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During acute intestinal ischemia reperfusion (IR) injury, the intestinal epithelial barrier (IEB) function is often disrupted. Enteric glial cells (EGCs) play an important role in maintaining the integrity of IEB functions. However, how EGCs regulate IEB function under IR stimulation is unknown. The present study reveals that the adenosine A 2A  receptor (A 2A R) is important for mediating the barrier-modulating roles of EGCs. A 2A R knockout (KO) experiments revealed more serious intestinal injury in A 2A R KO mice than in WT mice after IR stimulation. Moreover, A 2A R expression was significantly increased in WT mice when challenged by IR. To further investigate the role of A 2A R in IEB, we established an  in vitro  EGC-Caco-2 co-culture system. Hypoxia stimulation was used to mimic the process of  in vivo  IR. Treating EGCs with the CGS21680 A 2A R agonist attenuated hypoxia-induced intestinal epithelium damage through up-regulating ZO-1 and occludin expression in cocultured Caco-2 monolayers. Furthermore, we showed that A 2A R and metabotropic glutamate receptor 5 (mGluR5) combine to activate the PKCα-dependent pathway in conditions of hypoxia. This study shows, for the first time, that hypoxia induces A 2A R-mGluR5 interaction in EGCs to protect IEB function via the PKCα pathway.

A Novel Role of A2AR in the Maintenance of Intestinal Barrier Function of Enteric Glia from Hypoxia-Induced Injury by Combining with mGluR5