Adenosine A3 Receptor (A3AR) Agonist for the Treatment of Bleomycin-Induced Lung Fibrosis in Mice

Int J Mol Sci. 2022 Nov 1;23(21):13300. doi: 10.3390/ijms232113300.

Abstract

Adenosine receptors (ARs) are involved in the suppression and development of inflammatory and fibrotic conditions. Specifically, AR activation promotes differentiation of lung fibroblasts into myofibroblasts, typical of a fibrotic event. Pulmonary fibrosis is a severe disease characterized by inflammation and fibrosis of unknown etiology and lacking an effective treatment. The present investigation explored the action of MRS5980, a new, highly potent and selective A3AR agonist, in an established murine model of lung fibrosis. The effects of either vehicle or MRS5980 were studied in mice following intratracheal bleomycin administration. We evaluated the role of the A3AR agonist on lung stiffness, studying the airway resistance to inflation, oxidative stress (8-OHdG and MDA), inflammation, pro- and anti-inflammatory marker levels (IL-1β, IL-6, TNF-α, IL-10 and IL-17A) and fibrosis establishment, evaluating transforming growth factor (TGF)-β expression and α-smooth muscle actin (α-SMA) deposition in lungs. Bleomycin administration increased lung stiffness, TGF-β levels, α-SMA deposition, and inflammatory and oxidative stress markers. The treatment with MRS5980 attenuated all the analyzed functional, biochemical and histopathological markers in a dose-dependent manner. Our findings support the therapeutic potential of A3AR agonists in lung fibrosis by demonstrating reduced disease progression, as indicated by decreased inflammation, TGF-β expression and fibrotic remodeling.

Keywords: A3AR agonist; MRS5980; adenosine A3 receptor; inflammation; lung fibrosis.

MeSH terms

  • Adenosine / metabolism
  • Animals
  • Bleomycin / pharmacology
  • Fibroblasts / metabolism
  • Fibrosis
  • Inflammation / pathology
  • Lung / pathology
  • Mice
  • Mice, Inbred C57BL
  • Pulmonary Fibrosis* / chemically induced
  • Pulmonary Fibrosis* / drug therapy
  • Pulmonary Fibrosis* / metabolism
  • Receptors, Purinergic P1 / metabolism
  • Transforming Growth Factor beta / metabolism

Substances

  • Bleomycin
  • Transforming Growth Factor beta
  • Receptors, Purinergic P1
  • Adenosine

Grants and funding

This work was supported and funded by Fondazione Cassa di Risparmio di Firenze.