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Review
. 2019 Aug 2;14(1):1-4.
doi: 10.1002/cld.777. eCollection 2019 Jul.

Adenosinergic Signaling in Liver Fibrosis

Affiliations
Review

Adenosinergic Signaling in Liver Fibrosis

Shilpa Tiwari-Heckler et al. Clin Liver Dis (Hoboken). .
No abstract available

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Figures

Figure 1
Figure 1
Signaling via extracellular purines and metabolites. ATP and adenosine diphosphate (ADP) are metabolized to AMP through CD39 family ectoenzymes. CD73 converts AMP to adenosine. Adenosine is irreversibly deaminated to inosine by the ectoenzyme ADA or transported back into the cell via ENT. Adenosine signaling is mediated via activation of four G protein‐coupled receptors.
Figure 2
Figure 2
Mechanism of adenosine in modulating liver fibrosis. Enhanced release of ATP during hepatocellular injury leads to an excess of adenosine in the hepatic extracellular milieu. Adenosine promotes liver fibrosis directly via activation of A2A receptors on HSCs leading to increased production of collagen fibers. Furthermore, adenosine signaling has an impact on the differentiation of macrophages by favoring the alternative activation via A2B receptors. Meanwhile, A2A receptor signaling inhibits the release of proinflammatory cytokines.

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