The Journal of Experimental Medicine
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Published online 25 August 2003 doi:10.1084/jem.20030891
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© Rockefeller University Press, 0022-1007/2003/9/783 $5.00
The Journal of Experimental Medicine, Volume 198, Number 5, 783-796

Coordinated Adenine Nucleotide Phosphohydrolysis and Nucleoside Signaling in Posthypoxic Endothelium : Role of Ectonucleotidases and Adenosine A2B Receptors



Holger K. Eltzschig1,7, Juan C. Ibla2, Glenn T. Furuta3, Martin O. Leonard4, Kenneth A. Jacobson5, Keiichi Enjyoji6, Simon C. Robson6 and Sean P. Colgan1

1 Center for Experimental Therapeutics and Reperfusion Injury, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital
2 Department of Anesthesiology, Perioperative and Pain Medicine
3 Combined Program for Pediatric Gastroenterology and Nutrition, Children's Hospital, Harvard Medical School, Boston, MA 02115
4 The Conway Institute for Biomolecular and Biomedical Research, University College Dublin, Belfield, Dublin 4, Ireland
5 Molecular Recognition Section, National Institutes of Health, Bethesda, MD 20892
6 Transplantation Center, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115
7 Department of Anesthesiology and Intensive Care Medicine, Eberhard-Karls-University, D-72076 Tübingen, Germany

Address correspondence to Sean P. Colgan, Ph.D., Center for Experimental Therapeutics and Reperfusion Injury, Brigham and Women's Hospital, Harvard Medical School, Thorn Building 704, 75 Francis St., Boston, MA 02115. Phone: (617) 278-0599 ext. 1401; Fax: (617) 278-6957; email: colgan{at}zeus.bwh.harvard.edu

Limited oxygen delivery to tissues (hypoxia) is common in a variety of disease states. A number of parallels exist between hypoxia and acute inflammation, including the observation that both influence vascular permeability. As such, we compared the functional influence of activated polymorphonuclear leukocytes (PMN) on normoxic and posthypoxic endothelial cells. Initial studies indicated that activated PMN preferentially promote endothelial barrier function in posthypoxic endothelial cells (>60% increase over normoxia). Extension of these findings identified at least one soluble mediator as extracellular adenosine triphosphate (ATP). Subsequent studies revealed that ATP is coordinately hydrolyzed to adenosine at the endothelial cell surface by hypoxia-induced CD39 and CD73 (>20-and >12-fold increase in mRNA, respectively). Studies in vitro and in cd39-null mice identified these surface ecto-enzymes as critical control points for posthypoxia-associated protection of vascular permeability. Furthermore, insight gained through microarray analysis revealed that the adenosine A2B receptor (AdoRA2B) is selectively up-regulated by hypoxia (>5-fold increase in mRNA), and that AdoRA2B antagonists effectively neutralize ATP-mediated changes in posthypoxic endothelial permeability. Taken together, these results demonstrate transcription coordination of adenine nucleotide and nucleoside signaling at the vascular interface during hypoxia.

Key Words: adenosine • ectonucleotidase • endothelium • neutrophil • inflammation


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