Electrophysiological investigations of autonomic neuromuscular transmission
have provided great insights into the role of ATP as a neurotransmitter. B
urnstock and Holman made the first recordings of excitatory junction potent
ials (e.j.p.s) produced by sympathetic nerves innervating the smooth muscle
of the guinea-pig vas deferens. This led to the identification of ATP as t
he mediator of e.j.p.s in this tissue, where ATP acts as a cotransmitter wi
th noradrenaline. The e.j.p.s are mediated solely by ATP acting on P2X(1) r
eceptors lending to action potentials and a rapid phasic contraction, whils
t noradrenaline mediates a slower, tonic contraction which is not dependent
on membrane depolarisation. Subsequent electrophysiological studies of the
autonomic innervation of smooth muscles of the urogenital, gastrointestina
l and cardiovascular systems have revealed a similar pattern of response, w
here ATP mediates a fast electrical and mechanical response, whilst another
transmitter such as noradrenaline, acetylcholine, nitric oxide or a peptid
e mediates a slower response. The modulation of junction potentials by a va
riety of pre-junctional receptors and the mechanism of inactivation of ATP
as a neurotransmitter will also be described. (C) 2000 Elsevier Science B.V
. All rights reserved.