Abstract Adenosine is a purine nucleoside that modulates the immediate release (degranulation) of allergic mediators from mast cells. We show that adenosine at relatively high concentrations (IC50=245 µM) inhibits IgE-dependent degranulation of human skin mast cells by a non-toxic intracellular mechanism. We demonstrate that pre-treatment with the specific inhibitor of equilibrative nucleoside transporter 1 (ENT1/SLC29A1), NBMPR, dose-dependently prevented the inhibitory effect of adenosine. In contrast, blocking adenosine A2a receptor (A2aAR) signaling with the specific antagonist ZM241385 was ineffective. Thus, blocking the influx of extracellular adenosine, but not A2aAR signals, was necessary and sufficient to prevent the adenosine-mediated inhibition of degranulation. The inhibitory effect of adenosine was not due to acute toxicity since human skin mast cells cultured up to 3 days with adenosine at concentrations as high as 0.5 mM remained completely viable and activation-competent. Importantly, the inhibitory action of intracellular adenosine was specific for FcϵRI-induced signaling pathways since degranulation induced by Complement Factor 5a, Substance P, or calcium ionophore A23187 was not affected. Moreover, activation (phosphorylation) of the FcϵRI-proximal and critical signaling molecule Syk was significantly inhibited in adenosine-treated mast cells. Overall, these findings provide the first evidence of an inhibitory anti-allergic effect of intracellular adenosine.
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