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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Pathol
2013 ; 183
(6
): 1740-1746
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Extracellular generation of adenosine by the ectonucleotidases CD39 and CD73
promotes dermal fibrosis
#MMPMID24266925
Fernández P
; Perez-Aso M
; Smith G
; Wilder T
; Trzaska S
; Chiriboga L
; Franks A Jr
; Robson SC
; Cronstein BN
; Chan ESL
Am J Pathol
2013[Dec]; 183
(6
): 1740-1746
PMID24266925
show ga
Adenosine has an important role in inflammation and tissue remodeling and
promotes dermal fibrosis by adenosine receptor (A2AR) activation. Adenosine may
be formed intracellularly from adenine nucleotides or extracellularly through
sequential phosphohydrolysis of released ATP by nucleoside triphosphate
diphosphohydrolase (CD39) and ecto-5'-nucleotidase (CD73). Because the role of
these ecto-enzymes in fibrosis appears to be tissue specific, we determined
whether these ectonucleotidases were directly involved in diffuse dermal
fibrosis. Wild-type and mice globally deficient in CD39 knockout (CD39KO), CD73
(CD73KO), or both (CD39/CD73DKO) were challenged with bleomycin. Extracellular
adenosine levels and dermal fibrosis were quantitated. Adenosine release from
skin cultured ex vivo was increased in wild-type mice after bleomycin treatment
but remained low in skin from CD39KO, CD73KO, or CD39/CD73DKO bleomycin-treated
mice. Deletion of CD39 and/or CD73 decreased the collagen content, and prevented
skin thickening and tensile strength increase after bleomycin challenge.
Decreased dermal fibrotic features were associated with reduced expression of the
profibrotic mediators, transforming growth factor-?1 and connective tissue growth
factor, and diminished myofibroblast population in CD39- and/or CD73-deficient
mice. Our work supports the hypothesis that extracellular adenosine, generated in
tandem by ecto-enzymes CD39 and CD73, promotes dermal fibrogenesis. We suggest
that biochemical or biological inhibitors of CD39 and/or CD73 may hold promise in
the treatment of dermal fibrosis in diseases such as scleroderma.