1 Immune cell activation releases ATP into the extracellular space. ATP-sen
sitive P2 purinergic receptors are expressed on immune cells and activation
of these receptors alters immune cell function. Furthermore, ATP is metabo
lized by ectonucleotidases to adenosine, which has also been shown to alter
cytokine production. In the present study, we investigated how extracellul
ar ATP affects interleukin (IL)-12 and tumour necrosis factor (TNF)-alpha p
roduction in bacterial lipopolysaccharide (LPS)-treated murine peritoneal m
acrophages and we also examined whether extracellular ATP alters the produc
tion of the T helper 1 cytokine interferon (IFN)-gamma.
2 Pretreatment of the peritoneal macrophages with ATP or various ATP analog
ues decreased both IL-12 and TNF-alpha production induced by LPS (10 mu g m
l(-1)). The effect of ATP was partially reversed by cotreatment with adenos
ine deaminase (0.1-1 u ml(-1)), suggesting that the suppressive effect of A
TP on cytokine production is, in part, due to its degradation products.
3 Immunoneutralization with an anti-IL-10 antibody demonstrated that althou
gh ATP increases IL-10 production, the inhibition of IL-12 and TNF-alpha pr
oduction is independent of the increased IL-10.
4 The effect of ATP was pretranslational, as it suppressed steady state lev
els of mRNAs for IL-12 (both p35 and p40).
5 In spleen cells stimulated with either LPS (10 mu g ml(-1)) or anti-CDS (
2 mu g ml(-1)) antibody, ATP suppressed, in a concentration-dependent manne
r, the production of IFN-gamma. 6 These results suggest that extracellular
ATP has multiple anti-inflammatory effects and that release of ATP into the
extracellular space may play a role in blunting the overactive immune resp
onse in autoimmune diseases.