Figure 1.
P2X receptor activation in red blood cells. (A) Binding of bacterial toxins or complement to red blood cells causes adenosine triphosphate (ATP) release via toxin pores and pannexin-1. Released ATP can activate P2X1 and P2X7 receptors on these cells to induce phosphatidylserine (PS) exposure and hemolysis. (B) Extracellular ATP can activate P2X7 receptors on red blood cells to induce PS exposure, or formation of epoxyeicosatrienoic acids (EETs), via phospholipase A2 (PLA2) acting on stored phospholipids or via de novo synthesis, and subsequent EETs release.