Adenosine A1 receptor (A1R)

Adenosine A1 receptor (A1R) mediates adenosine-sensitive cardiac and neural signaling through ligand-regulated receptor states and G-protein coupling[1][2]. Mechanistically, A1R activation inhibits isoproterenol-stimulated phospholamban phosphorylation in ventricular myocytes without reducing cAMP levels, linking A1R to selective control of cardiac phosphorylation responses[3]. In disease models, the A1R agonist PIA reduced infarct size in rabbits, while adenosine itself failed to reproduce this protection[4]. Compared with related isoforms, A1R mediates negative chronotropic activity, whereas A2 receptors mediate coronary vasodilator activity[5]. A1R also differs from A2AR in pharmacological models where dual A1/A2A antagonism improved motor impairment and cognitive deficits through separable receptor contributions[6]. For experimental applications, selective antagonists such as DPCPX and FSCPX support receptor identification, subtype discrimination, and irreversible A1R blockade in cardiac and brain membranes[1][7].
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