4.8 Review

The adenosinergic signaling in the pathogenesis and treatment of multiple sclerosis

Journal

FRONTIERS IN IMMUNOLOGY
Volume 13, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fimmu.2022.946698

Keywords

experimental autoimmune encephalomyelitis (EAE); multiple sclerosis (MS); adenosinergic signaling; adenosine; adenosine receptors; therapies

Categories

Funding

  1. Oswaldo Cruz Foundation of Pernambuco (FIOCRUZ-PE), Research Excellence Program -Aggeu Magalhaes Institute [400208/2019-9]
  2. Knowledge Generation Program Oswaldo Cruz Foundation (FIOCRUZ) [VPPCB-007-FIO-182-17]
  3. Brazilian National Council for Scientific and Technological Development (CNPq) [301777/2012-8, 306392/2017-8]
  4. Sao Paulo Research Foundation (FAPESP) [2018/07366-4, 2018/08426-0]
  5. FAPESP [2019/26852-0]
  6. Coordenacao de Aperfeicoamento de Pessoal de Ni'vel Superior -Brasil (CAPES) [001]
  7. Brazilian National Institute of Science and Technology on Neuroimmunomodulation [465489/2014-1]

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This article discusses the role of the adenosinergic system in the development of multiple sclerosis and proposes mechanisms by which modulation of this system can support drug development and repurposing.
Multiple sclerosis (MS) is a highly disabling, progressive neurodegenerative disease with no curative treatment available. Although significant progress has been made in understanding how MS develops, there remain aspects of disease pathogenesis that are yet to be fully elucidated. In this regard, studies have shown that dysfunctional adenosinergic signaling plays a pivotal role, as patients with MS have altered levels adenosine (ADO), adenosine receptors and proteins involved in the generation and termination of ADO signaling, such as CD39 and adenosine deaminase (ADA). We have therefore performed a literature review regarding the involvement of the adenosinergic system in the development of MS and propose mechanisms by which the modulation of this system can support drug development and repurposing.

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