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Topic:Caffeine

Caffeine is a central nervous system stimulant that affects horses differently than humans due to variations in metabolism and physiology. In equines, caffeine is primarily metabolized in the liver, and its presence can be detected in blood and urine. It is considered a prohibited substance in competitive equestrian sports because it can alter performance and behavior. Research on caffeine in horses focuses on its pharmacokinetics, effects on equine physiology, and implications for equine sports regulations. This page compiles peer-reviewed research studies and scholarly articles that explore the metabolism, detection, and regulatory aspects of caffeine in equine health and performance.
A Combination of Taurine and Caffeine in Stallion Semen Extender Positively Affects the Spermatozoa Parameters.
Cells    January 14, 2023   Volume 12, Issue 2 320 doi: 10.3390/cells12020320
Halo M, Tirpák F, Slanina T, Tokárová K, Massányi M, Dianová L, Mlyneková E, Greń A, Halo M, Massányi P.This study was aimed to determine the impact of different taurine and caffeine combinations on the motility, viability, and oxidative markers of chilled stallion spermatozoa. Each stallion semen sample was diluted in a ratio of 1:2, with various taurine and caffeine concentrations (2.5-7.5 mg/mL taurine + 0.625-1.25 mg/mL caffeine) dissolved in a conventional extender. The control samples (CON) were prepared by diluting ejaculate only using the conventional extender. The motility was analyzed using a CASA system at different time intervals (0, 6, 12, 24, and 30 h) and the viability was evaluat...
Action of swim-up and caffeine on equine frozen sperm.
Animal reproduction    November 21, 2022   Volume 19, Issue 4 e20220056 doi: 10.1590/1984-3143-AR2022-0056
Alves NC, Diniz SA, Viegas RN, Arigoni AL, Freitas MM, Lana ÂQ, Lagares MA.Cryopreservation of equine semen is crucial to semen commercialization. However, it reduces sperm motility and longevity. Thus, sperm selection methods and addition of motility-activating substances to sperm, such as caffeine, may improve sperm quality of equine frozen semen. The objective of the current work was to evaluate the effects of caffeine on recovery and quality parameters of frozen-thawed sperm subjected to swim-up selection to be used in intracytoplasmic sperm injection (ICSI) in assisted reproductive techniques. Stallion semen were frozen and after thawing different caffeine conce...
Simultaneous quantification of caffeine and its main metabolites by gas chromatography mass spectrometry in horse urine.
Biomedical chromatography : BMC    July 15, 2022   Volume 36, Issue 10 e5445 doi: 10.1002/bmc.5445
Göktaş EF, Kabil E, Yatanaslan L, Güneş E, Dirikolu L.Caffeine is a naturally occurring alkaloid and it is metabolized to paraxanthine, theophylline and theobromine. Analysis of caffeine and its metabolites is challenging since the metabolites theophylline and paraxanthine generate similar product and precursor ions. In this study, a new method was developed for the simultaneous analysis of caffeine, paraxanthine, theobromine and theophylline in horse urine using gas chromatography-mass spectrometry (GC-MS). Urine samples were treated using solid-phase extraction followed by the elution with dichloromethane-isopropanol (90:10) after the pH was ad...
A combination of taurine and caffeine maintains sperm quality in equine semen during chilled storage.
Journal of advanced veterinary and animal research    November 3, 2021   Volume 8, Issue 4 635-641 doi: 10.5455/javar.2021.h555
Ramirez-Perez H, Guerrero-Netro HM, Torres-Rodríguez P, Díaz-Durán M, Boeta-Acosta AM, Diaw M.The objective of this study was to evaluate the effects of caffeine and taurine on the motility and viability of chilled equine semen. Methods: A total of 12 ejaculates were collected from three mature stallions with proven fertility during the breeding season. The gel-free spermatic fraction of each ejaculate was divided into two aliquots and diluted with a semen extender (either INRA 96® or BotuSemen Gold®). The aliquots were then split and assigned to one of the six treatment groups: control (no supplement), caffeine (2 and 4 mM), taurine (25 and 50 mM), and a combination of caffeine (2 m...
Addition of caffeine to equine thawed sperm increases motility and decreases nitrite concentration.
Andrologia    December 28, 2020   Volume 53, Issue 2 e13918 doi: 10.1111/and.13918
Alves NC, Diniz SA, Viegas RN, Cortes SF, Costa ED, Freitas MM, Martins-Filho OA, Araújo MSS, Lana ÂMQ, Wenceslau RR, Lagares MA.The aim of this study was to improve the quality of frozen-thawed equine sperm by the addition of caffeine to it. Semen from nine stallions was frozen and different concentrations of caffeine (3, 5 and 7.5 mM) were added to frozen-thawed semen. The sperm kinetic parameters, membrane functionality and integrity, and acrosome integrity and spontaneous acrosome reacted sperm were evaluated with a computer-assisted sperm analysis, a hypoosmotic swelling test and epifluorescent microscopy, respectively. Nitrite and hydroperoxide concentrations of frozen-thawed semen were measured using spectrophot...
Effect of Caffeine and Pentoxifylline Added Before or After Cooling on Sperm Characteristics of Stallion Sperm.
Journal of equine veterinary science    December 26, 2019   Volume 87 102902 doi: 10.1016/j.jevs.2019.102902
Rossi M, Gonzalez-Castro R, Falomo ME.Different additives have been tested in cooled stallion sperm, in order to maintain sperm quality and to ameliorate the decrease in sperm fertility potential. In several species, caffeine and pentoxifylline promote sperm motility by increasing energy production. We evaluate the effects of caffeine and pentoxifylline when added to stallion sperm before or after cooling. Three ejaculates from five stallions each were processed and resuspended in skim milk extender. Caffeine (5 mM), pentoxifylline (3.5 mM), or both additives combined were included to sperm before or after cooling (4°C for 24 ...
Targeting epigenetic nuclear reprogramming in aggregated cloned equine embryos.
Reproduction, fertility, and development    October 5, 2019   Volume 31, Issue 12 1885-1893 doi: 10.1071/RD19239
Damasceno Teixeira TV, Fry RC, McKinnon A, Fry KL, Kelly JM, Verma PJ, Burden C, Salamone DF, Gambini A.Epigenetic perturbations during the reprogramming process have been described as the primary cause of the low efficiency of somatic cell nuclear transfer (SCNT). In this study, we tested three strategies targeting nuclear reprogramming to investigate effects on equine SCNT. First, we evaluated the effect of treating somatic cells with chetomin, a fungal secondary metabolite reported to inhibit the trimethylation on histone 3 lysine 9 (H3K9 me3). Second, caffeine was added to the culture medium during the enucleation of oocytes and before activation of reconstructed embryos as a protein phospha...
Systematic analysis to assess the scientific validity of the international residue limits for caffeine and theophylline in horse-racing.
The Veterinary record    August 13, 2019   Volume 185, Issue 8 230 doi: 10.1136/vr.105404
Hertzsch R, Richter A.Based on their performance-enhancing potential, caffeine and theophylline are prohibited substances in equine sports. Residues in horses can be caused by wilful application or by unintended uptake of contaminated feed. The International Federation of Horseracing Authorities recently introduced international residue limits (IRLs) to facilitate the discrimination between pharmacological relevant and irrelevant concentrations in doping samples. The objective of this study was to investigate the scientific validity of these IRLs. A systematic analysis was performed to assess the IRLs by different ...
Post-thaw Addition of Caffeine and/or Pentoxifylline Affect Differently Motility of Horse and Donkey-Cryopreserved Spermatozoa.
Journal of equine veterinary science    January 29, 2019   Volume 75 41-47 doi: 10.1016/j.jevs.2019.01.003
Rota A, Sabatini C, Przybył A, Ciaramelli A, Panzani D, Camillo F.To increase sperm motility, several molecules have been tested in mammals. Methylxanthines have shown effects on sperm motility, capacitation, and on in vitro fertilization processes. The aim of the study was to evaluate if the post-thaw addition of caffeine and/or pentoxifylline changes motility parameters of cryopreserved stallion and donkey spermatozoa. Straws derived from 14 horses and 7 donkeys were thawed and diluted in a milk-based extender to obtain the following final concentrations: CTR (control, no additives), CAF 5 (5 mM caffeine), CAF 10 (10 mM caffeine), PTX 5 (5 mM pentoxify...
Effect of human tubal fluid medium and hyperactivation inducers on stallion sperm capacitation and hyperactivation.
Reproduction in domestic animals = Zuchthygiene    September 29, 2018   Volume 54, Issue 2 184-194 doi: 10.1111/rda.13328
Arroyo-Salvo C, Sanhueza F, Fuentes F, Treulén F, Arias ME, Cabrera P, Silva M, Felmer R.Conventional in vitro fertilization has not yet been implemented in the equine species. One of the main reasons has been the inability to develop a culture medium and incubation conditions supporting high levels of stallion sperm capacitation and hyperactivation in vitro. Although different culture media have been used for this purpose, human tubal fluid (HTF) medium, widely used in the manipulation of human and mice gametes, has not been reported so far in stallion sperm culture. The first part of this study aimed to compare HTF and Whitten's media on different stallion sperm quality and capa...
Control of methylxanthines in the competition horse: pharmacokinetic/pharmacodynamic studies on caffeine, theobromine and theophylline for the assessment of irrelevant concentrations.
Drug testing and analysis    November 4, 2016   Volume 9, Issue 9 1372-1384 doi: 10.1002/dta.2097
Machnik M, Kaiser S, Koppe S, Kietzmann M, Schenk I, Düe M, Thevis M, Schänzer W, Toutain PL.Methylxanthines positives in competition samples have challenged doping control laboratories and racing jurisdictions since methylxanthines are naturally occurring prohibited substances and often constituents of feed. For theobromine, an international threshold (renamed in International Residue Limit, IRL) of 2 µg/mL in urine has been established. On the basis of the data presented herein, a threshold or rather an IRL for theobromine in plasma of 0.3 µg/mL was proposed and was thereupon approved by the International Federation of Horseracing Authorities (IFHA). Official recommendations f...
Calcium homeostasis in myogenic differentiation factor 1 (MyoD)-transformed, virally-transduced, skin-derived equine myotubes.
PloS one    August 22, 2014   Volume 9, Issue 8 e105971 doi: 10.1371/journal.pone.0105971
Fernandez-Fuente M, Terracciano CM, Martin-Duque P, Brown SC, Vassaux G, Piercy RJ.Dysfunctional skeletal muscle calcium homeostasis plays a central role in the pathophysiology of several human and animal skeletal muscle disorders, in particular, genetic disorders associated with ryanodine receptor 1 (RYR1) mutations, such as malignant hyperthermia, central core disease, multiminicore disease and certain centronuclear myopathies. In addition, aberrant skeletal muscle calcium handling is believed to play a pivotal role in the highly prevalent disorder of Thoroughbred racehorses, known as Recurrent Exertional Rhabdomyolysis. Traditionally, such defects were studied in human an...
Adenovirus-mediated expression of myogenic differentiation factor 1 (MyoD) in equine and human dermal fibroblasts enables their conversion to caffeine-sensitive myotubes.
Neuromuscular disorders : NMD    November 23, 2013   Volume 24, Issue 3 250-258 doi: 10.1016/j.nmd.2013.11.009
Fernandez-Fuente M, Martin-Duque P, Vassaux G, Brown SC, Muntoni F, Terracciano CM, Piercy RJ.Several human and animal myopathies, such as malignant hyperthermia (MH), central core disease and equine recurrent exertional rhabdomyolysis (RER) are confirmed or thought to be associated with dysfunction of skeletal muscle calcium regulation. For some patients in whom the genetic cause is unknown, or when mutational analysis reveals genetic variants with unclear pathogenicity, defects are further studied through use of muscle histopathology and in vitro contraction tests, the latter in particular, when assessing responses to ryanodine receptor agonists, such as caffeine. However, since musc...
Pre-selection by double layer density gradient centrifugation improves the fertilising capacity of frozen-thawed, capacitated stallion sperm.
Animal reproduction science    April 18, 2013   Volume 139, Issue 1-4 62-68 doi: 10.1016/j.anireprosci.2013.04.005
Morató R, Soares JM, Orero G, Mogas T, Miró J.The effect of combining double layer density gradient centrifugation (DL-DGC) with different capacitation treatments on the fertilising capacity of frozen-thawed stallion sperm was examined via a heterologous assay involving in vitro-matured, zona pellucida-free bovine oocytes. In a first experiment, aliquots of frozen-thawed stallion sperm were subjected to one of five capacitation treatments without DL-DGC - ionomycin at 1.0μM, 0.1μM, 0.05μM or 0.01μM, or caffeine at 200μg/mL. The fertilising capacity of the semen was then assessed at 18h by staining the above oocytes with 4,6-diamidino...
Equine poisoning by coffee husk (Coffea arabica L.).
BMC veterinary research    January 12, 2012   Volume 8 4 doi: 10.1186/1746-6148-8-4
Delfiol DJ, Oliveira-Filho JP, Casalecchi FL, Kievitsbosch T, Hussni CA, Riet-Correa F, Araujo JP, Borges AS.In Brazil, coffee (Coffea arabica) husks are reused in several ways due to their abundance, including as stall bedding. However, field veterinarians have reported that horses become intoxicated after ingesting the coffee husks that are used as bedding. The objective of this study was to evaluate whether coffee husk consumption causes intoxication in horses. Six horses fed coast cross hay ad libitum were given access to coffee husks and excitability, restlessness, involuntary muscle tremors, chewing movements and constant tremors of the lips and tongue, excessive sweating and increased respirat...
A survey on two years of medication regulation in horse races in Iran.
Equine veterinary journal    February 17, 2010   Volume 42, Issue 2 161-163 doi: 10.2746/042516409X471449
Lotfollahzadeh S, Mokhber-Dezfouli MR, Tajik P, Bokaie S, Watson DG.The present survey evaluated the use of prohibited substances cases in the first 2 years of medication regulation in horseracing in Iran so that the impact of these regulations on the level of positive cases over the period could be assessed. Objective: To determine the prevalence of positive tests for prohibited substances in horse races during 2 years of a drugs testing programme in Iran. Methods: A total of 656 horses that were winners or second in races were tested during the 2 year study. In the first year 354 horses (209 males and 145 females) and in the second year 302 horses (155 males...
Effects of intravenous administration of caffeine on physiologic variables in exercising horses.
American journal of veterinary research    December 3, 2008   Volume 69, Issue 12 1670-1675 doi: 10.2460/ajvr.69.12.1670
Ferraz GC, Teixeira-Neto AR, Mataqueiro MI, Lacerda-Neto JC, Queiroz-Neto A.To investigate the effect of acute administration of caffeine on the athletic performance of Arabian horses. Methods: 12 healthy adult Arabian horses that were trained for exercise on a treadmill. Methods: By use of a crossover study design, horses received each of the following treatments: IV administration of caffeine (5 mg/kg) and IV administration of approximately the same volume of saline (0.9% NaCl) solution. Order of treatment was randomized, and there was a 10-day interval between treatments. Thirty minutes after treatments, horses underwent an incremental exercise test (IET) on a trea...
Drug contamination of the equine racetrack environment: a preliminary examination.
Journal of veterinary pharmacology and therapeutics    November 13, 2008   Volume 31, Issue 5 466-471 doi: 10.1111/j.1365-2885.2008.00978.x
Barker SA.Advances in analytical technology now make it feasible to detect and confirm exceptionally low concentrations (pg to fg/mL) of drugs and their metabolites in equine biological fluids. These new capabilities complicate the regulatory interpretation of drug positives and bring into question the fair application of medication rules. Such approaches and policies are further complicated by the possibility that drug positives may arise from contamination of the equine environment on the backstretch of the race track. This manuscript provides data demonstrating that the general environment of the bac...
Retrospective comparison of caffeine and doxapram for the treatment of hypercapnia in foals with hypoxic-ischemic encephalopathy.
Journal of veterinary internal medicine    March 29, 2008   Volume 22, Issue 2 401-405 doi: 10.1111/j.1939-1676.2008.0064.x
Giguère S, Slade JK, Sanchez LC.Despite a lack of data regarding their efficacy, both caffeine and doxapram have been recommended for treatment of hypercapnia in equine neonates with central nervous system damage. Objective: Caffeine and doxapram alleviate hypercapnia in foals with hypoxic-ischemic encephalopathy. Methods: Sixteen foals treated with either caffeine (n = 8) or doxapram (n = 8). Methods: Information on age, body temperature, heart rate, respiratory rate, arterial blood gas parameters, duration of therapy, and outcome was abstracted from each medical record. Results: Therapy with doxapram resulted in a signific...
Caffeine-induced hyperactivity in the horse: comparisons of drug and metabolite concentrations in blood and cerebrospinal fluid.
Journal of veterinary pharmacology and therapeutics    March 1, 2008   Volume 31, Issue 2 156-166 doi: 10.1111/j.1365-2885.2008.00942.x
Vickroy TW, Chang SK, Chou CC.The goals of this study were to elucidate the temporal and quantitative relationships between caffeine and its major bioactive metabolites in blood and cerebrospinal fluid (CSF) and to characterize the pharmacokinetic-pharmacodynamic relationship for caffeine-induced changes in spontaneous locomotor activity in the horse. We hypothesized that caffeine and its metabolites distribute efficiently into the CSF to antagonize adenosine A1 and A2a receptors and that spontaneous locomotor activity correlates well with caffeine and/or metabolite concentrations in CSF and blood. A microdialysis system w...
Comparison of the effects of caffeine and doxapram on respiratory and cardiovascular function in foals with induced respiratory acidosis.
American journal of veterinary research    December 7, 2007   Volume 68, Issue 12 1407-1416 doi: 10.2460/ajvr.68.12.1407
Giguère S, Sanchez LC, Shih A, Szabo NJ, Womble AY, Robertson SA.To determine and compare the effects of caffeine and doxapram on cardiorespiratory variables in foals during isoflurane-induced respiratory acidosis. Methods: 6 clinically normal foals (1 to 3 days old). Methods: At intervals of > or = 24 hours, foals received each of 3 IV treatments while in a steady state of hypercapnia induced by isoflurane anesthesia (mean +/- SD, 1.4 +/- 0.3% endtidal isoflurane concentration). After assessment of baseline cardiorespiratory variables, a low dose of the treatment was administered and variables were reassessed; a high dose was then administered, and vari...
Urinary excretion of dietary contaminants in horses.
Equine veterinary journal. Supplement    April 4, 2007   Issue 36 664-667 doi: 10.1111/j.2042-3306.2006.tb05623.x
Respondek F, Lallemand A, Julliand V, Bonnaire Y.Presence of drugs is completely prohibited in post racing urine samples by most of racing and competition authorities, even if environmental contamination might occur. Objective: To assess the daily dose of several contaminants absorbed through the diet that would result in detectable concentrations in urine. Methods: Caffeine, theobromine, theophylline, atropine, scopolamine, bufotenine, DMT or morphine were administered orally to 6 horses, in different dosages, for 3 days before their urine was sampled for regular anti-doping tests. Results: Theobromine, theophylline, bufotenine and morphine...
Generation of superoxide anion by equine spermatozoa as detected by dihydroethidium.
Theriogenology    October 12, 2006   Volume 67, Issue 3 580-589 doi: 10.1016/j.theriogenology.2006.07.021
Burnaugh L, Sabeur K, Ball BA.Low-level production of the superoxide anion (O2*-) is an important signal transduction event in sperm function including capacitation; however, excessive production of O2*- can be detrimental to sperm function. The objective of this study was to assess dihydroethidium (DHE) as a probe for O2*- in equine spermatozoa. Ejaculated spermatozoa were separated by centrifugation over a Percoll gradient (40:80), and loaded with DHE (2.0 microM) as well as with calcein-acetoxymethylester (CAM, 7.8 nM) to determine cell viability. In Experiment 1, cells were incubated with the xanthine-xanthine oxidase ...
Cloning and pharmacological characterization of the equine adenosine A2A receptor: a potential therapeutic target for the treatment of equine endotoxemia.
Journal of veterinary pharmacology and therapeutics    July 19, 2006   Volume 29, Issue 4 243-253 doi: 10.1111/j.1365-2885.2006.00746.x
Brandon CI, Vandenplas M, Dookwah H, Linden J, Murray TF.The aim of the current study was to clone the equine adenosine A(2A) receptor gene and to establish a heterologous expression system to ascertain its pharmacologic profile via radioligand binding and functional assays. An eA(2A)-R expression construct was generated by ligation of the eA(2A) cDNA into the pcDNA3.1 expression vector, and stably transfected into human embryonic kidney cells (HEK). Binding assays identified those clones expressing the eA(2A)-R, and equilibrium saturation isotherm experiments were utilized to determine dissociation constants (K(D)), and receptor densities (B(max)) ...
The in vitro response of equine epididymal and ejaculated spermatozoa to caffeine.
Animal reproduction science    November 3, 2005   Volume 89, Issue 1-4 272-275 
Weston VL, McLeay L, Morris LH.No abstract available
Inheritance of recurrent exertional rhabdomyolysis in thoroughbreds.
Journal of the American Veterinary Medical Association    September 24, 2005   Volume 227, Issue 5 762-767 doi: 10.2460/javma.2005.227.762
Dranchak PK, Valberg SJ, Onan GW, Gallant EM, MacLeay JM, McKenzie EC, De La Corte FD, Ekenstedt K, Mickelson JR.To develop a diagnostic test for recurrent exertional rhabdomyolysis (RER) in Thoroughbreds that relied on in vitro contracture of muscle biopsy specimens and determine whether the inheritance pattern of RER diagnosed on the basis of this contracture test was consistent with an autosomal dominant trait. Methods: Clinical trial. Methods: 8 adult horses with RER and 16 control adult horses for development of the contracture test; 23 foals for inheritance of RER. Methods: External intercostal muscle biopsy specimens from the 24 adult horses were tested for contracture in response to halothane and...
Effects of caffeine on exercise performance of physically fit Thoroughbreds.
American journal of veterinary research    May 20, 2005   Volume 66, Issue 4 569-573 doi: 10.2460/ajvr.2005.66.569
Savage KA, Colahan PT, Tebbett IR, Rice BL, Freshwater LL, Jackson CA.To determine the effects of a dose of caffeine (2.5 mg/kg, IV) administered to physically fit Thoroughbreds during incremental exercise testing to fatigue on a treadmill. Methods: 10 conditioned Thoroughbreds. Methods: Horses were randomly assigned to receive caffeine or a control solution. Each horse received both treatments in a crossover design with a 3-week interval between treatments. Each horse was administered caffeine (2.5 mg/kg) or an equivalent amount of a control solution IV. One hour after injection, each horse performed an incremental exercise test to exhaustion. Hematologic value...
Study of caffeine in urine and saliva of horses subjected to urinary acidification.
Journal of applied toxicology : JAT    November 20, 2004   Volume 24, Issue 6 513-518 doi: 10.1002/jat.1011
Carregaro AB, Mataqueiro MI, Soares OA, Queiroz-Neto A.The study of caffeine in racing horses has been of growing concern in veterinary sports medicine since the Association of Racing Commissioners International (ARCI) stated that it has no valid therapeutic use in racehorses. We examined the kinetic alterations in the urinary excretion and salivary secretion of caffeine in seven horses subjected to urinary acidification using ascorbic acid because this procedure can simulate the acidosis that follows anaerobic exercise. They participated in two treatment groups: the control group (SG) received 500 ml of saline and then 2.0 mg kg(-1) caffeine i.v....
Electrospray ionization mass spectrometric characterization and quantitation of xanthine derivatives using isotopically labelled analogues: an application for equine doping control analysis.
Rapid communications in mass spectrometry : RCM    July 30, 2004   Volume 18, Issue 14 1553-1560 doi: 10.1002/rcm.1518
Thevis M, Opfermann G, Krug O, Schänzer W.Isotope-dilution mass spectrometry has been employed successfully in numerous fields of analytical chemistry enabling the establishment of fast and reliable procedures. In equine sports, xanthine derivatives such as caffeine and theobromine are prohibited, and doping control laboratories analyze horse urine specimens regarding these illicit performance-enhancing drugs. Theobromine has to exceed a threshold level of 2 microg/mL, hence a robust and reliable quantitation is required. Stably deuterated theobromine and caffeine were synthesized by the reaction of xanthine or theobromine with iodome...
Antagonism of adenosine receptors by caffeine and caffeine metabolites in equine forebrain tissues.
American journal of veterinary research    February 27, 2003   Volume 64, Issue 2 216-224 doi: 10.2460/ajvr.2003.64.216
Chou CC, Vickroy TW.To determine the presence of adenosine receptor subtypes A1 and A2a in equine forebrain tissues and to characterize the interactions of caffeine and its metabolites with adenosine receptors in the CNS of horses. Methods: Brain tissue specimens obtained during necropsy from 5 adult male research horses. Methods: Membrane-enriched homogenates from cerebral cortex and striatum were evaluated by radioligand binding assays with the A1-selective ligand [3H]DPCPX and the A2a-selective ligand [3H]ZM241385. Functional responses to adenosine receptor agonists and antagonists were determined by a nucleot...