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. 2016 May 17;389:921–929. doi: 10.1007/s00210-016-1255-1

Fig 7.

Fig 7

A model of the effects of adenosine on nerve-endings and smooth muscle to modulate contractile function in human and guinea-pig detrusor. a: Guinea-pig bladder. Acetylcholine (ACh) and ATP bind to M3 and P2X1 receptors respectively. Adenosine, derived from ATP breakdown in the nerve-muscle junction, binds to A2B (detrusor) and A1 (nerve endings) receptors. b: Human stable bladder. ACh binds to M3 receptors; ATP is completely broken down in the nerve-muscle junction. Adenosine has an effect via non-A receptors (n/A) on detrusor. c: Human NDO bladder. ACh binds to M3 receptors; ATP is incompletely broken down and activates detrusor via P2X1 receptors. Adenosine acts on detrusor via non-A receptors and binds to nerve-terminal A1 receptors. + activation, − inhibition