P2X7 receptor antagonism in the treatment of cancers
Abstract:
ATP-gated P2X7 receptors (P2X7) make a unique family of extracellular ATP-activated plasma membrane ion channels expressed in haematopoietic and epithelial cells. They have been extensively studied in immune cells where their activation leads to the rapid release of pro-inflammatory cytokines and the initiation of the inflammatory cascade. As such, P2X7 represent a pharmaceutical target for the treatment of inflammatory diseases. Recently, P2X7 expression has been found in diverse tumours and has been suggested as a potential cancer cell biomarker. On ATP stimulation, tumour cells can use P2X7 signalling in different scenarios: i) as a reaction to this death-related signal, they can downregulate P2X7 to avoid apoptosis or ii) as a cancer-promoting signal to survive and enhance invasion of new niches. The high levels of extracellular ATP found in tumours could represent a stressful stimulus for cancer cells by initiating P2X7-driven cell death. Therefore, the increased P2X7-dependent invasiveness of cancer cells could be an escape strategy to flee the noxious high level of ATP. The use of specific P2X7 antagonists could be a new alternative way to reduce the development of cancer metastases and improve the efficacy of conventional treatments.
Insights
Extracellular ATP-gated P2X7 receptors are involved in both inflammation and cancer. Targeting these P2X7 receptors may offer new strategies for treating inflammatory diseases and reducing cancer metastasis.
Area of Science:
- Biochemistry
- Cell Biology
- Immunology
Background:
- P2X7 receptors are ATP-gated ion channels found on immune and epithelial cells.
- Their activation in immune cells triggers pro-inflammatory cytokine release, making them targets for inflammatory disease treatment.
- Recent findings show P2X7 receptor expression in various tumors, suggesting potential as cancer biomarkers.
Discussion:
- Tumor cells exhibit dual responses to extracellular ATP via P2X7 signaling: downregulating receptors to evade apoptosis or utilizing them for survival and invasion.
- High extracellular ATP in tumors can act as a stressor, initiating P2X7-mediated cell death.
- Enhanced P2X7-dependent invasiveness may represent a cancer cell escape mechanism from high ATP environments.
Key Insights:
- P2X7 receptors play a complex role in cancer, influencing both cell death evasion and promoting invasion.
- Extracellular ATP levels in tumors can paradoxically trigger cell death or promote survival and metastasis via P2X7.
- P2X7 receptor antagonists present a novel therapeutic avenue for combating cancer metastasis.
Outlook:
- Further research into P2X7 receptor function in different cancer types is warranted.
- Developing specific P2X7 antagonists could enhance conventional cancer therapies.
- Understanding the dual role of P2X7 in cancer may lead to targeted therapeutic strategies.
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