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Adenosine receptors A2B and A3 are distinct subtypes of the G protein-coupled receptor (GPCR) family that mediate the physiological and pathological effects of extracellular adenosine. The A2B receptor is characterized by its low affinity for adenosine, typically becoming active under conditions of high adenosine concentration such as hypoxia, inflammation, and tissue injury. In contrast, the A3 receptor is a high-affinity subtype involved in complex signaling pathways that regulate cell survival, immune responses, and cardioprotection. Both receptors are frequently overexpressed in various cancers and inflammatory diseases, serving as critical nodes in the tumor microenvironment and autoimmune progression. Therapeutic strategies involve the use of A2B antagonists to inhibit tumor growth and asthma-related inflammation, while A3 agonists are being developed for their anti-inflammatory and pro-apoptotic effects in rheumatoid arthritis and liver cancer. Dual targeting of these receptors is an area of active research, aiming to leverage their combined roles in modulating immune surveillance and tissue repair.
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