Article

NADPH acts as an endogenous P2X7 receptor modulator to gate neuroinflammatory responses of microglia

Yu-jie Mou1,2,3, Feng-min Li2, Jun-tong Lou2, Hai-yue Tu4, Yi Zhu2,5, Rui Sheng2, Zhong-ling Zhang6, Yu-zheng Zhao7, Fu-hai Ji1,3, Jun-chao Wu2, Zheng-hong Qin2,8
1 Department of Anesthesiology, the First Affiliated Hospital of Soochow University, Suzhou 215006, China
2 Department of Pharmacology and Laboratory of Aging and Nervous Diseases, Jiangsu Key Laboratory of Neuropsychiatric Diseases, College of Pharmaceutical Sciences, Soochow University, Suzhou 215123, China
3 Institute of Anesthesiology, Soochow University, Suzhou 215006, China
4 Institutes for Translational Medicine, Suzhou Medical College of Soochow University, Suzhou 215123, China
5 Department of Pharmacology, School of Medicine, Northwest University, Xi-an 710069, China
6 Department of Neurology, The First Affiliated Hospital of Harbin Medical University, Harbin 150081, China
7 Optogenetics & Synthetic Biology Interdisciplinary Research Center, State Key Laboratory of Bioreactor Engineering, Shanghai Frontiers Science Center of Optogenetic Techniques for Cell Metabolism, School of Pharmacy, East China University of Science and Technology, Shanghai 200237, China
8 Institute of Health Science and Technology, Suzhou Gaobo Vocational College, Suzhou 215163, China
Correspondence to: Jun-chao Wu: wujunchao@suda.edu.cn, Zheng-hong Qin: wujunchao@suda.edu.cn,
DOI: 10.1038/s41401-025-01638-z
Received: 14 March 2025
Accepted: 11 July 2025
Advance online: 11 August 2025

Abstract

Reduced nicotinamide adenine dinucleotide phosphate (NADPH) is an important coenzyme involved in cellular biosynthetic and redox metabolism. It has been recognized for its role in regulating neuroinflammation through coordinating redox reactions. Whether there are new actions other than redox regulation remain unclear. In this study we investigated a novel mechanism by which NADPH regulated microglia-mediated neuroinflammation. We showed that NADPH application significantly alleviated NLRP3 inflammasome activation in microglia and exerted neuroprotective effects both in vitro and in vivo neuroinflammation models. With P2X7R knockdown microglial cells and P2X7RcKO mice, we demonstrated that P2X7R was a crucial mediator of the anti-inflammatory effects for the supplemented NADPH. We conducted whole-cell recording from murine microglial cell line BV2 cells, and found that application of ATP (1 mM) elicited an inward current, which was reduced by co-application of P2X7R antagonist A-438079 (20 μM) or NADPH (1 mM). By performing a drug affinity responsive targets stability (DARTS) assay, we revealed that NADPH (not NADP+ or NADH), like the P2X7R agonist ATP, bound to the extracellular domain of P2X7R, leading to the suppression of ATP-induced P2X7R activation. Our research provides the first evidence of NADPH as an endogenous inhibitor of P2X7R in modulation of microglia-mediated neuroinflammation. This study expands the biological functions of NADPH and offers a novel target for NADPH-based therapies in neuroimmune-related diseases.

Keywords: NADPH; P2X7 receptor; NLRP3 inflammation; microglia; neuroinflammation.

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