SEGMENTS of biopsied human sural nerve were stained with the Ca2+-sens
itive fluorescent dyes Calcium Green-1 and Fura Red. The emission rati
o was used to follow changes in the intracellular free Ca2+ concentrat
ion ([Ca2+](i)). Application of ATP and analogues in concentrations be
tween 0.3 and 300 mu M via the bathing solution resulted in a transien
t rise in [Ca2+](i). The rank order of agonist potency, 2-methylthioAT
P>ATP>UTP, and the failure of adenosine, alpha,beta-MeATP and beta,gam
ma-MeATP to evoke rises in [Ca2+](i) indicate the presence of P-2Y/U s
ubtypes of purinoceptors in this preparation. ATP-induced Ca2+ transie
nts in biopsied human nerve preparations might serve as a diagnostic t
ool in neuropathies.