P2RX4: The Purinergic P2X4 Receptor Gene

A key mediator of ATP signaling in immune, neuronal, and vascular systems, implicated in neuropathic pain, inflammation, and cardiovascular physiology.

Gene Information Card

Symbol P2RX4
Full Name Purinergic Receptor P2X 4
Gene Type protein coding
Chromosomal Location 12q24.31
NCBI Gene ID 5025 ncbi.nlm.nih.gov/gene/5025
Ensembl ID ENSG00000135124
UniProt ID Q99571
OMIM ID 600465
HGNC ID 15494
Aliases P2X4, P2X4R, P2X purinoceptor 4

Description

The P2RX4 gene encodes the P2X4 receptor, a ligand-gated ion channel activated by extracellular ATP. This receptor is a trimeric complex that forms a non-selective cation channel permeable to Na+, K+, and Ca2+. P2X4 is widely expressed across tissues, with prominent roles in immune cells (particularly microglia and macrophages), neurons, and vascular endothelium. Its activation triggers calcium influx, leading to various downstream signaling cascades. P2RX4 is critically involved in neuropathic pain, neuroinflammation, and cardiovascular regulation. It is also a target for therapeutic intervention in chronic pain and inflammatory conditions.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Disease Mechanism Evidence
Neuropathic Pain Upregulation of P2RX4 in spinal cord microglia following nerve injury; activation leads to release of brain-derived neurotrophic factor (BDNF), which alters neuronal chloride homeostasis and enhances pain signaling. NCBI Gene, OMIM, PubMed (Tsuda et al., 2003)
Chronic Inflammatory Conditions P2RX4 activation in macrophages promotes NLRP3 inflammasome activation and IL-1β release, contributing to inflammation in conditions like rheumatoid arthritis and inflammatory bowel disease. NCBI Gene, PubMed
Cardiovascular Disease P2RX4 is expressed in vascular endothelium and cardiac myocytes; its activation influences vascular tone, endothelial function, and cardiac remodeling, with implications in hypertension and heart failure. NCBI Gene, PubMed
Pulmonary Hypertension P2RX4 expression is altered in pulmonary artery smooth muscle cells, contributing to vascular remodeling and increased pulmonary arterial pressure. PubMed

Expression Profile

Tissue Expression
Tissue nTPM level
Tissue nTPM Level
Lung 24.5 Medium
Spleen 22.1 Medium
Bone Marrow 18.7 Medium
Brain 12.3 Low
Heart 10.2 Low
Liver 4.1 Low
Cell Line Expression
Cell Line nTPM Notes
Cell Line nTPM Notes
THP-1 (Monocyte) 35.2 High expression; key in immune response
HUVEC (Endothelial) 28.4 Important for vascular function
SH-SY5Y (Neuroblastoma) 15.6 Moderate expression; used in neuronal studies
A549 (Lung Carcinoma) 12.8 Moderate expression
HeLa (Cervical Carcinoma) 8.9 Low expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
Variant Type Frequency Effect
rs25644 (Tyr315Cys) Missense ~5% in European populations Alters receptor desensitization and ATP sensitivity; may affect pain sensitivity.
rs28385397 (Ala87Val) Missense ~2% in global populations Potential impact on receptor trafficking and surface expression.
rs2296051 (Intronic) Intronic ~30% in global populations Associated with altered P2RX4 expression levels in some studies; clinical significance unclear.
Mutation functional classification

Loss of Function (LOF)

Complete loss-of-function mutations in P2RX4 are rare and often lethal in animal models. In humans, partial loss-of-function variants may reduce ATP-induced calcium influx, potentially impairing immune responses and increasing susceptibility to infections.

Gain of Function (GOF)

Gain-of-function mutations, such as some variants in the transmembrane domain, can lead to increased channel activity, prolonged opening, and enhanced calcium influx. This can result in exacerbated neuroinflammation and chronic pain states.

Dominant Negative (DN)

Dominant-negative effects have been proposed for certain missense mutations that disrupt the trimeric assembly of the receptor, leading to reduced functional channels on the cell surface. This mechanism is hypothesized to contribute to altered pain signaling.

Gene Ontology (GO)

• extracellular ATP-gated monoatomic cation channel activity • purinergic nucleotide receptor activity
• calcium ion transmembrane transporter activity • protein homotrimerization activity
• plasma membrane • integral component of plasma membrane
• response to ATP • calcium ion transmembrane transport
• cation transport • signal transduction
• immune response • neuroinflammatory response

Pathways

Purinergic signaling
ATP-gated ion channel signaling
Microglia-mediated neuroinflammation
NLRP3 inflammasome pathway
Calcium signaling pathway

Protein Summary

The P2X4 protein is a 388-amino acid polypeptide that forms a homotrimeric ATP-gated ion channel. Each subunit has two transmembrane domains (TM1 and TM2), a large extracellular loop containing the ATP-binding site, and intracellular N- and C-termini. The channel is permeable to Na+, K+, and Ca2+. Upon ATP binding, the channel opens, allowing cation influx, which depolarizes the membrane and triggers intracellular signaling cascades. P2X4 is characterized by rapid desensitization and is modulated by various factors, including zinc, ivermectin, and extracellular pH. It plays a critical role in microglial signaling, synaptic plasticity, and inflammatory responses.

Related Products

Product name Cat.No. Species Gene ID
P2RX4 Knockout HEK293 Cell Line EDJ-KQ1573 Human 5025 Details Get a Quote
P2RX4 Knockout A-549 Cell Line EDJ-KQ19900 Human 5025 Details Get a Quote
P2RX4 Knockout HCT 116 Cell Line EDJ-KQ21257 Human 5025 Details Get a Quote
P2RX4 Knockout HeLa Cell Line EDJ-KQ21258 Human 5025 Details Get a Quote
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