Evidence map›Paper›PMID 40954149›Full record

ArticleNature communications2025

A polycyclic scaffold identified by structure-based drug design effectively inhibits the human P2X7 receptor.

Adam C Oken, Andreea L Turcu, Eva Tzortzini, Kyriakos Georgiou, Jessica Nagel, Franka G Westermann, Marta Barniol-Xicota, Jonas Seidler, Ga-Ram Kim, So-Deok Lee and 6 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Structural and molecular principles of DAMP biology.Nature structural & molecular biology · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Adam C OkenDepartment of Chemical Physiology & Biochemistry, Oregon Health & Science University, Portland, OR, USA.ORCID http://orcid.org/0000-0002-8661-9888
Andreea L TurcuLaboratori de Química Farmacèutica, Facultat de Farmàcia i Ciències de l'Alimentació, Universitat de Barcelona, Barcelona, Spain.ORCID http://orcid.org/0000-0001-9732-2249
Eva TzortziniLaboratory of Medicinal Chemistry, Section of Pharmaceutical Chemistry, Department of Pharmacy, National and Kapodistrian University of Athens, Panepistimiopolis-Zografou, Greece.
Kyriakos GeorgiouLaboratory of Medicinal Chemistry, Section of Pharmaceutical Chemistry, Department of Pharmacy, National and Kapodistrian University of Athens, Panepistimiopolis-Zografou, Greece.
Jessica NagelPharmaCenter Bonn & Pharmaceutical Institute, Pharmaceutical & Medicinal Chemistry, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0009-0008-5656-8347
Franka G WestermannPharmaCenter Bonn & Pharmaceutical Institute, Pharmaceutical & Medicinal Chemistry, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0009-0008-2562-561X
Marta Barniol-XicotaLaboratori de Química Farmacèutica, Facultat de Farmàcia i Ciències de l'Alimentació, Universitat de Barcelona, Barcelona, Spain.
Jonas SeidlerWalther Straub Institute of Pharmacology and Toxicology, Faculty of Medicine, Ludwig-Maximilians-Universität München, Munich, Germany.
Ga-Ram KimSchool of Life Sciences, Gwangju Institute of Science and Technology, Buk-gu, Gwangju, Republic of Korea.
So-Deok LeeSchool of Life Sciences, Gwangju Institute of Science and Technology, Buk-gu, Gwangju, Republic of Korea.
Annette NickeWalther Straub Institute of Pharmacology and Toxicology, Faculty of Medicine, Ludwig-Maximilians-Universität München, Munich, Germany.ORCID http://orcid.org/0000-0001-6798-505X
Yong-Chul KimSchool of Life Sciences, Gwangju Institute of Science and Technology, Buk-gu, Gwangju, Republic of Korea.
Christa E MüllerPharmaCenter Bonn & Pharmaceutical Institute, Pharmaceutical & Medicinal Chemistry, University of Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0002-0013-6624
Antonios KolocourisLaboratory of Medicinal Chemistry, Section of Pharmaceutical Chemistry, Department of Pharmacy, National and Kapodistrian University of Athens, Panepistimiopolis-Zografou, Greece.ORCID http://orcid.org/0000-0001-6110-1903
Santiago VázquezLaboratori de Química Farmacèutica, Facultat de Farmàcia i Ciències de l'Alimentació, Universitat de Barcelona, Barcelona, Spain.ORCID http://orcid.org/0000-0002-9296-6026
Steven E MansoorDepartment of Chemical Physiology & Biochemistry, Oregon Health & Science University, Portland, OR, USA. mansoors@ohsu.edu.ORCID http://orcid.org/0000-0001-9606-8955

Funding

Pacific Northwest Center for Cryo-EM - Screening supplementU24GM129547 · NIGMS · OREGON HEALTH & SCIENCE UNIVERSITY · PI EVANS, JAMES E, GOUAUX, JAMES E · 2018 to 2023
$54.8M
Elucidation of P2X7 Receptor Signaling and Development of Novel Small Molecule and Aptamer Ligand TherapiesDP2GM149551 · NIGMS · OREGON HEALTH & SCIENCE UNIVERSITY · PI MANSOOR, STEVEN ELIAS · 2022 to 2025
$2.3M
Structure/Function Studies on the Mechanisms of Purinergic Receptor Activation and AntagonismR00HL138129 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI MANSOOR, STEVEN ELIAS · 2020 to 2022
$746k
NHLBI NIH HHS R00 HL138129NIGMS NIH HHS DP2 GM149551NIGMS NIH HHS U24 GM129547U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R00HL138129U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) DP2GM149551
6 · The paper itself

Abstract

The P2X7 receptor is an ATP-gated ion channel that activates inflammatory pathways involved in diseases such as cancer, atherosclerosis, and neurodegeneration. However, despite the potential benefits of blocking overactive signaling, no P2X7 receptor antagonists have been approved for clinical use. Understanding species-specific pharmacological effects of existing antagonists has been challenging, in part due to the dearth of molecular information on receptor orthologs. Here, to identify distinct molecular features in the human receptor, we determine high-resolution cryo-EM structures of the full-length wild-type human P2X7 receptor in apo closed and ATP-bound open state conformations and draw comparisons with structures of other orthologs. We also report a cryo-EM structure of the human receptor in complex with an adamantane-based inhibitor, which we leverage, in conjunction with functional data and molecular dynamics simulations, to design a potent and selective antagonist with a unique polycyclic scaffold. Functional and structural analysis reveal how this optimized ligand, termed UB-MBX-46, interacts with the classical allosteric pocket of the human P2X7 receptor with subnanomolar potency and high selectivity, revealing its significant therapeutic potential.

Indexed as

Drug DesignPolycyclic CompoundsPurinergic P2X Receptor AntagonistsReceptors, Purinergic P2X7AdamantaneAdenosine TriphosphateCryoelectron MicroscopyHEK293 CellsHumansLigandsMolecular Dynamics SimulationAdamantaneAdenosine TriphosphateLigandsP2RX7 protein, humanPolycyclic CompoundsPurinergic P2X Receptor AntagonistsReceptors, Purinergic P2X7

Identifiers

PMID40954149
PMCPMC12436592

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.