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An update on the mechanisms of the psychostimulant effects of caffeine
Open accessAbstract
There has been a long debate about the predominant involvement of the different adenosine receptor subtypes and the preferential role of pre‐ versus post‐synaptic mechanisms in the psychostimulant effects of the adenosine receptor antagonist caffeine. Both striatal A 1 and A 2A receptors are involved in the motor‐activating and probably reinforcing effects of caffeine, although they play a different role under conditions of acute or chronic caffeine administration. The present review emphasizes the key integrative role of adenosine and adenosine receptor heteromers in the computation of information at the level of the striatal spine module (SSM). This local module is mostly represented by the dendritic spine of the medium spiny neuron with its glutamatergic and dopaminergic synapses and astroglial processes that wrap the glutamatergic synapse. In the SSM, adenosine acts both pre‐ and post‐synaptically through multiple mechanisms, which depend on heteromerization of A 1 and A 2A receptors among themselves and with D 1 and D 2 receptors, respectively. A critical aspect of the mechanisms of the psychostimulant effects of caffeine is its ability to release the pre‐ and post‐synaptic brakes that adenosine imposes on dopaminergic neurotransmission by acting on different adenosine receptor heteromers localized in different elements of the SSM.
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“In addition, functional interactions between A2A receptors and dopaminergic signaling pathways suggest that caffeine’s central stimulant effects likely arise from the broader disinhibition of a multi-neurotransmitter network, driven by concurrent antagonism of A1 and A2A receptors, rather than from blockade of a single receptor pathway alone [37,38].”
From Pre-Exercise Caffeine as a Modulator of Exercise-Induced Acute Cardiometabolic Responses: A Narrative Review (2026) · cites this paper as [37]
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“In addition, high concentrations of caffeine inhibit phosphodiesterase activity 3 and stimulate dopamine D2 receptors.9”
From Theanine maintains sleep quality in healthy young women by suppressing the increase in caffeine-induced wakefulness after sleep onset (2023) · cites this paper as [9]
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“Furthermore, caffeine excites neural circuits that project from the basal ganglia to the striatum and cerebral cortex.9”
From Theanine maintains sleep quality in healthy young women by suppressing the increase in caffeine-induced wakefulness after sleep onset (2023) · cites this paper as [9]
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“In a way, the behavioral effects of acute caffeine consumption are similar to some psychostimulants with respect to motor activation, arousal and reinforcement (Fredholm et al. 1999; Ferr e 2008).”
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“Although moderate caffeine consumption has several beneficial acute effects, such as enhanced mood, alertness (Ferré, 2008; Lorist and Tops, 2003) and improved exercise performance (Guest et al., 2021), a substance methylxanthine also serves as an antagonist of adenosine receptors, boosting brain…”
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“Caffeine is a natural product that interacts with the dopamine neurotransmitter signaling pathway in mammals, in which it has been well-studied, via several mechanisms (Fredholm, Bättig, Holmén, Nehlig, & Zvartau, 1999; Cauli & Morelli, 2005; Ferré, 2008).”
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BackgroundDistinct Personality Traits Associated with Intake of Coffee, Tea, and Cola Drinks and Smoking
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“Thus, theobromine has two- to three-fold lower affinity than caffeine for adenosine receptors A1 and A2A (58) and penetrates the blood-brain barrier less readily than caffeine (59).”
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“It is well established that especially high and daily caffeine admin-istrations induce desensitization (tolerance), and various mechanisms have been suggested (see Ferre, 2008).”
InfluentialCoffee and mental disorders: How caffeine affects anxiety and depression
Meamar, M., Raise‐Abdullahi, P., Rashidy‐Pour, A., & Raeis-Abdollahi, E. (2024) · Progress in brain research · doi:10.1016/bs.pbr.2024.06.015 · Cited by 13
Prakash, J., Chatterjee, K., Srivastava, K., Chauhan, V. S., & Chail, A. (2020) · Industrial Psychiatry Journal · doi:10.4103/ipj.ipj_126_20 · Cited by 11
“While short-term use of caffeine is associated with better mood, alertness, and performance, the harm far outweighs the benefits.[23,24] High intake of caffeine has been found to be associated with anxiety, elation, panic, irritability, restlessness, psychomotor agitation, dysphoria, mixed mood state, etc.”
BackgroundSogard, A. S., & Mickleborough, T. D. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.978336 · Cited by 8
“It is postulated in humans, and shown in multiple animal studies that acute and chronic CAF ingestion selectively antagonizes adenosine receptors (Ferré, 2008; Pandolfo et al., 2013; Cunha, 2016; Frontiers in Neuroscience 07 frontiersin.org FIGURE 2 The effects of caffeine on adenosine receptors.”
BackgroundInfluentialPerrotte, G., Moreira, M. M. G., de Vargas, A., Filho, A. T., & Castaldelli-Maia, J. M. (2023) · Brain Sciences · doi:10.3390/brainsci13091304 · Cited by 8
Frau, L., Simola, N., & Morelli, M. (2013) · Journal of Caffeine Research · doi:10.1089/jcr.2013.0007 · Cited by 8
“40 It is known that caffeine may also affect targets other than the adenosine receptors, such as the inhibition of phosphodiesterase and the activation of ryanodine Ca 2 + channels, which would result in effects that are not dependent on dopaminergic mechanisms.”
Liu, K., Liang, X., & Kuang, W. (2011) · Medical Hypotheses · doi:10.1016/j.mehy.2010.08.049 · Cited by 8
Sharma, K., Fallon, S. J., Davis, T., Ankrett, S., Munro, G., Christopher, G., & Coulthard, E. J. (2022) · Psychopharmacology · doi:10.1007/s00213-021-06054-9 · Cited by 11
“Adenosine A2A receptors are also colocalised with dopaminergic D2 receptors on GABAergic neurons and have antagonising effects (Benarroch 2008; Ferré 2008; Fredholm & Svenningsson 2003).”
BackgroundCaffeine improved spatial learning and memory deficit in sleep deprived female rat
Esmaeilpour, K., Sheibani, V., & Saadati, H. (2015) · Cited by 8
Franklin, J. L., Mirzaei, M., Wearne, T. A., Homewood, J., Goodchild, A. K., Haynes, P. A., & Cornish, J. L. (2016) · Journal of Proteome Research · doi:10.1021/acs.jproteome.5b01043 · Cited by 8
Caffeine alters the dynamics of ocular accommodation depending on the habitual caffeine intake
Redondo, B., Vera, J., Molina, R., Luque‐Casado, A., & Jiménez, R. (2019) · Experimental Eye Research · doi:10.1016/j.exer.2019.05.003 · Cited by 10
Faro, L. R. F., Justo, L., Alfonso, M., & Durán, R. (2020) · Neuropharmacology · doi:10.1016/j.neuropharm.2020.108083 · Cited by 8
Bata-García, J. L., Tun-Cobá, L., Álvarez-Cervera, F. J., Villanueva-Toledo, J. R., Heredia-López, F. J., & Góngora-Alfaro, J. L. (2010) · Neuroscience · doi:10.1016/j.neuroscience.2009.12.072 · Cited by 8
Sexton, R., Fazel, M., Schweiger, M., Pressé, S., & Beckstein, O. (2025) · Journal of Chemical Theory and Computation · doi:10.1021/acs.jctc.4c01522 · Cited by 7
Bevilacqua, L. M., Neto, F. D. S., Rosado, A. F., Pinho, C. M., Platt, N., & Kaster, M. P. (2026) · Purinergic Signalling · doi:10.1007/s11302-025-10118-2 · Cited by 7
“Adenosine receptors, particularly the A1 and A2A, are abundantly expressed in the NAc, where they play key modulatory roles in synaptic transmission, neuronal excitability, and reward-related behaviors [12, 13].”
Integrative Biological, Cognitive and Affective Modeling of Caffeine Use on Stress
de Haan, R. E., Blankert, M., & Ziabari, S. S. M. (2019) · Advances in intelligent systems and computing · doi:10.1007/978-3-030-23887-2_9 · Cited by 7
Keane, J., Shovlin, A., Devenney, S., Malone, S., Young, D., Coratella, G., Collins, K. D., & Shortall, M. (2020) · Nutrients · doi:10.3390/nu12071926 · Cited by 7
“Previously, the primary mechanism of action was related to the antagonism of adenosine receptors in the brain [14].”
BackgroundYang, L.-S., Zhang, Z.-Y., Yan, L.-J., Yan, Y.-C., Tan, S., Wang, D.-X., Dong, Z.-R., & Li, T. (2023) · Nutrition Research · doi:10.1016/j.nutres.2023.07.004 · Cited by 7
Cognitive Enhancement in Humans
Dresler, M., & Repantis, D. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-417042-1.00011-5 · Cited by 6
Porru, S., López‐Cruz, L., Carratalá‐Ros, C., Salamone, J. D., Acquas, E., & Correa, M. (2021) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.14553 · Cited by 7
Sudakov, S. K., Nazarova, G. A., Alekseeva, E. V., & Kolpakov, A. A. (2015) · Bulletin of Experimental Biology and Medicine · doi:10.1007/s10517-015-2744-9 · Cited by 7
Salamone, J. D., Correa, M., Randall, P. A., Nunes, E. J., Pardo, M., & López‐Cruz, L. (2012) · Springer eBooks · doi:10.1007/978-1-4614-3903-5_23 · Cited by 7
Singh, D. K., Kumari, B., Sinha, S., & Fatima, K. (2024) · Current Indian Science · doi:10.2174/012210299x309791240914125655 · Cited by 6
Abdioğlu, M., Mor, A., Alexe, D. I., Todor, R. M., Panaet, E. A., Alexe, C. I., & Akça, F. (2025) · Frontiers in Nutrition · doi:10.3389/fnut.2025.1608893 · Cited by 6
“This ergogenic factor is that caffeine easily crosses the blood–brain barrier thanks to its special chemical structure and acts on adenosine receptors (A1, A2), thus blocking pain-producing receptors in the body (45).”
Tightrope or Slackline? The Neuroscience of Psychoactive Substances
Coulon, P., & Gorji, A. (2016) · Trends in Pharmacological Sciences · doi:10.1016/j.tips.2016.04.004 · Cited by 6
Genotoxic effect of caffeine in Yarrowia lipolytica cells deficient in DNA repair mechanisms
Quiñones-González, C. A., Arredondo-Mendoza, G. I., Jiménez‐Salas, Z., Larriba-Calle, G., Ruíz-Herrera, J., & Campos‐Góngora, E. (2019) · Archives of Microbiology · doi:10.1007/s00203-019-01658-4 · Cited by 6
“2004; Ferre 2008).”
Effects of aripiprazole on caffeine-induced hyperlocomotion and neural activation in the striatum
Batista, L. A., Viana, T. G., da Silveira, V. T., de Aguiar, D. C., & Moreira, F. A. (2015) · Naunyn-Schmiedeberg s Archives of Pharmacology · doi:10.1007/s00210-015-1170-x · Cited by 6
“Caffeine is somewhat different from other psychostimulants since it has weak reinforcing properties and controversy exists regarding its effects upon dopamine release in the ventral striatum (Daly and Fredholm 1998; Quarta et al. 2004; De Luca et al. 2007; Ferre 2008).”
BackgroundInfluentialNutrition and Psychiatric Disorders
Mohamed, W. M. Y., & Kobeissy, F. H. (2022) · Nutritional neurosciences · doi:10.1007/978-981-19-5021-6 · Cited by 6
“Forte et al. (2016) in their writing suggested that for people adapting to a diet that induces ketosis, there is inhibition of glycolysis in the brain that reduces the excitation of the neuron by potentiation of GABA transmission via the steroid pathway.”
BackgroundCAFFEINE AND CHLOROGENIC ACIDS IN COFFEE AND EFFECTS ON SELECTED NEURODEGENERATIVE DISEASES
Santos, R. M. M., Hunter, T., Wright, N., & Lima, D. R. A. (2013) · Journal of Pharmaceutical and Scientific Innovation · doi:10.7897/2277-4572.02443 · Cited by 7
Evatt, D. P., & Griffiths, R. R. (2013) · Elsevier eBooks · doi:10.1016/b978-0-12-375083-9.00033-7 · Cited by 6
Novel kombucha-based energy drinks: Supplementation, efficacy, and safety
Zhao, T., Ter, Z. Y., Sermwittayawong, D., Chang, L. S., Fazry, S., & Lim, S. J. (2025) · Journal of Food Composition and Analysis · doi:10.1016/j.jfca.2025.107696 · Cited by 7
Hachenberger, J., Li, Y., Realo, A., & Lemola, S. (2025) · Scientific Reports · doi:10.1038/s41598-025-14317-0 · Cited by 8
Nowak, K., Chłopaś‐Konowałek, A., Szpot, P., & Zawadzki, M. (2025) · Journal of Xenobiotics · doi:10.3390/jox15010015 · Cited by 7
Li, Y., Guo, Z., Cai, C., Liu, D., Kang, Y., & Liu, P. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e14170 · Cited by 5
“Caffeine is a non-selective adenosine receptor antagonist, targeting mainly adenosine A1 and A2A receptors in the brain [1,2].”
Background
Metadata
- Authors
- Ferré, S.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Ferré, Sergi
- ORCID
- Ferré, Sergi
- Venue
- Journal of Neurochemistry
- Publisher
- Wiley
- Published
- 2007-12-18
- Volume
- 105
- Issue
- 4
- Pages
- 1067-1079
- ISSN
- 0022-3042 (ISSN-L)
- 1471-4159
- OpenAlex
- W1994970739
- Cited by
- 440
- References
- 129
- Citations by year
- 2026: 12 · 2025: 19 · 2024: 14 · 2023: 23 · 2022: 31 · 2021: 30 · 2020: 15 · 2019: 26 · 2018: 24 · 2017: 18 · 2016: 32 · 2015: 32 · 2014: 25 · 2013: 34 · 2012: 29
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Neurochemistry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute on Drug Abuse
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Physiology › Adenosine and Purinergic Signaling
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- caffeine, psychostimulant effects, adenosine receptors, adenosine A1 receptor, adenosine A2A receptor, receptor heteromers, dopamine signaling, glutamatergic synapses, dopamine D1 receptor, dopamine D2 receptor, motor activation, reinforcement, adenosine
- MeSH terms
- Adenosine, Central Nervous System Stimulants, Animals, Caffeine, Humans, Receptors, Purinergic P1, Purinergic P1 Receptor Agonists
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