The P2X7 Receptor in Cancer: From Functional Receptor to Non-Functional P2X7
Luyao Liu1,2, Yoshiteru Kagawa3, Colin L Masters3
1Department of Surgery, Royal Melbourne Hospital, The University of Melbourne, Parkville, VIC, Australia.
Abstract:
The ATP-gated P2X7 receptors are abundantly expressed in immune cells, neurons, glial cells, and cancer cells. The P2X7 receptor performs distinct functions, depending on the extracellular ATP concentration and the duration of exposure to ATP. With brief ATP stimulation, the P2X7 receptor acts as an ion channel, and the movement of ions is associated with the regulation of cell proliferation and differentiation. Prolonged ATP exposure induces a conformational change in P2X7, allowing large molecules to pass through the membrane via the formation of macropores, thereby contributing to cell death. A novel function of P2X7 as a scavenger receptor was recently reported in the absence of both serum and ATP. However, the discovery of non-functional P2X7 in cancer reveals that this group of isoforms of P2X7 fails to form macropores upon ATP stimulation and cannot initiate ATP-induced cell death, allowing malignant cells to evade this regulatory mechanism and continue proliferating. We discuss the multifaceted functions of the P2X7 receptor in regulating diverse cell types, including cell growth, death, and clearance, and how the non-functional form of P2X7 disrupts this balance in cancer. Furthermore, the review explores the potential targeting of this aberrant isoform of P2X7 in the development of novel cancer therapies.
Insights
The P2X7 receptor regulates cell functions, but a non-functional P2X7 variant in cancer allows malignant cells to proliferate. Targeting this aberrant P2X7 isoform offers potential new cancer therapies.
Area of Science:
- Cell Biology
- Immunology
- Oncology
Background:
- P2X7 receptors are crucial in immune, neural, and cancer cells, mediating distinct functions based on ATP exposure.
- Brief ATP stimulation activates P2X7 as an ion channel regulating cell proliferation and differentiation.
- Prolonged ATP exposure triggers P2X7 macropore formation, leading to cell death.
Purpose of the Study:
- To review the multifaceted roles of P2X7 receptors in various cell types.
- To elucidate how non-functional P2X7 isoforms disrupt cellular balance in cancer.
- To explore P2X7 targeting for novel cancer therapies.
Main Methods:
- Literature review of P2X7 receptor functions and cancer-related isoforms.
- Analysis of P2X7's role in cell proliferation, death, and clearance.
- Discussion of therapeutic strategies targeting aberrant P2X7.
Main Results:
- P2X7 exhibits diverse functions including ion channel activity, macropore formation, and scavenger receptor activity.
- Non-functional P2X7 isoforms in cancer cells evade ATP-induced cell death, promoting proliferation.
- Aberrant P2X7 disrupts normal cell growth, death, and clearance mechanisms.
Conclusions:
- The P2X7 receptor plays a complex role in cellular regulation.
- Non-functional P2X7 variants are implicated in cancer progression by enabling cell survival.
- Targeting non-functional P2X7 presents a promising avenue for developing new cancer treatments.
Related Concept Videos
Receptor Downregulation in MVBs
The EGFR can initiate signaling pathways that lead to cell proliferation, migration, and differentiation. Overexpression of EGFR stimulates cells to proliferate. Excessive EGFR activation may...
Transducer Mechanism: Nuclear Receptors
About 48 different soluble family members of nuclear receptors are identified that can be divided into two main classes:
G Protein-coupled Receptors
GPCRs are also called heptahelical, 7TM, or serpentine receptors, and consist of seven (H1-H7) transmembrane alpha-helices that span the bilayer to form a cylindrical core. The transmembrane helices are connected by three extracellular loops and three...
Mitogens and the Cell Cycle
Interactions Between Signaling Pathways
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
GPCR Desensitization

