Macrophage expression of P2X7 controls autoimmune uveitis

Paul-Alexandre Déchelle-Marquet1, Yueshen Che1, Camille Roux1

  • 1Sorbonne University, INSERM, CNRS, Institut de la Vision, UMR_S 968, 17 rue Moreau, Paris, F-75012, France.

Journal of Neuroinflammation
|September 26, 2025
PubMed

Insights

Extracellular ATP signals through P2X7 receptors on immune cells, driving autoimmune diseases like uveitis. Targeting P2X7 on myeloid cells, particularly macrophages, reduces inflammation and pathogenic T cells, offering a potential therapeutic strategy.

Area of Science:

  • Immunology
  • Neuroinflammation
  • Autoimmune Diseases

Background:

  • Extracellular ATP (adenosine triphosphate) released from stressed cells initiates sterile inflammation.
  • The purinergic receptor P2X7 (P2X7R) mediates ATP's pro-inflammatory effects, particularly on mononuclear phagocytes (MPs) and T cells, which are crucial in autoimmune conditions.
  • The precise cell-specific roles of P2X7 in innate versus adaptive immunity during autoimmune diseases, such as autoimmune uveitis, remain incompletely understood.

Purpose of the Study:

  • To investigate the cell-specific functions of P2X7 in the pathogenesis of autoimmune responses, focusing on autoimmune uveitis.
  • To delineate the mechanisms by which P2X7 expressed on different myeloid cell populations influences T cell-mediated autoimmunity.

Main Methods:

  • Utilized the experimental autoimmune uveoretinitis (EAU) mouse model.
  • Employed multiple cell-specific conditional knockout models and transcriptomic analyses, including single-cell RNA sequencing.
  • Analyzed the impact of P2X7 deficiency in myeloid cells on immune cell populations and gene expression profiles within the retina.

Main Results:

  • P2X7 expression on mononuclear phagocytes (MPs) plays a critical role in orchestrating T cell-mediated autoimmune responses, with P2X7 deficiency in MPs reducing disease severity.
  • P2X7 exerts distinct effects on monocyte-derived macrophages (MdMs) and microglia.
  • In MdMs, P2X7 deficiency led to reduced inflammasome and phagocytosis pathway gene expression, decreasing pathogenic Th17 cell frequency.
  • In microglia, P2X7 deficiency impacted an interferon-responsive subset crucial for EAU pathogenesis.

Conclusions:

  • P2X7 on myeloid cells, especially macrophages, is pivotal in driving autoimmune uveitis pathogenesis.
  • Targeting P2X7 in myeloid cells, including microglia, presents a potential therapeutic strategy for autoimmune neuroinflammatory disorders.
  • Understanding cell-specific P2X7 functions provides insights into distinct immune regulatory mechanisms in autoimmune diseases.