“…Prolonged exposure to ATP leads to formation of a large opening (termed a macropore) in vitro, although the physiologic significance of this macropore formation is not clearly understood. One of the hallmark features of P2X7 activation is release of the proinflammatory cytokine interleukin (IL)-1b (Solle et al, 2001), which in turn may contribute to neuroinflammation and pain (Chessell et al, 2005;North and Jarvis, 2013), mood disorders (Iwata et al, 2013;Chrovian et al, 2014), and neurodegenerative disorders, such as Alzheimer's disease , multiple sclerosis (Sharp et al, 2008), and epilepsy (Engel et al, 2012;Mesuret et al, 2014). In addition to IL-1b, P2X7-dependent release of glutamate (Andó and Sperlágh, 2013;Ficker et al, 2014), cathepsins (Clark et al, 2010), and chemokines (Shiratori et al, 2010) have been reported, and all of these mediators can serve as "gliotransmitters" aiding in the neuroimmune cross-talk and modulating synaptic plasticity.…”