Evidence map›Paper›PMID 26903141›Full record

ArticleCellular signalling2016

The adenosine metabolite inosine is a functional agonist of the adenosine A2A receptor with a unique signaling bias.

Ajith A Welihinda, Manmeet Kaur, Kelly Greene, Yongjiao Zhai, Edward P Amento

Abstract read
In one paragraph

Article in Cellular signalling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed
9.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 145 citations in OpenAlex.

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  6. ERK1/2 activation in anti-inflammatory effects and underlying signaling mechanisms.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
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  8. AMetabolites · 2026
    Article
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32 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Ajith A WelihindaMolecular Medicine Research Institute, 428 Oakmead Parkway, Sunnyvale, CA 94085, United States. Electronic address: awelihinda@mmrx.org.
Manmeet KaurMolecular Medicine Research Institute, 428 Oakmead Parkway, Sunnyvale, CA 94085, United States.
Kelly GreeneMolecular Medicine Research Institute, 428 Oakmead Parkway, Sunnyvale, CA 94085, United States.
Yongjiao ZhaiMolecular Medicine Research Institute, 428 Oakmead Parkway, Sunnyvale, CA 94085, United States.
Edward P AmentoMolecular Medicine Research Institute, 428 Oakmead Parkway, Sunnyvale, CA 94085, United States.
Molecular Medicine Research Institute · US

Funding

Positive allosteric modulation of the A2aR for treatment of acute inflammationR21AI105518 · NIAID · MOLECULAR MEDICINE RESEARCH INSTITUTE · PI AMENTO, EDWARD P · 2014 to 2015
$536k
NIAID NIH HHS R21 AI105518NIAID NIH HHS R21AI105518
6 · The paper itself

Abstract

Inosine is an endogenous purine nucleoside that is produced by catabolism of adenosine. Adenosine has a short half-life (approximately 10s) and is rapidly deaminated to inosine, a stable metabolite with a half-life of approximately 15h. Resembling adenosine, inosine acting through adenosine receptors (ARs) exerts a wide range of anti-inflammatory and immunomodulatory effects in vivo. The immunomodulatory effects of inosine in vivo, at least in part, are mediated via the adenosine A2A receptor (A2AR), an observation that cannot be explained fully by in vitro pharmacological characterization of inosine at the A2AR. It is unclear whether the in vivo effects of inosine are due to inosine or a metabolite of inosine engaging the A2AR. Here, utilizing a combination of label-free, cell-based, and membrane-based functional assays in conjunction with an equilibrium agonist-binding assay we provide evidence for inosine engagement at the A2AR and subsequent activation of downstream signaling events. Inosine-mediated A2AR activation leads to cAMP production with an EC50 of 300.7μM and to extracellular signal-regulated kinase-1 and -2 (ERK1/2) phosphorylation with an EC50 of 89.38μM. Our data demonstrate that inosine produces ERK1/2-biased signaling whereas adenosine produces cAMP-biased signaling at the A2AR, highlighting pharmacological differences between these two agonists. Given the in vivo stability of inosine, our data suggest an additional, previously unrecognized, mechanism that utilizes inosine to functionally amplify and prolong A2AR activation in vivo.

Indexed as

Signal TransductionAdenosine A2 Receptor AgonistsAnimalsCHO CellsCricetinaeCricetulusCyclic AMPDose-Response Relationship, DrugDrug Inverse AgonismExtracellular Signal-Regulated MAP KinasesHumansInosineMiceReceptor, Adenosine A2AAdenosine A2 Receptor AgonistsCyclic AMPExtracellular Signal-Regulated MAP KinasesInosineReceptor, Adenosine A2AA(2A)RAdenosinecAMPERK1/2InosineSignaling bias

Identifiers

PMID26903141
PMCPMC4826793
OpenAlexW2277413600

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.