Adenosine A2B receptor (A2BR)

Adenosine A2B receptor (A2BR) is a low-affinity adenosine receptor that becomes functionally important when extracellular adenosine rises during inflammation, ischemia, or tissue injury[1][2]. Mechanistically, A2BR couples mainly to Gαs, elevates cAMP, and can also engage Gαq and MAPK pathways that regulate cytokine production, barrier responses, fibrosis, and cell metabolism[3][4]. In acute inflammatory models, A2BR signaling limits vascular adhesion, leukocyte recruitment, pulmonary neutrophilia, cytokine release, and ventilator-induced lung injury[2][5]. In chronic lung injury models, selective A2BR antagonism with CVT-6883 reduced pulmonary inflammation, fibrosis, and alveolar airspace enlargement, indicating context-dependent disease relevance[3]. Compared with A2AR, A2BR has lower adenosine affinity, and extracellular loop 2 contributes to this A2A/A2B affinity distinction[1][6]. For experimental applications, BAY 60-6583 activates A2BR-dependent epithelial barrier repair and astrocyte glycolytic signaling, whereas PSB-603 and related xanthines provide selective antagonist tools for receptor labeling and functional blockade[4][7][8].
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