Faculty, Staff and Student Publications

Publication Date

9-20-2023

Journal

Nature Communications

Abstract

P2X receptors are cation channels that sense extracellular ATP. Many therapeutic candidates targeting P2X receptors have begun clinical trials or acquired approval for the treatment of refractory chronic cough (RCC) and other disorders. However, the present negative allosteric modulation of P2X receptors is primarily limited to the central pocket or the site below the left flipper domain. Here, we uncover a mechanism of allosteric regulation of P2X3 in the inner pocket of the head domain (IP-HD), and show that the antitussive effects of quercetin and PSFL2915 (our nM-affinity P2X3 inhibitor optimized based on quercetin) on male mice and guinea pigs were achieved by preventing allosteric changes of IP-HD in P2X3. While being therapeutically comparable to the newly licensed P2X3 RCC drug gefapixant, quercetin and PSFL2915 do not have an adverse effect on taste as gefapixant does. Thus, allosteric modulation of P2X3 via IP-HD may be a druggable strategy to alleviate RCC.

Keywords

Male, Animals, Guinea Pigs, Mice, Cough, Carcinoma, Renal Cell, Quercetin, Taste, Kidney Neoplasms

DOI

10.1038/s41467-023-41495-0

PMID

37730705

PMCID

PMC10511716

PubMedCentral® Posted Date

9-20-2023

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

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