(1) The methylxanthine caffeine has many pharmacological effects, most of w
hich can be Linked to blockade of adenosine receptors, inhibition of phosph
odiesterases, and augmentation of calcium-dependent release of calcium from
intracellular stores. (2) A variety of xanthines have been developed as po
tent and/or selective antagonists for adenosine receptors. (3) Several xant
hines have been developed that are more potent and more selective inhibitor
s of cyclic nucleotide phosphodiesterase than caffeine or theophylline. (4)
Caffeine remains the xanthine of choice for activation of intracellular ca
lcium-sensitive calcium release channels although millimolar concentrations
are required, which can have effects on other aspects of calcium regulatio
n. (C) 2000 Elsevier Science BN. All rights reserved.