ATP stimulates nociceptive neurons via an action on ligand-gated ion c
hannels. Since tissue injury and inflammation result in both localized
acidosis and release of ATP, we studied the effect of acid pH on ATP-
gated ion channels in rat nodose ganglion neurons. Lowering pH dramati
cally increased membrane depolarization and action potential firing el
icited by ATP. ATP-activated current was enhanced by acid pH and suppr
essed by alkaline pH. A pH of 7.2 produced the half-maximal effect. Ac
idification increased the apparent affinity of the receptor for ATP, a
s evidenced by a parallel shift of the ATP concentration-response curv
e to the left. The observations suggest that the localized acidosis as
sociated with tissue injury may enhance pain perception via an action
on ATP-gated ion channels on mammalian sensory neurons.