Asako H, Wolf R E, Granger D N
Department of Physiology, Center of Excellence for Arthritis and Rheumatology, Louisiana State University Medical Center, Shreveport.
Gastroenterology. 1993 Jan;104(1):31-7. doi: 10.1016/0016-5085(93)90832-w.
Methotrexate (MTX) reduces neutrophil adhesion to endothelial cell monolayers, possibly via stimulation of adenosine production. However, it remains unclear whether adenosine participates in the anti-inflammatory actions of MTX in postcapillary venules.
Leukocyte-endothelial cell adhesive interactions were measured in rat mesenteric venules (25-35 microns diameter) during superfusion with either bicarbonate-buffered saline (BBS) alone, BBS combined with platelet-activating factor (PAF), or BBS combined with leukotriene B4 (LTB4). In some experiments, either MTX or adenosine was added to a superfusate containing either PAF or LTB4. In other experiments, either adenosine deaminase (ADA), an adenosine A1-receptor antagonist, or an A2-receptor antagonist was added to a superfusate containing PAF and either MTX or adenosine.
Both MTX and adenosine were effective in preventing the leukocyte-endothelial cell adhesive interactions elicited by PAF, but not by LTB4. These actions of adenosine and MTX against PAF-induced leukocyte adhesion were blunted by ADA and the A2-(but not the A1-) receptor antagonist.
These results indicate that both adenosine and methotrexate attenuate PAF-induced leukocyte-endothelial cell adhesion in postcapillary venules via activation of A2-receptors on the leukocyte.
甲氨蝶呤(MTX)可能通过刺激腺苷生成来减少中性粒细胞与内皮细胞单层的黏附。然而,腺苷是否参与MTX在毛细血管后微静脉中的抗炎作用仍不清楚。
在大鼠肠系膜微静脉(直径25 - 35微米)中,用单独的碳酸氢盐缓冲盐水(BBS)、BBS与血小板活化因子(PAF)联合、或BBS与白三烯B4(LTB4)联合进行灌流时,测量白细胞与内皮细胞的黏附相互作用。在一些实验中,将MTX或腺苷添加到含有PAF或LTB4的灌流液中。在其他实验中,将腺苷脱氨酶(ADA)、一种腺苷A1受体拮抗剂或一种A2受体拮抗剂添加到含有PAF以及MTX或腺苷的灌流液中。
MTX和腺苷均能有效预防PAF引发的白细胞与内皮细胞黏附相互作用,但不能预防LTB4引发的此类作用。腺苷和MTX对PAF诱导的白细胞黏附的这些作用被ADA和A2(而非A1)受体拮抗剂减弱。
这些结果表明,腺苷和甲氨蝶呤均通过激活白细胞上的A2受体来减弱PAF诱导的毛细血管后微静脉中白细胞与内皮细胞的黏附。