P2RX7

P2X purinoreceptor 7

Score: 0.680 Price: $0.68 High Druggability Status: active Wiki: P2RX7
๐Ÿง  Neurodegeneration
HYPOTHESES
1
PAPERS
29
KG EDGES
155
DEBATES
0

3D Protein Structure

🧬 P2RX7 โ€” PDB 5U1L Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
High
Score: 0.80
Clinical Stage
Phase II
Target Class
Ion Channel
Safety
0.60
Druggability Analysis
Drug Development0.30
Structural Tractability0.85
Target Class0.85
Safety Profile0.60
Key Metrics
PDB Structures:
24
Known Drugs:
2
Approved:
0
In Clinical Trials:
0
Drug Pipeline (2 compounds)
2 Preclinical
Therapeutic Areas:
Neuroinflammation Neurodegenerative diseases Depression and mood disorders Inflammatory diseases Microglial activation disorders Alzheimer's disease Neuropathic pain
Druggability Rationale: P2X7 is highly druggable due to its well-characterized ATP-binding pocket, extensive structural data (24 PDB structures with sub-angstrom resolution), and proven clinical precedent with multiple selective antagonists in Phase 2 trials. The ion channel architecture provides a clearly defined ligand-binding site, and the high druggability score (0.80) reflects established chemical matter and successful target validation in inflammatory and neuropsychiatric indications.
Mechanism: Selective P2X7 receptor antagonists blocking ATP-gated ion channel
Drug Pipeline (2 compounds)
2 Preclinical
Known Drugs:
A-804598 (investigational) โ€” inflammatory diseases
JNJ-54175446 (investigational) โ€” depression
Structural Data:
PDB (24) โœ“AlphaFold โœ“Cryo-EM โ€”
5U1L5U1U5U1V5U1W5U1X+19 more
UniProt: Q0IJ51
Binding Pocket Analysis:

P2X7 possesses a well-defined orthosteric ATP-binding pocket located at subunit interfaces, accessible through structural studies including cryo-EM data and AlphaFold modeling. Allosteric binding sites have also been identified, offering opportunities for selective antagonism; the extracellular vestibule and transmembrane regions provide distinct pharmacophoric opportunities beyond classical ATP-competitive inhibition.

Selectivity & Safety Considerations

P2X7 selectivity over closely related P2X family members (P2X1-P2X6) is achievable but requires careful structural optimization, as antagonists may show cross-reactivity with other purinergic receptors. The unique C-terminal domain and specific ATP-binding pocket geometry of P2X7 provide selectivity advantages, though off-target effects on other ATP-sensing proteins should be monitored during development.

3D Protein Structure

PDB: Open in RCSB AlphaFold model

Interactive 3D viewer powered by RCSB PDB / Mol*. Use mouse to rotate, scroll to zoom.

Clinical Trials (8)

Relevant trials from ClinicalTrials.gov

Active
1
Completed
7
Total Enrollment
860
By Phase
NA: 5 ยท PHASE1: 1 ยท PHASE2: 1 ยท Unknown: 1
Anger Control Training for Youth With Tourette Syndrome Completed
NA NCT00486551 n=26
Tourette Syndrome, Chronic Tic Disorder, Oppositional Defiant Disorder
Interventions: Anger control training
Sponsor: Yale University | Started: 2001-08
Adaptive vs. Continuous Subthalamic Nucleus Deep Brain Stimulation in Parkinson's Disease Recruiting
NA NCT06909045 n=130
Deep Brain Stimulation, Parkinson Disease
Interventions: Adaptive DBS, Continue DBS
Sponsor: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC | Started: 2026-01-27
Expiratory Muscle Training in Patients With Parkinson's Disease Completed
PHASE1 NCT00843739 n=90
Parkinson's Disease
Interventions: EMST - Active Treatment, sham EMST
Sponsor: University of Florida | Started: 2004-01
Study of the Follow-up of Stroke Treated With Anticoagulants Completed
Unknown NCT03292575 n=441
Stroke
Interventions: Anticoagulants
Sponsor: Centre Hospitalier Universitaire Dijon | Started: 2016-01
Early Detection and Prevention of Mild Cognitive Impairment Due to Cerebrovascular Disease Completed
NA NCT01924312 n=80
Cerebrovascular Disease, Mild Cognitive Impairment
Interventions: Heart Health Intervention
Sponsor: Gregory Jicha, 323-5550 | Started: 2013-05
Effects of Modern Board Games on Well Being in Older Adults Completed
NA NCT06306365 n=35
Executive Functions
Interventions: Modern board game-based learning
Sponsor: European University Miguel de Cervantes | Started: 2024-02-07
Treatment of Alzheimer's and Dementia With the Metabolism, Infections, Nutrition, Drug Elimination (MIND) Protocol Completed
NA NCT02260167 n=25
Alzheimer's Disease, Dementia
Interventions: A mix of natural treatments and medicati
Sponsor: Practitioners Alliance Network | Started: 2014-09
A Phase 2 Study to Evaluate Safety of Long-term AL001 Dosing in Frontotemporal Dementia (FTD) Patients (INFRONT-2) Completed
PHASE2 NCT03987295 n=33
Frontotemporal Dementia
Interventions: AL001
Sponsor: Alector Inc. | Started: 2019-09-27

Linked Hypotheses (1)

P2RX7-Mediated Exosome Secretion Blockade0.512

Linked Experiments (1)

P2RX7 variant rs1718119 association with glucose homeostasis in Botnia cohort0.900

Scoring Dimensions

Portfolio 0.70 (25%) Druggability 0.80 (20%) Evidence 0.56 (20%) Safety 0.60 (15%) Competitive 0.55 (10%) Connectivity 0.90 (10%) 0.680 composite

Knowledge Graph (20)

activates (3)

P2RX7 โ†’ P2RY1
P2RX7 โ†’ P2RX5
P2RX7 โ†’ PANX1

associated with (6)

P2RX7 โ†’ neurodegeneration
P2RX7 โ†’ CD38
P2RX7 โ†’ ISG15
P2RX7 โ†’ STAT1
P2RX7 โ†’ USP18
...and 1 more

co discussed (7)

P2RX7 โ†’ DGAT1
P2RX7 โ†’ C3
P2RX7 โ†’ AQP4
P2RX7 โ†’ EPHB4
P2RX7 โ†’ SMPD1
...and 2 more

interacts with (1)

P2RX7 โ†’ P2RY1

protects against (1)

P2RX7 โ†’ P2RX4

therapeutic target (2)

P2RX7 โ†’ P2RY14
P2RX7 โ†’ P2RY1

Debate History (0)

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