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P2X Receptors: Potential Therapeutic Targets for Symptoms Associated With Lung Cancer - A Mini Review
Yonglin Mai1, Zhihua Guo2, Weiqiang Yin2
1Department of Allergy and Clinical Immunology, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Abstract:
Symptoms associated with lung cancer mainly consist of cancer-associated pain, cough, fatigue, and dyspnea. However, underlying mechanisms of lung cancer symptom clusters remain unclear. There remains a paucity of effective treatment to ameliorate debilitating symptoms and improve the quality of life of lung cancer survivors. Recently, extracellular ATP and its receptors have attracted increasing attention among researchers in the field of oncology. Extracellular ATP in the tumor microenvironment is associated with tumor cell metabolism, proliferation, and metastasis by driving inflammation and neurotransmission via P2 purinergic signaling. Accordingly, ATP gated P2X receptors expressed on tumor cells, immune cells, and neurons play a vital role in modulating tumor development, invasion, progression, and related symptoms. P2 purinergic signaling is involved in the development of different lung cancer-related symptoms. In this review, we summarize recent findings to illustrate the role of P2X receptors in tumor proliferation, progression, metastasis, and lung cancer- related symptoms, providing an outline of potential anti-neoplastic activity of P2X receptor antagonists. Furthermore, compared with opioids, P2X receptor antagonists appear to be innovative therapeutic interventions for managing cancer symptom clusters with fewer side effects.
Insights
Extracellular ATP and P2X receptors are implicated in lung cancer progression and symptoms. P2X receptor antagonists offer a promising, less-toxic alternative to opioids for managing cancer-related pain and other symptoms.
Area of Science:
- Oncology
- Molecular Biology
- Pain Management
Background:
- Lung cancer symptoms like pain, cough, fatigue, and dyspnea significantly impact quality of life.
- Current treatments for lung cancer symptom clusters are limited, necessitating novel therapeutic strategies.
- Extracellular ATP and its P2 purinergic signaling pathway are increasingly recognized for their role in cancer development and symptoms.
Purpose of the Study:
- To review the role of P2X receptors in lung cancer proliferation, progression, and metastasis.
- To elucidate the involvement of P2 purinergic signaling in lung cancer-related symptoms.
- To explore the potential of P2X receptor antagonists as anti-neoplastic and symptom-ameliorating agents.
Main Methods:
- Literature review of recent findings on P2X receptors in oncology.
- Analysis of P2 purinergic signaling mechanisms in tumor microenvironment.
- Comparison of P2X receptor antagonists with traditional pain management like opioids.
Main Results:
- P2X receptors on tumor cells, immune cells, and neurons modulate lung cancer development, invasion, and progression.
- P2 purinergic signaling contributes to the pathogenesis of various lung cancer symptoms.
- P2X receptor antagonists show potential for anti-neoplastic effects and symptom management.
Conclusions:
- P2X receptors are critical players in lung cancer biology and symptom generation.
- Targeting P2X receptors offers a novel therapeutic avenue for lung cancer.
- P2X receptor antagonists may provide an effective and safer alternative to opioids for managing lung cancer symptom clusters.
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