The adenosinergic machinery in cancer: In-tandem insights from basic mechanisms to therapy

Front Immunol. 2023 Feb 23:14:1111369. doi: 10.3389/fimmu.2023.1111369. eCollection 2023.

Abstract

Extracellular adenosine (eADO) signaling has emerged as an increasingly important regulator of immune responses, including tumor immunity. eADO is mainly produced from extracellular ATP (eATP) hydrolysis. eATP is rapidly accumulated in the extracellular space following cell death or cellular stress triggered by hypoxia, nutrient starvation, or inflammation. eATP plays a pro-inflammatory role by binding and activating the P2 purinergic receptors (P2X and P2Y), while eADO has been reported in many studies to mediate immunosuppression by activating the P1 purinergic receptors (A1, A2A, A2B, and A3) in diverse immune cells. Consequently, the hydrolysis of eATP to eADO alters the immunosurveillance in the tumor microenvironment (TME) not only by reducing eATP levels but also by enhancing adenosine receptor signaling. The effects of both P1 and P2 purinergic receptors are not restricted to immune cells. Here we review the most up-to-date understanding of the tumor adenosinergic system in all cell types, including immune cells, tumor cells, and stromal cells in TME. The potential novel directions of future adenosinergic therapies in immuno-oncology will be discussed.

Keywords: adenosine; EADO; cancer; machinery and mechanisms; therapy.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine / metabolism
  • Adenosine Triphosphate / metabolism
  • Humans
  • Neoplasms*
  • Receptors, Purinergic P1 / metabolism
  • Receptors, Purinergic P2* / metabolism
  • Tumor Microenvironment

Substances

  • Adenosine
  • Receptors, Purinergic P2
  • Adenosine Triphosphate
  • Receptors, Purinergic P1

Grants and funding

This research received financial support by the Key Special Projects of National Key Research and Development Plan (2021YFA1301302), The Belt and Road Initiative and China-Africa Science and Technology Cooperation Project of Department of Science and Technology of Jiangxi Province (20202BDH80007), the National Natural Science Foundation of China (32200606), and the Natural Science Foundation of Top Talent of SZTU (GDRC202118), the Natural Science Foundation of Top Talent of SZTU (2020102), Shenzhen Natural Science Foundation (JCYJ20190813141001745, 20220718100823002).