Figure 1From: Circulating adenosine increases during human experimental endotoxemia but blockade of its receptor does not influence the immune response and subsequent organ injurySchematic view of the hypothesis. During systemic inflammation, the circulating adenosine concentration increases rapidly, resulting in a negative feedback loop limiting (a) inflammation-induced cytokine release and (b) tissue injury. However, in the presence of caffeine, a non-selective adenosine receptor antagonist, this mechanism of protection is lost and inflammation-induced tissue damage will be aggravated. In the presence of the 34C > T variant of the AMPD1 gene, the inflammation-induced increase in adenosine concentration is augmented, and therefore the inflammatory response and organ injury are reduced. AMPD1, adenosine monophosphate deaminase.Back to article page