Key result
Activation of macrophage A2aR with CGS21680 alleviated LPS-induced vascular endothelial injury, tissue edema, and inflammation by inhibiting macrophage M1 polarization and oxidative stress.
Why the study?
The intrinsic processes that mitigate excessive endothelial cell activation underlying sepsis and organ failure remain incompletely understood.
p-value: p=<0.05
Macrophage A2aR activation mitigates LPS-induced vascular endothelial injury and inflammation, suggesting it as a potential therapeutic target for sepsis-induced organ failure.
Supports A2aR activation in preclinical sepsis models; hypothesis-generating and requires clinical validation before any practice implications.
Vascular inflammation and endothelial dysfunction secondary to unchecked activation of endothelium are key mechanisms underlying sepsis and organ failure. However, the intrinsic processes that mitigate excessive endothelial cell activation remain incompletely understood. To determine the central role of adenosine A2a receptor (A2aR) on macrophages in modulating lipopolysaccharide (LPS)-induced vascular endothelial dysfunction, we constructed macrophage A2aR-conditional knockout (Mac-A2aR KO) mice, and stimulated the mice and macrophages with LPS. A2aR agonist, CGS21680, was administered to these models to further explore its impact. Results showed that knockout of Macrophage A2aR exacerbated LPS-induced vascular permeability, oedema, inflammatory cardiac damage and upregulated expression of intercellular adhesion molecule-1 (ICAM-1) and E-selectin in cardiopulmonary vascular endothelium. Moreover, deletion of A2aR on macrophages also markedly aggravated LPS-induced increases in reactive oxygen species (ROS) and declines in antioxidant enzyme gene mRNA and protein expression levels related to oxidative stress (OS). Furthermore, deficiency of A2aR in bone marrow-derived macrophages (BMDMs) promotes LPS-induced macrophage M1 polarisation and secretion of inflammatory cytokines, especially tumour necrosis factor-alpha (TNF-α). Conversely, the pretreatment with CGS21680 in vivo and in vitro showed corresponding improvement in functions of vascular endothelial dysfunction. These data demonstrate that A2aR in macrophages represents a promising novel therapeutic target for LPS-induced uncontrolled vascular endothelial injury and inflammation potentially through reducing macrophage M1 polarisation and OS and inhibiting the production and release of TNF-α production.
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Li et al. (2025) studied LPS-induced vascular endothelial injury and inflammation (Endotoxemia/Sepsis). Macrophage A2aR activation (CGS21680) or knockout vs. Vehicle / Wild-type mice was evaluated on Vascular permeability, tissue edema, and expression of endothelial adhesion molecules (ICAM-1, E-selectin) (p=<0.05). Activation of macrophage A2aR with CGS21680 alleviated LPS-induced vascular endothelial injury, tissue edema, and inflammation by inhibiting macrophage M1 polarization and oxidative stress.
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