lung and pulmonary artery smooth muscle cells (PASMC). In lung
microcirculation preconstricted with a hypoxic gas, initial
administration of NECA caused a 57% vasodilatory response after
3-4 min. Readministration of NECA after 45 min resulted in minimal
vasodilation. The highest accumulation of PASMC cAMP occurred 3-5
min after NECA, coincident with NECA-induced vasodilation. In PASMCs
treated with NECA for 45 min, cAMP did not increase. Isoproterenol- and
indolidan-induced vasodilation remained intact in NECA-desensitized
lungs. In NECA-desensitized PASMCs, isoproterenol-induced cAMP
accumulation was decreased, suggesting a common mechanism of
desensitization. cAMP accumulation was decreased in cholera
toxin-treated NECA-desensitized PASMCs compared with cholera
toxin-treated control PASMCs, demonstrating that
Gs
-adenylyl cyclase signaling
contributes to desensitization. The
A2a-adenosine-receptor agonist
CGS-21680C neither increased cAMP accumulation in PASMCs nor attenuated
NECA-induced vasodilation. These data support that the
A2b-adenosine receptor is
responsible for pulmonary vasodilation and desensitization through
mechanisms(s) involving
Gs
-adenylyl cyclase signaling.
Gs
-adenylyl cyclase
signaling; adenosine 3',5'-cyclic monophosphate; pulmonary
artery vasodilation
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