Royal College of Surgeons in Ireland
The P2X7 receptor contributes to seizures and inflammation-driven long-lasting brain..._removed.pdf (9.76 MB)

The P2X7 receptor contributes to seizures and inflammation-driven long-lasting brain hyperexcitability following hypoxia in neonatal mice

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journal contribution
posted on 2023-03-03, 17:13 authored by Jonathon Smith, Aida Menendez Mendez, Mariana AlvesMariana Alves, Alberto Parras, Giorgia Conte, Anindya Bhattacharya, Marc Ceusters, Annette Nicke, David HenshallDavid Henshall, Eva Maria Jimenez-Mateos, Tobias EngelTobias Engel

Background and purpose: Neonatal seizures represent a clinical emergency. However, current anti-seizure medications fail to resolve seizures in ~50% of infants. The P2X7 receptor (P2X7R) is an important driver of inflammation, and evidence suggests that P2X7R contributes to seizures and epilepsy in adults. However, no genetic proof has yet been provided to determine what contribution P2X7R makes to neonatal seizures, its effects on inflammatory signalling during neonatal seizures, and the therapeutic potential of P2X7R-based treatments on long-lasting brain excitability.

Experimental approach: Neonatal seizures were induced by global hypoxia in 7-day-old mouse pups (P7). The role of P2X7Rs during seizures was analysed in P2X7R-overexpressing and knockout mice. Treatment of wild-type mice after hypoxia with the P2X7R antagonist JNJ-47965567 was used to determine the effects of the P2X7R on long-lasting brain hyperexcitability. Cell type-specific P2X7R expression was analysed in P2X7R-EGFP reporter mice. RNA sequencing was used to monitor P2X7R-dependent hippocampal downstream signalling.

Key results: P2X7R deletion reduced seizure severity, whereas P2X7R overexpression exacerbated seizure severity and reduced responsiveness to anti-seizure medication. P2X7R deficiency led to an anti-inflammatory phenotype in microglia, and treatment of mice with a P2X7R antagonist reduced long-lasting brain hyperexcitability. RNA sequencing identified several pathways altered in P2X7R knockout mice after neonatal hypoxia, including a down-regulation of genes implicated in inflammation and glutamatergic signalling.

Conclusion and implications: Treatments based on targeting the P2X7R may represent a novel therapeutic strategy for neonatal seizures with P2X7Rs contributing to the generation of neonatal seizures, driving inflammatory processes and long-term hyperexcitability states.


Science Foundation Ireland (17/CDA/4708, and co-funded under the European Regional Development Fund and by FutureNeuro industry partners 16/RC/3948)

European Union's Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement (No. 766124)

H2020 Marie Skłodowska-Curie Actions Individual Fellowship (No. 884956)

Deutsche Forschungsgemeinschaft (DFG, German Research Foundation, Project ID 335447717—SFB 1328, A15)

Irish Research Council for Science, Engineering and Technology (Government of Ireland Postdoctoral Fellowship Programme, GOIPD/ 2020/865)




The original article is available at

Published Citation

Smith J. et al. The P2X7 receptor contributes to seizures and inflammation-driven long-lasting brain hyperexcitability following hypoxia in neonatal mice. Br J Pharmacol. 2023;180(13):1710-1729

Publication Date

13 January 2023

PubMed ID



  • FutureNeuro Centre
  • Physiology and Medical Physics




  • Published Version (Version of Record)