The evolution of P2X7 antagonists with a focus on CNS indications
Jason C Rech1, Anindya Bhattacharya1, Michael A Letavic1
1Janssen Pharmaceutical Research & Development L.L.C., 3210 Merryfield Row, San Diego, CA 92121, United States.
Abstract:
The P2X7 receptor is an ATP-gated nonselective cation channel that has been linked to a number of inflammatory diseases. Activation of the P2X7 receptor by elevated levels of ATP results in the release of proinflammatory cytokines and elevated levels of these cytokines has been associated with a variety of disease states. A number of research groups in both industry and academia have explored the identification of P2X7R antagonists as therapeutic agents. Much of this early effort focused on the treatment of diseases related to peripheral inflammation and resulted in several clinical candidates, none of which were advanced to market. The emerging role of the P2X7 receptor in neuroinflammation and related diseases has resulted in a shift in medicinal chemistry efforts toward the development of centrally penetrant antagonists. This review will highlight the biology supporting the role of P2X7 in diseases related to neuroinflammation and review the recent medicinal chemistry efforts to identify centrally penetrant antagonists.
Insights
P2X7 receptor antagonists are being developed for neuroinflammation. Research is shifting towards centrally penetrant drugs to treat inflammatory diseases affecting the brain and nervous system.
Area of Science:
- Neuroscience
- Immunology
- Pharmacology
Background:
- The P2X7 receptor (P2X7R) is an ATP-gated ion channel implicated in inflammatory diseases.
- Its activation by ATP triggers the release of pro-inflammatory cytokines, contributing to various disease states.
- Previous P2X7R antagonist development focused on peripheral inflammation with limited success.
Purpose of the Study:
- To review the biological basis for P2X7R's role in neuroinflammation.
- To summarize recent medicinal chemistry efforts in developing centrally penetrant P2X7R antagonists.
Main Methods:
- Literature review of P2X7 receptor biology.
- Analysis of medicinal chemistry strategies for neuroinflammation targets.
Main Results:
- The P2X7 receptor plays a significant role in neuroinflammatory processes.
- Recent medicinal chemistry efforts are focused on creating brain-penetrant P2X7R antagonists.
Conclusions:
- The P2X7 receptor is a promising target for treating neuroinflammatory diseases.
- Development of centrally penetrant antagonists represents a key advancement in this therapeutic area.
Related Concept Videos
Ligand-Gated Ion Channel Receptor: Gating Mechanism
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
Drugs Affecting Neurotransmitter Release or Uptake
Drug-Receptor Interaction: Agonist
Agonists can bind to receptors in different ways. Some agonists bind directly to the receptor's active site, mimicking the endogenous...
Analgesia and Pain Management
Antipsychotic Drugs: Typical and Atypical Agents


