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Chronic Post-Ischemia Pain Model for Complex Regional Pain Syndrome Type-I in Rats
Published on: January 21, 2020
P2X receptor channels in chronic pain pathways
Louis-Philippe Bernier1, Ariel R Ase2, Philippe Séguéla2
1Department of Psychiatry, Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC, Canada.
Abstract:
Chronic pain is a highly prevalent debilitating condition for which treatment options remain limited for many patients. Ionotropic ATP signalling through excitatory and calcium-permeable P2X receptor channels is now rightfully considered as a critical player in pathological pain generation and maintenance; therefore, their selective targeting represents a therapeutic opportunity with promising yet untapped potential. Recent advances in the structural, functional and pharmacological characterization of rodent and human ATP-gated P2X receptor channels have shed brighter light on the role of specific subtypes in the pathophysiology of chronic inflammatory, neuropathic or cancer pain. Here, we will review the contribution of P2X3, P2X4 and P2X7 receptors to chronic pain and discuss the opportunities and challenges associated with the pharmacological manipulation of their function.
Linked Articles:
This article is part of a themed section on Recent Advances in Targeting Ion Channels to Treat Chronic Pain. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v175.12/issuetoc.
Insights
Targeting P2X3, P2X4, and P2X7 receptors offers a promising therapeutic avenue for chronic pain. Advances in understanding these ATP-gated channels illuminate their role in pain pathophysiology and guide future drug development.
Area of Science:
- Neuroscience
- Pharmacology
- Pain Research
Background:
- Chronic pain affects many patients, with limited effective treatments.
- ATP signaling via P2X receptors is crucial in pain development and persistence.
- P2X receptors are excitatory, calcium-permeable ion channels targeted for pain relief.
Purpose of the Study:
- To review the role of specific P2X receptor subtypes in chronic pain.
- To discuss the therapeutic potential and challenges of targeting P2X receptors.
- To highlight recent advances in understanding P2X receptor function in pain.
Main Methods:
- Review of recent structural, functional, and pharmacological studies.
- Analysis of P2X3, P2X4, and P2X7 receptor involvement in pain models.
- Discussion of pharmacological targeting strategies.
Main Results:
- P2X3, P2X4, and P2X7 receptors significantly contribute to inflammatory, neuropathic, and cancer pain.
- Detailed characterization of these receptors in rodent and human systems.
- Identification of therapeutic opportunities and associated challenges.
Conclusions:
- Selective targeting of P2X receptors presents a promising strategy for chronic pain management.
- Further research into P2X receptor pharmacology is essential for developing novel analgesics.
- Understanding subtype-specific roles is key to effective therapeutic manipulation.
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