Department of Anaesthetics, Imperial College London
Doi
Abstract
P2X7 receptors exhibit a mainly non-neuronal localisation on immune and glial cells and
primarily function as non-selective cation channels. After prolonged or repeated exposure to
agonist, functional and cellular changes occur: the formation of a large diameter pore, cell
lysis and the release of mature, biologically active interleukin-1β (IL-1β) a potent
inflammatory cytokine. It is this repertoire of functions, along with its localisation that
underlies the hypothesis for its involvement in pain processing.
The biophysics and pharmacology of rat P2X7 receptors were investigated using stable
cell lines. Increases in the current amplitude were shown to be dependent upon the
agonist concentration and current deactivation was agonist application number and
voltage dependent. These results increased our understanding of the receptor, but have
also had implications for the design of protocols to investigate antagonist potency and
efficacy. GSK31418A was identified as a potent, reversible and voltage-independent
antagonist of rat and human P2X7 receptors. GSK314181A was >10000 fold selective
over P2X4 receptors and >1000 fold selective over P2X2/3 receptors. GSK314181A
produced a significant reversal of FCA-induced hypersensitivity when profiled in vivo,
providing further validation of the role of P2X7 receptors in inflammatory pain.
Although the influence of glia cells on neuronal activity in the CNS is now well
documented, the role of peripheral glia, Schwann cells and satellite cells of sensory ganglia,
is less well established. Non-neuronal cells in DRG cultures were shown to express P2X7
receptors by pharmacological, biophysical and immunofluorescence techniques. Native
P2X7 receptors expressed on these cells were shown to have many of the properties of
recombinant P2X7 receptors, in regards to the response to agonist activation and
pharmacology.
Finally, I have shown that Lamotrigine is an effective inhibitor of recombinant rat and
human P2X7 receptors and native P2X7 receptors expressed in DRG. The potent
inhibition of human P2X7 by Lamotrigine was replicated with the chemical analogue and
neuroprotective agent Sipatrigine. However, little effect was recorded for a P2X7
antagonist in two models of epileptiform activity studies