Adenosine 5'-triphosphate (ATP) is a ubiquitous substance in the centr
al and peripheral nervous system. Nerve terminal ATP is generated from
ADE: during glycolysis, citric acid cycle and predominantly by oxidat
ive phosphorylation in the mitochondria. The adenine ring is synthesiz
ed via de-novo purine biosynthesis, and also by purine salvage pathway
s. The main regulator of ATP synthesis is ADP, the signal of the actua
l energy state of the neuron. It inhibits (negative feedback) its own
synthesis and also regulates mitochondrial oxidative phosphorylation.
Storage of ATP has been shown in all types of synaptic vesicles and it
can also be found in the cytoplasm in millimolar range. ATP cam be co
-packaged with other neurotransmitters such as acetylcholine and norad
renaline and may be stored in purinergic vesicles and, perhaps, in pur
inergic nerve endings. Various treatments can alter vesicular composit
ion, and hence, vesicular neurotransmitter/ATP ratio. There is now wid
e acceptance that ATP is released stimulation-dependently from nerve e
ndings of a number of isolated tissues and preparations upon depolariz
ing stimuli. In addition to presynaptically derived ATP, ATP release f
rom activated target cells in response to the action. of primary trans
mitter on postsynaptic receptors also forms a significant contribution
to neuronal outflow in several tissues. As for the possible role of i
ntraterminal ATP pools in the release process, recent observations sup
port the view that ATP is released as a genuine cotransmitter or as a
principal purinergic neurotransmitter in an exocytotic way, but also i
ndicate the involvement of other neuronal pools of ATP in the release,
such as carrier-mediated release from the cytoplasm. (C) 1996 Academi
c Press Ltd