Immune cells express plasma membrane receptors for extracellular adeno
sine and purine and pyrimidine nucleotides. Overwhelming evidence sugg
ests that these receptors have a pivotal role in the modulation of sev
eral immune cell responses, and may therefore be very important in the
overall economy of the immune network. Adenosine can be either an act
ivatory or an inhibitory mediator. Nucleotides have a more complex eff
ect, depending not only on the P2 receptor subtype activated but also
on doses applied and tile length of stimulation. Both metabotropic (C-
protein-linked) and ionotropic (intrinsic ion channels) P2 receptors a
re present in immune cells and their expression is modulated by inflam
matory cytokines and differentiation agents. The physiological meaning
of the P2 receptors is still obscure; however, converging evidence fr
om different laboratories suggest that they may be involved in a wide
variety of responses such proliferation, differentiation, cell death,
and cytokine release. (C) 1997 Wiley-Liss, Inc.