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. 2023 Apr 12;11(4):e826. doi: 10.1002/iid3.826

Table 1.

Overview of the involvement of A2AR in cancers and autoimmune diseases.

A2AR expression Major finding Reference
Cancers
Colorectal cancer Highly expressed in tumor tissues High expressions of A2aR and PD‐L1 were associated with a poor prognosis of colorectal cancer [48, 49]
Gastric cancer Up‐regulation on gastric cancer tumor tissue and CD8+ T cells A2AR expression was associated with TNM stage, lymph node metastasis, distant metastasis and poor prognosis [50, 51]
Renal cell carcinoma Up‐regulated in tumor tissue A2AR expression was associated with renal cell carcinoma metastasis, resistance to immune‐targeted therapy, and shortened OS [52, 53]
Breast cancer Up‐regulated in the cancer tissues The activation of A2AR increased the proliferation and invasion ability of breast cancer cells, and was associated with tumor growth and metastasis [29]
Melanoma The expression levels of A2aR and A2BR are higher than those of A1AR and A3AR in human melanoma cell lines Adenosine can enhance the proliferation of melanoma cells through A2AR, and on the other hand, the activation of A2AR may also induce cell death [54, 55]
Autoimmune diseases
Rheumatoid arthritis Up‐regulated in peripheral leukocytes in RA patients Activation of A2AR inhibits NF‐κB signaling pathway and IL‐1, IL‐6 and TNF production [56]
Ankylosing spondylitis Up‐regulated on lymphocytes and monocyte‐derived macrophages in AS patients A2AR activation inhibits the activation of NF‐κB and suppressed TNF, IL‐1β, IL‐6, MMP‐1, MMP‐3 production but increased IL‐23 mRNA expression [56, 57]
Systemic lupus erythematosus Higher levels of A2AR expression were found on T cells in SLE patients Activation of A2AR inhibits inflammatory cytokines (IFN‐α, TNF, IL‐2, IL‐6, IL‐1β) and increases the anti‐inflammatory cytokine IL‐10 release [58, 59]
Inflammatory bowel diseases A2AR mRNA was increased in the colonic mucosal tissue of patients with active Crohn's disease A2AR activation reduce inflammatory cytokine release, decreased the infiltration of lymphocytes, thereby reduced intestinal mucosal inflammation [60, 61]
Type 1 diabetes Increased in coronary smooth muscle and endothelial cells in type I diabetic mice Activation of A2AR regulates coronary blood flow, inhibits NETosis, and exerts a protective effect in a T1DM model [62, 63]
Multiple sclerosis Up‐regulated in lymphocytes of MS patients Inconsistent roles of A2AR appear in the EAE models [64, 65, 66]

Abbreviations: EAE, experimental autoimmune encephalomyelitis; TNM, tumor node metastasis.