title: Adenosine A2A receptor agonists promote more rapid wound healing than recombinant human platelet-derived growth factor (Becaplermin gel).
abstract: Animal studies of the topical application of adenosine A2A receptor agonists show that it promotes wound closure. To further confirm the efficacy of adenosine A2A receptor agonists as promoters of wound healing, we compared the effect of MRE0094, a novel selective adenosine A2A receptor agonist, to CGS-21680, a reference selective adenosine A2A receptor agonist, as well as to recombinant human platelet-derived growth factor (0.01% Becaplermin gel), an agent currently used to promote healing of diabetic ulcers, on wound closure in healthy BALB/C mice. Wounds (approximately 12 mm diameter) were created on the dorsum of mice (two per mouse) and then treated daily with vehicle, 0.01% Becaplermin gel, or different doses of the adenosine A2A receptor agonists. The wound margins were traced onto plastic sheets, and the wound areas were digitized, quantitated, and compared. We found that application of MRE0094 (1 microg/wound and 10 microg/wound) and CGS-21680 (1 microg/wound and 5 microg/wound) achieved 50% wound closure significantly more rapidly than control application (day 1.9, 1.9, 3.5, 3.2, respectively, versus control day 4, p < 0.05 ANOVA). Surprisingly, neither higher nor lower concentrations of CGS-21680 affected the rate of wound closure, as compared to control. In contrast, Becaplermin gel did not increase the rate at which wounds closed (50% closure by day 7.2, p = NS versus control). These data confirm our prior observations that adenosine A2A receptor agonists promote wound closure, and they suggest that these agents may be as effective if not more effective than Becaplermin gel for the treatment of poorly healing wounds.
authors.affiliation: Department of Medicine, New York University School of Medicine, NY 10016, USA.
authors.forename: Cassandre
authors.initials: C
authors.lastname: Victor-Vega
authors.forename: Avani
authors.initials: A
authors.lastname: Desai
authors.forename: M Carmen
authors.initials: MC
authors.lastname: Montesinos
authors.forename: Bruce N
authors.initials: BN
authors.lastname: Cronstein
mesh_terms: D000241:Adenosine / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000494:pharmacology*; D000287:Administration, Topical; D000818:Animals; D000077214:Becaplermin; D004305:Dose-Response Relationship, Drug; D004353:Drug Evaluation, Preclinical; D005782:Gels; D051379:Mice; D008807:Mice, Inbred BALB C; D010627:Phenethylamines / Q000008:administration & dosage / Q000494:pharmacology; D010982:Platelet-Derived Growth Factor / Q000008:administration & dosage / Q000494:pharmacology*; D020574:Proto-Oncogene Proteins c-sis; D058906:Purinergic P1 Receptor Agonists; D043705:Receptor, Adenosine A2A; D011994:Recombinant Proteins / Q000008:administration & dosage / Q000494:pharmacology; D013997:Time Factors; D014945:Wound Healing / Q000187:drug effects*
chemical_list: C476036:2-(2-(4-chlorophenyl)ethoxy)adenosine; D005782:Gels; D010627:Phenethylamines; D010982:Platelet-Derived Growth Factor; D020574:Proto-Oncogene Proteins c-sis; D058906:Purinergic P1 Receptor Agonists; D043705:Receptor, Adenosine A2A; D011994:Recombinant Proteins; C061282:2-(4-(2-carboxyethyl)phenethylamino)-5'-N-ethylcarboxamidoadenosine; D000077214:Becaplermin; D000241:Adenosine