Pathophysiology roles for adenosine 2A receptor in obesity and related diseases.

Cai, Yuli; Chen, Xiaolin; Yi, Bo; Li, Junfeng; Wen, Zhongyuan · Obes Rev · 2022

review · Level V

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Abstract

Obesity, a burgeoning worldwide health system challenge, is associated with several comorbidities, including non-alcoholic fatty liver disease (NAFLD), diabetes, atherosclerosis, and osteoarthritis, leading to serious problems to people's health. Adenosine is a critical extracellular signaling molecule that has essential functions in regulating most organ systems by binding to four G-protein-coupled adenosine receptors, denoted A<sub>1</sub> , A<sub>2A</sub> , A<sub>2B</sub> , and A<sub>3</sub> . Among the receptors, a growing body evidence highlights the key roles of the adenosine 2A receptor (A<sub>2A</sub> R) in obesity and related diseases. In the current review, we summarize the effects of A<sub>2A</sub> R in obesity and obesity-associated non-alcoholic fatty liver disease, diabetes, atherosclerosis, and osteoarthritis, to clarify the complicated impacts of A<sub>2A</sub> R on obesity and related diseases.

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