Contribution of P2X purinergic receptor in cerebral ischemia injury

Brain Res Bull. 2022 Nov:190:42-49. doi: 10.1016/j.brainresbull.2022.09.009. Epub 2022 Sep 14.

Abstract

The development of cerebral ischemia involves brain damage and abnormal changes in brain function, which can cause neurosensory and motor dysfunction, and bring serious consequences to patients. P2X purinergic receptors are expressed in nerve cells and immune cells, and are mainly expressed in microglia. The P2X4 and P2X7 receptors in the P2X purinergic receptors play a significant role in regulating the activity of microglia. Moreover, ATP-P2X purine information transmission is involved in the progression of neurological diseases, including the release of pro-inflammatory factors, driving factors and cytokines after cerebral ischemia injury, inducing inflammation, and aggravating cerebral ischemia injury. P2X receptors activation can mediate the information exchange between microglia and neurons, induce neuronal apoptosis, and aggravate neurological dysfunction after cerebral ischemia. However, inhibiting the activation of P2X receptors, reducing their expression, inhibiting the activation of microglia, and has the effect of protecting nerve function. In this paper, we discussed the relationship between P2X receptors and nervous system function and the role of microglia activation inducing cerebral ischemia injury. Additionally, we explored the potential role of P2X receptors in the progression of cerebral ischemic injury and their potential pharmacological targets for the treatment of cerebral ischemic injury.

Keywords: ATP; Antagonist; Cerebral ischemic injury; Inflammation; P2X purinergic receptors.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine Triphosphate* / metabolism
  • Brain Ischemia* / metabolism
  • Cerebral Infarction
  • Humans
  • Microglia / metabolism
  • Neurons
  • Receptors, Purinergic P2X / metabolism
  • Receptors, Purinergic P2X4 / metabolism
  • Receptors, Purinergic P2X7 / metabolism

Substances

  • Adenosine Triphosphate
  • Receptors, Purinergic P2X
  • Receptors, Purinergic P2X7
  • Receptors, Purinergic P2X4