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Table 2 Adenosine homeostasis-related proteins as drug targets in neurodegenerative diseases

From: Emerging roles of dysregulated adenosine homeostasis in brain disorders with a specific focus on neurodegenerative diseases

Disease

Target

Effect

Model

References

AD

ENT1

Enhanced spatial memory

Enhanced synaptic transmission

Pharmacological inhibitor (J4) of ENT1 in APP/PS1 mouse model

[144]

  

Enhanced spatial memory

Reduced AMPK activity

Reduced ADA, CD39 and CD73 levels

Pharmacological inhibitor (J4) of ENT1 in Thy-Tau22 mouse model

[46]

 

CD73

Enhanced memory and synaptic function

Genetic knockout of CD73 in a β-amyloid (Aβ1-42)-based mouse model of early AD

[93]

 

AMPK

Enhanced long-term potentiation (LTP)

Pharmacological inhibitor (compound C) of AMPK in APP/PS1 mouse model

[162]

  

Enhanced spatial memory

Reduced tau acetylation level

AAV-mediated AMPK overexpression in APP/PS1 mouse model

[232]

  

Enhanced spatial memory

AAV-mediated AMPK overexpression in STZ-treated mouse model

[232]

  

Enhanced spatial memory

Pharmacological activator of AMPK (metformin) in APP/PS1 mouse model

[236]

  

Enhanced learning and memory

Enhanced cognitive function

Genetic repression of AMPKα1 in Tg19959 mouse model

[262]

  

Enhanced learning and memory

Enhanced cognitive function

Genetic repression of AMPKα1 in APP/PS1 mouse model

[262]

PD

ADA

ADA inhibition alleviated neuroinflammation, dopamine deficit, dopaminergic neuronal loss, and motor impairment

MPTP-induced mouse model

[114]

  

ADA inhibition strengthened the protective effects of A2AR antagonist

MPTP-induced mouse model

[114]

  

ADA application prevented 6-OHDA-induced neurotoxicity

6-OHDA-treated differentiated SH-SY5Y cells

[38]

 

CD73

Microglial-mediated inflammation, dopaminergic neuronal loss, and motor deficits were partially attenuated in CD73 KO mice

MPTP-induced mouse model

[175]

  

CD73 blockade prevented 6-OHDA-induced neurotoxicity

6-OHDA-treated differentiated SH-SY5Y cells

[38]

  

Central administration of a CD73 inhibitor attenuated dopamine loss, dopaminergic neuronal death, motor dysfunction, and memory decline

6-OHDA-induced rat model

[38]

 

AMPK

AMPK activation protected against α-synuclein accumulation, mitochondrial dysfunction, production of ROS, and neuronal death

α-Synuclein-, 6-OHDA-, and MPTP-induced models

[64, 103]

HD

ENT1

Enhanced survival

Genetic knockout of ENT1 in R6/2 mouse model

[127]

  

Enhanced survival

Improved motor function

Pharmacological inhibitor (JMF1907) of ENT1 in R6/2 mouse model

[127]

 

AMPK

Enhanced survival

Pharmacological activator of AMPK (metformin) in R6/2 mouse model

[163]

  

Reversed early cortical network dysfunction

Pharmacological activator of AMPK (metformin) in Hdh150Q mouse model

[12]

  

Improved motor and neuropsychiatric function

Pharmacological activator of AMPK (metformin) in zQ175 mouse model

[205]

  

Improved cognitive function

Pharmacological activator of AMPK (metformin) in HD patients

[107]

ALS

ENT1

Reduced AMPK activity

Improved motor function

Pharmacological inhibitor (JMF1907) of ENT1 in TDP-43 mouse model

[155]

 

AMPK

Increased differentiation rate

Pharmacological activator of AMPK (Resveratrol) in ALS patients-derived BM-MSCs

[256]

  

Delayed disease progression

Pharmacological activator of AMPK (Latrepirdine) in SOD1 (G93A) mouse model

[58]

  

Improved behavioral phenotypes

Enhanced motor neuron survival

Pharmacological activator of AMPK (metformin) in C9orf72 ALS/FTD BAC mouse model

[263]

  

Reduced AMPK activity

Enhanced motor neuron survival

Delayed disease progression Extended the lifespan

A high-fat diet in SOD1 (G93A) mouse model

[257]

Epilepsy

ENT1

Intrahippocampal injection of an ENT1 inhibitor ameliorated seizure severity and prolonged the onset latency

Pilocarpine-induced rat model

[248]

  

Intraperitoneal injection of ENT1 inhibitors exhibited anti-seizure activities

Maximal electroshock-, pentylenetetrazol-, or kindling-induced mouse models

[111]

 

ADK

An ADK inhibitor suppresses seizure activity

Kainic acid-induced mouse model

[96]

  

Genetic reduction of ADK reduced seizure activity and neuronal injury

Kainic acid-induced mouse model

[152]

 

AMPK

AMPK activation by metformin decreased mTOR phosphorylation and seizure activity

Pilocarpine-induced rat model

[172]

  

AMPK activation by metformin reduced the mortality and the duration of seizures

Pentylenetetrazol and kainic acid-induced mouse models

[252]

Sleep disturbances

ENT1

Decreased sleep duration

Decreased extracellular adenosine

Genetic knockout of ENT1 mouse model

[132]

 

ADK

Decreased sleep duration

Transgenic overexpression of ADK mouse model

[189]

 

CD73

Decreased sleep duration

Genetic knockout of CD73 mouse model

[260]

 

AMPK

Decreased sleep depth

Pharmacological inhibitor (compound C) of AMPK in wild-type mouse model

[53]

  

Enhanced sleep depth

Pharmacological activator (AICAR) of AMPK in wild-type mouse model

[53]

  1. 6-OHDA, 6-hydroxydopamine; ADA, adenosine deaminase; ADK, adenosine kinase; AICAR, 5-aminoimidazole-4-carboxamide ribonucleotide; AMPK, AMP-activated protein kinase; M-MSC, Bone marrow mesenchymal stem cells; ENT1, equilibrative nucleoside transporter 1; KO, knockout; MPTP, 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine; ROS, reactive oxygen species; STZ, Streptozotocin