Adenosine prevents neutrophil adhesion to human endothelial cells after hypoxia/reoxygenation

BACKGROUND: Neutrophil adhesion to vascular endothelium has been implicated in the pathogenesis of myocardial injury after ischaemia/reperfusion (IR) and the "no-reflow" phenomenon. Adenosine and sodium-nitroprusside (SNP) have been used clinically to ameliorate this injury. We set out to establish a human cellular model for the study of IR and to evaluate the effects of adenosine and SNP on neutrophil adhesion in vitro. METHODS: Cultured human umbilical vein endothelial cells (HUVEC) were exposed to hypoxia (5% CO2, 95% N2) or normoxia (room air, 5% CO2) for 2 h, followed by reoxygenation for 30 min (IR condition). Human neutrophils were then added together with adenosine (50 microM), SNP (10 microM) or no additive (control). After incubation for 1 h, neutrophil adhesion to endothelial cells was quantified via automated cell counts. The experiment was repeated with the adenosine treatment alone, with and without the addition of the adenosine A2A receptor blocker ZM-241385. RESULTS: Compared with baseline neutrophil adhesion after normoxia, hypoxia followed by reoxygenation increased adhesion to 189+/-43% (p=0.01), but this effect was prevented by the addition of adenosine (109+/-17%, p=NS compared to control conditions). SNP did not affect the increased adhesion caused by hypoxia (166+/-25%, p=NS). The addition of ZM-241385 did not inhibit the effect of adenosine on neutrophil adhesion after hypoxia/reoxygenation. CONCLUSIONS: Exposure of human endothelial cells to hypoxia/reoxygenation causes increased neutrophil adhesion. This effect is prevented by adenosine, but not mediated by the A2A receptor. SNP does not prevent neutrophil adhesion after IR in vitro.