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Updated: May 24, 2026

Identifying Microglia and Peripheral Infiltrating Macrophages in the Injured Spinal Cords Using Flow Cytometry
Published on: June 24, 2025
P2X4 receptors influence inflammasome activation after spinal cord injury
Juan Pablo de Rivero Vaccari1, Dominic Bastien, Geoffrey Yurcisin
1The Miami Project to Cure Paralysis, Miami, Florida 33136, USA.
Abstract:
P2X(4) and P2X(7) are the predominant purinergic P2X receptor subtypes expressed on immune and neural cells. These receptor subtypes traffic between intracellular compartments and the plasma membrane and form protein interactions with each other to regulate ATP-dependent signaling. Our recent studies have shown that P2X(7) receptors in neurons and astrocytes activate NLRP1 inflammasomes, but whether P2X(4) receptors regulate inflammasome signaling is essentially unknown. Here, we demonstrate that P2X(4) receptors are expressed in neurons of the spinal cord. We provide direct evidence that spinal cord injury (SCI) induces an innate inflammatory response that leads to increased caspase-l cleavage and production of IL-1β but not IL-18. Consistent with these findings, P2X(4) knock-out mice showed impaired inflammasome signaling in the cord, resulting in decreased levels of IL-1β and reduced infiltration of neutrophils and monocyte-derived M1 macrophages, resulting in significant tissue sparing and improvement in functional outcomes. These results indicate that P2X(4) receptors influence inflammasome signaling involving caspase-1 activation and IL-1β processing in neurons after SCI. P2X(4) might thus represent a potential therapeutic target to limit inflammatory responses associated with SCI and neurodegenerative disorders.
Insights
P2X(4) receptors in spinal cord neurons drive inflammation after injury by activating caspase-1 and interleukin-1 beta. Blocking these receptors reduces inflammation, spares tissue, and improves function after spinal cord injury (SCI).
Area of Science:
- Neuroscience
- Immunology
- Cell Biology
Background:
- Purinergic P2X(4) and P2X(7) receptors are key in immune and neural cells, regulating ATP signaling.
- P2X(7) receptors activate NLRP1 inflammasomes in neurons and astrocytes.
- The role of P2X(4) receptors in inflammasome signaling remains largely unexplored.
Purpose of the Study:
- To investigate the role of P2X(4) receptors in spinal cord injury (SCI) and inflammasome signaling.
- To determine if P2X(4) receptors mediate inflammatory responses post-SCI.
Main Methods:
- Expression analysis of P2X(4) receptors in spinal cord neurons.
- Utilizing P2X(4) knock-out mouse models following induced SCI.
- Assessing inflammasome activation markers (caspase-1 cleavage, IL-1β, IL-18).
- Quantifying immune cell infiltration (neutrophils, M1 macrophages).
- Evaluating tissue sparing and functional recovery post-injury.
Main Results:
- P2X(4) receptors are present in spinal cord neurons.
- SCI triggers caspase-1 cleavage and IL-1β production, indicating inflammasome activation.
- P2X(4) knock-out mice exhibit attenuated inflammasome signaling, with reduced IL-1β levels.
- Reduced neutrophil and M1 macrophage infiltration observed in P2X(4) knock-out mice.
- Significant tissue sparing and improved functional outcomes in P2X(4) deficient mice.
Conclusions:
- P2X(4) receptors are crucial mediators of the inflammatory response following spinal cord injury.
- P2X(4) receptor signaling influences caspase-1 activation and IL-1β processing in neurons post-SCI.
- Targeting P2X(4) receptors offers a potential therapeutic strategy for SCI and neurodegenerative diseases.
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