2003
DOI: 10.4049/jimmunol.171.10.5442
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A Loss-of-Function Polymorphism in the Human P2X7 Receptor Abolishes ATP-Mediated Killing of Mycobacteria

Abstract: Protective immunity to mycobacterial infections requires activation of the antibacterial mechanisms of infected macrophages. It has previously been reported that ATP treatment of mycobacteria-infected macrophages induces apoptosis mediated via the P2X7 pathway and that this leads to the death of both the host cell and the internalized bacilli. We have recently identified a single nucleotide polymorphism in the P2X7 gene (1513A→C), with 1–2% prevalence in the homozygous state, which codes for a nonfunctional re… Show more

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Cited by 114 publications
(113 citation statements)
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“…Three loss-of function SNPs (T357S, E496A, and I568N) and one gain-of-function SNP (Q460R) are located in the long intracellular domain [54][55][56]58]. These loss-of-function polymorphisms lead not only to reduced P2X 7 pore function but also to impaired ATP-induced mycobacterial killing by macrophages [56,60,61,81,82]. Recent studies have found that the E496A polymorphism does not affect the electrophysiological phenotype of the P2X 7 channel in transfected oocytes and HEK293 cells [83].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Three loss-of function SNPs (T357S, E496A, and I568N) and one gain-of-function SNP (Q460R) are located in the long intracellular domain [54][55][56]58]. These loss-of-function polymorphisms lead not only to reduced P2X 7 pore function but also to impaired ATP-induced mycobacterial killing by macrophages [56,60,61,81,82]. Recent studies have found that the E496A polymorphism does not affect the electrophysiological phenotype of the P2X 7 channel in transfected oocytes and HEK293 cells [83].…”
Section: Discussionmentioning
confidence: 99%
“…Another putative gain-of-function polymorphism described recently, the Q460R substitution, appears to enhance pore activity of the P2X 7 receptor [58]. Increasing evidence from genetic association studies have demonstrated that the polymorphisms of the P2X 7 gene are implicated in various diseases such as chronic lymphocytic leukemia, tuberculosis, bipolar affective disorders, and diabetes [60][61][62][63][64][65][66][67]. It has also been reported that the polymorphisms are related to clinical outcome in allogeneic stem cell transplantation and to fracture risk and the efficacy of hormone replacement therapy [28,68].…”
Section: Introductionmentioning
confidence: 99%
“…P2X 7 surface expression on homozygous monocytes was significantly lower than P2X 7 surface expression on monocytes from wild-type subjects (mean fluorescent intensity of 20.676.3, n ¼ 4 vs 47.078.1, n ¼ 6 respectively, Po0.05; Figure 2c). We have previously shown that P2X 7 expression is approximately 11-fold lower on monocyte-derived macrophages homozygous for the Glu 496 Ala polymorphism than on wild-type macrophages, 11,14 however P2X 7 surface expression does not differ on lymphocytes of either genotype, 11 suggesting that this polymorphism, in addition to loss-offunction, may affect the upregulation or retention of this receptor on the cell surface of monocytes upon activation and/or differentiation to macrophages.…”
mentioning
confidence: 93%
“…[26][27][28] Certain genetic variations in the P2X 7 molecule reduce or abolish the ability of ATP to activate the receptor as well as the capacity of macrophages for ATP-induced killing of pathogens, and this evidence, together with the effect of P2X 7 antagonists, point to the bactericidal effects of ATP working via the P2X 7 receptor. 26,29,30 It is noteworthy that these studies of P2X 7 -mediated killing of pathogens have generally examined the effect of ATP on viability of microbes engulfed within macrophages, and this study is the first to explore a function of the P2X 7 molecule in the absence of extracellular ATP.…”
Section: Introductionmentioning
confidence: 99%
“…As a sequel to this second phase, the activation of cell surface P2X 7 receptors by ATP drives a process of phagosome-lysosome fusion, elevation of cytosolic calcium, and killing of engulfed bacteria. 26,27,29 P2X 7 regulated phagocytosis represents a new biologic function for this membrane receptor, which has clearly separate features from the well-described P2X 7 cation-selective channel. 50 Thus, CytD, a potent phagocytosis inhibitor, has no effect on P2X 7 pore formation measured by ATP-induced ethidium ϩ uptake.…”
mentioning
confidence: 99%