1 The electrophysiological effects of ATP on brain neurones are either
due to the direct activation of P-2 purinoceptors by the unmetabolize
d nucleotide or to the indirect activation of P-1 purinoceptors by the
degradation product adenosine. 2 Two subtypes of P-2 purinoceptors ar
e involved, a ligand-activated ion channel (P-2X) and a G protein-coup
led receptor (P-2Y) Hence, the stimulation of P-2X purinoceptors leads
to a cationic conductance increase, while the stimulation of P-2Y pur
inoceptors leads to a G protein-mediated opening or closure of potassi
um channels. 3 ATP may induce a calcium-dependent potassium current by
increasing the intracellular Ca2+ concentration. This is due either t
o the entry of Ca2+ via P-2X purinoceptors or to the activation of met
abotropic P-2Y purinoceptors followed by signaling via the G protein/p
hospholipase C/inositol 1,4,5-trisphosphate (IP3) cascade. Eventually,
IP3 releases Ca2+ from its intracellular pools. 4 There is no convinc
ing evidence for the presence of P-2U purinoceptors sensitive to both
ATP and UTP, or pyrimidinoceptors sensitive to UTP only, in the centra
l nervous system (CNS). 5 ATP-sensitive P-2X and P-2Y. purinoceptors s
how a wide distribution in the CNS and appear to regulate important ne
uronal functions.