The finding that adenosine can affect glutamate-induced calcium influx in RGCs has potential physiological and pathologic implications. Throughout the CNS, A
1-R activation is associated with a reduction in neuronal activity and energy expenditure and is thought to contribute to tonic depression of synaptic transmission.
1 33 38 There is evidence, from studies using a perfused feline eye preparation, that there is a tonic level of extracellular adenosine in the retina and that this contributes to an overall inhibition of light-stimulated retinal neuronal activity.
39 The tonic stimulation of RGC A
1-Rs would dampen the excitatory input to these retinal output neurons and could serve as a fine-tuning mechanism controlling the flow of visual information to the brain. In addition to the role of glutamate in normal synaptic transmission, excessive activation of glutamate receptors can lead to an increase in [Ca
2+]
i to toxic levels, resulting in neuronal death.
40 41 Compounds that limit these increases in [Ca
2+]
i have been shown to protect retinal neurons against glutamate excitotoxicity,
42 43 and thus our results present a mechanism through which adenosine could mediate neuroprotective effects on RGCs. In fact, it is well-established that extracellular adenosine levels increase after ischemia or excitotoxic insults in the CNS, and A
1-R agonists have exhibited neuroprotective properties in several CNS models of ischemia and excitotoxicity.
1 2 44 In support of the role of adenosine as an endogenous neuroprotective agent, mice lacking A
1-Rs show impaired functional recovery after ischemia.
38 Increased adenosine levels after ischemia have also been reported in the retina, and there is evidence that the subsequent A
1-R activation contributes to an endogenous retinal neuroprotective response to limit damage and increase tolerance to future ischemic episodes.
45 46