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Am J Physiol Endocrinol Metab 290: E940-E951, 2006. First published December 13, 2005; doi:10.1152/ajpendo.00173.2005
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Inosine released after hypoxia activates hepatic glucose liberation through A3 adenosine receptors

Raquel Guinzberg,1 Daniel Cortés,1 Antonio Díaz-Cruz,2 Héctor Riveros-Rosas,1 Rafael Villalobos-Molina,3 and Enrique Piña1

1Departamentos de Bioquímica, Facultad de Medicina; 2Nutrición Animal y Bioquímica, Facultad de Medicina Veterinaria y Zootecnia; and 3Unidad de Biomedicina, Facultad de Estudios Superiores-Iztacala, Universidad Nacional Autónoma de México, Mexico City, Mexico

Submitted 20 April 2005 ; accepted in final form 3 December 2005

Inosine, an endogenous nucleoside, has recently been shown to exert potent effects on the immune, neural, and cardiovascular systems. This work addresses modulation of intermediary metabolism by inosine through adenosine receptors (ARs) in isolated rat hepatocytes. We conducted an in silico search in the GenBank and complete genomic sequence databases for additional adenosine/inosine receptors and for a feasible physiological role of inosine in homeostasis. Inosine stimulated glycogenolysis ({approx}40%, EC50 4.2 x 10–9 M), gluconeogenesis ({approx}40%, EC50 7.8 x 10–9 M), and ureagenesis ({approx}130%, EC50 7.0 x 10–8 M) compared with basal values; these effects were blunted by the selective A3 AR antagonist 9-chloro-2-(2-furanyl)-5-[(phenylacetyl)amino][1,2,4]-triazolo[1,5-c]quinazoline (MRS 1220) but not by selective A1, A2A, and A2B AR antagonists. In addition, MRS 1220 antagonized inosine-induced transient increase (40%) in cytosolic Ca2+ and enhanced (90%) glycogen phosphorylase activity. Inosine-induced Ca2+ mobilization was desensitized by adenosine; in a reciprocal manner, inosine desensitized adenosine action. Inosine decreased the cAMP pool in hepatocytes when A1, A2A, and A2B AR were blocked by a mixture of selective antagonists. Inosine-promoted metabolic changes were unrelated to cAMP decrease but were Ca2+ dependent because they were absent in hepatocytes incubated in EGTA- or BAPTA-AM-supplemented Ca2+-free medium. After in silico analysis, no additional cognate adenosine/inosine receptors were found in human, mouse, and rat. In both perfused rat liver and isolated hepatocytes, hypoxia/reoxygenation produced an increase in inosine, adenosine, and glucose release; these actions were quantitatively greater in perfused rat liver than in isolated cells. Moreover, all of these effects were impaired by the antagonist MRS 1220. On the basis of results obtained, known higher extracellular inosine levels under ischemic conditions, and inosine’s higher sensitivity for stimulating hepatic gluconeogenesis, it is suggested that, after tissular ischemia, inosine contributes to the maintainence of homeostasis by releasing glucose from the liver through stimulation of A3 ARs.

ischemia; calcium; urea; phylogenetic analysis; homeostasis



Address for reprint requests and other correspondence: E. Piña, Departamento de Bioquímica, Facultad de Medicina, Universidad Nacional Autónoma de México, Apdo. Postal 70159, Mexico City, 04510, Mexico (e-mail: epgarza{at}servidor.unam.mx)




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