“…P2X4 receptors are involved in tactile allodynia following nerve damage ( Tsuda et al, 2003 ), and P2X7 receptors are thought to modulate inflammatory responses in conditions including arthritis, Crohn’s disease and age-related macular degeneration, as well as being involved in cancer progression and mood disorders ( Ren and Illes, 2022 ). Due to their involvement in inflammatory disease, P2X receptors are important drug targets ( Dane et al, 2022 ) and many P2X4 and P2X7 antagonists have been discovered and developed, largely using high throughput screening approaches ( Hernandez-Olmos et al, 2012 ; Ase et al, 2015 ; Müller and Namasivayam, 2022 ), but also by structure-based screening ( Caseley et al, 2016 ; Zhao et al, 2021 ). The discovery of novel P2X4 receptor antagonists has been more of a challenge than for P2X7, and this may be because many antagonists (including BX430 and 5-BDBD for P2X4 ( Fischer et al, 2004 ; Ase et al, 2015 ), and A740003, A804598, AZ10606120, GW791343, JNJ47965567, A438079 and AZ11645373 for P2X7 ( Honore et al, 2006 ; Karasawa and Kawate, 2016 ; Allsopp et al, 2018 ; Bin Dayel et al, 2019 )) bind to an allosteric pocket in the extracellular domain, which is smaller in P2X4 than P2X7 ( Karasawa and Kawate, 2016 ).…”