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Caffeine acts through neuronal adenosine A2A receptors to prevent mood and memory dysfunction triggered by chronic stress

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TLDR
It is shown that caffeine prevents the maladaptive changes caused by CUS in a manner mimicked by the selective blockade of adenosine A2A receptors (A2AR), suggesting A2AR as candidate targets to alleviate the consequences of chronic stress on brain function.
Abstract
The consumption of caffeine (an adenosine receptor antagonist) correlates inversely with depression and memory deterioration, and adenosine A2A receptor (A2AR) antagonists emerge as candidate therapeutic targets because they control aberrant synaptic plasticity and afford neuroprotection Therefore we tested the ability of A2AR to control the behavioral, electrophysiological, and neurochemical modifications caused by chronic unpredictable stress (CUS), which alters hippocampal circuits, dampens mood and memory performance, and enhances susceptibility to depression CUS for 3 wk in adult mice induced anxiogenic and helpless-like behavior and decreased memory performance These behavioral changes were accompanied by synaptic alterations, typified by a decrease in synaptic plasticity and a reduced density of synaptic proteins (synaptosomal-associated protein 25, syntaxin, and vesicular glutamate transporter type 1), together with an increased density of A2AR in glutamatergic terminals in the hippocampus Except for anxiety, for which results were mixed, CUS-induced behavioral and synaptic alterations were prevented by (i) caffeine (1 g/L in the drinking water, starting 3 wk before and continued throughout CUS); (ii) the selective A2AR antagonist KW6002 (3 mg/kg, po); (iii) global A2AR deletion; and (iv) selective A2AR deletion in forebrain neurons Notably, A2AR blockade was not only prophylactic but also therapeutically efficacious, because a 3-wk treatment with the A2AR antagonist SCH58261 (01 mg/kg, ip) reversed the mood and synaptic dysfunction caused by CUS These results herald a key role for synaptic A2AR in the control of chronic stress-induced modifications and suggest A2AR as candidate targets to alleviate the consequences of chronic stress on brain function

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Journal ArticleDOI

Pharmacology of Adenosine Receptors: The State of the Art

TL;DR: An overview of current knowledge on adenosine receptors, including their characteristic structural features, molecular interactions and cellular functions, as well as their essential roles in pain, cancer, and neurodegenerative, inflammatory, and autoimmune diseases are offered.
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How does adenosine control neuronal dysfunction and neurodegeneration

TL;DR: The adenosine modulation system mostly operates through inhibitory A1 (A1R) and facilitatory A2A receptors (A2AR) in the brain, and simultaneously bolstering A1R preconditioning and preventing excessive A2AR function might afford maximal neuroprotection.
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Purinergic Signalling: Therapeutic Developments.

TL;DR: Investigations are in progress for the use of purinergic agents for the treatment of osteoporosis, myocardial infarction, irritable bowel syndrome, epilepsy, atherosclerosis, depression, autism, diabetes, and cancer.
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Early synaptic deficits in the APP/PS1 mouse model of Alzheimer's disease involve neuronal adenosine A2A receptors.

TL;DR: In the APP/PS1 mouse model of AD amyloidosis, it is shown that associative long-term synaptic potentiation (LTP) is abolished in CA3 pyramidal cells at an early stage, and treatment with A2AR antagonists reverts one-trial memory deficits.
Journal ArticleDOI

The neuroprotective effects of caffeine in neurodegenerative diseases

TL;DR: Caffeine is protective in AD and PD at dosages equivalent to 3‐5 mg/kg, however, further research is needed to investigate the effects of caffeine on PD in women, and caffeine's most salient mechanisms of action relevant to neurodegenerative diseases need to be further explored.
References
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Journal ArticleDOI

Stress and the brain: from adaptation to disease

TL;DR: In response to stress, the brain activates several neuropeptide-secreting systems, which eventually leads to the release of adrenal corticosteroid hormones, which subsequently feed back on the brain and bind to two types of nuclear receptor that act as transcriptional regulators as mentioned in this paper.
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Physiology and Neurobiology of Stress and Adaptation: Central Role of the Brain

TL;DR: As an adjunct to pharmaceutical therapy, social and behavioral interventions such as regular physical activity and social support reduce the chronic stress burden and benefit brain and body health and resilience.
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Validity, reliability and utility of the chronic mild stress model of depression: a 10-year review and evaluation

TL;DR: Overall, the CMS procedure appears to be at least as valid as any other animal model of depression, and can be used to study problems that are extremely difficult to address by other means.
Journal ArticleDOI

The stressed hippocampus, synaptic plasticity and lost memories

TL;DR: An overview of the neurobiology of stress–memory interactions is provided, and a neural–endocrine model is presented to explain how stress modifies hippocampal functioning.
Journal ArticleDOI

The stressed synapse: the impact of stress and glucocorticoids on glutamate transmission

TL;DR: Understanding of the mechanisms by which stress and glucocorticoids affect glutamate transmission provides insights into normal brain functioning, as well as the pathophysiology and potential new treatments of stress-related neuropsychiatric disorders.
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