P2X receptors are a group of homo/hetero-trimeric membrane protein complexes with an integral ion channel that opens upon extracellular adenosine triphosphate (ATP) binding (North, 2002; Khakh and North, 2006). There are seven P2X subunits (P2X1-P2X7), all having a membrane topology of cytosolic N- and C-termini, and two transmembrane segments (TM1 and TM2) connected by a large extracellular domain (Figure (Figure1A;1A; Jiang L.-H. et al., 2013). During application of ATP for a few seconds, P2X receptors function as classical ligand-gated ion channels selectively permeable to small physiological cations such as Ca2+, Na+, and K+, with the exception of the human P2X5 receptor which exhibits significant Cl− permeability (Bo et al., 2003). Site-directed mutagenesis and functional studies of mammalian P2X receptors, in addition to the determination of the crystal structures of zebrafish P2X4 receptors in the apo, closed state and ATP-bound, open state, have defined the structural basis for ATP binding, ion permeation and channel gating (Kawate et al., 2009; Browne et al., 2010; Hattori and Gouaux, 2012; Jiang L.-H. et al., 2013; Jiang R. et al., 2013). Three ATP-binding pockets are located at the subunit interfaces (Figure (Figure1B),1B), each consisting of highly conserved residues from two adjacent subunits. Occupation of these sites by ATP or its synthetic analog agonists induces conformational changes of the extracellular domain which open the ion-permeating pathway formed by three TM2s (Figures 1C,D). The narrowest part of the ion-permeating pathway or the physical gate is provided by A347 and L351 in the crystal structures of zebrafish P2X4 receptor (Hattori and Gouaux, 2012) or the corresponding residues S342 and L346 in the structural models of rat and human P2X7 receptors (Figure (Figure1D)1D) (Bradley et al., 2011; Browne et al., 2013; Jiang L.-H. et al., 2013).
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