Novel biologics targeting the P2X7 ion channel

Curr Opin Pharmacol. 2019 Aug:47:110-118. doi: 10.1016/j.coph.2019.03.001. Epub 2019 Apr 12.

Abstract

Targeting the P2X7 ion channel, a danger sensor for extracellular nucleotides, improves outcomes in models of inflammation, cancer, and brain-diseases. Antibodies and nanobodies have been developed that antagonize or potentiate gating of P2X7. Their potential advantages over small-molecule drugs include high specificity, lower off-target effects, and tunable in vivo half-life. Genetic fusion of P2X7-specific biologics to binding modules may enable targeting of specific cell subsets. Besides directly modulating P2X7 function, antibodies can also initiate specific depletion of P2X7-expressing cells. Adeno-associated viral vectors (AAV) can be used to express P2X7-specific antibodies in vivo to achieve long-lasting biological effects. Furthermore, if successfully targeted to P2X7-expressing cells, AAVs may enable modulation of the function of P2X7-expressing immune cells via encoded transgenic RNA or proteins.

Publication types

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

MeSH terms

  • Adenosine Triphosphate / metabolism
  • Animals
  • Antibodies / therapeutic use
  • Biological Products / pharmacology*
  • Biological Products / therapeutic use
  • Dependovirus
  • Humans
  • Inflammation / drug therapy
  • NAD / metabolism
  • Neoplasms / drug therapy
  • Nervous System Diseases / drug therapy
  • Pain / drug therapy
  • Receptors, Purinergic P2X7 / metabolism*
  • Single-Domain Antibodies / therapeutic use

Substances

  • Antibodies
  • Biological Products
  • Receptors, Purinergic P2X7
  • Single-Domain Antibodies
  • NAD
  • Adenosine Triphosphate