Neurotrophins are essential for neuronal differentiation, but the onset and the intensity of neurotrophin signaling within the neuronal microenvironment are poorly understood. We tested the hypothesis that extracellular nucleotides and their cognate receptors regulate neurotrophin-mediated differentiation. We found that 5 -O-(3-thio)triphosphate (ATP␥S) activation of the G protein-coupled receptor P2Y2 in the presence of nerve growth factor leads to the colocalization and association of tyrosine receptor kinase A and P2Y2 receptors and is required for enhanced neuronal differentiation. Consistent with these effects, ATP␥S promotes phosphorylation of tyrosine receptor kinase A, early response kinase 1͞2, and p38, thereby enhancing sensitivity to nerve growth factor and accelerating neurite formation in both PC12 cells and dorsal root ganglion neurons. Genetic or small interfering RNA depletion of P2Y2 receptors abolished the ATP␥S-mediated increase in neuronal differentiation. Moreover, in vivo injection of ATP␥S into the sciatic nerve increased growth-associated protein-43 (GAP-43), a marker for axonal growth, in wild-type but not P2Y2 ؊/؊ mice. The interactions of tyrosine kinase-and P2Y 2-signaling pathways provide a paradigm for the regulation of neuronal differentiation and suggest a role for P2Y 2 as a morphogen receptor that potentiates neurotrophin signaling in neuronal development and regeneration.neurotrophin signaling ͉ P2Y2 ͉ tyrosine receptor kinase A N eurite formation, a process extending from the cell soma and led by a growth cone, is a primary morphological event in neuronal differentiation, ultimately facilitating synaptic connections by neurons (1). Neuronal regeneration depends on the formation of neurites to repair injured or lost connections. These neuronal growth events require appropriate spatial and temporal expression and action of both initiation signals and promoter molecules (2). Neurotrophins, such as nerve growth factor (NGF), are key regulators of neuronal differentiation. NGF is released by target tissues, initiates neurite generation, maintains neuronal survival, prevents apoptosis, and promotes synapse formation (3-5). NGF signaling via the tyrosine receptor kinase A (TrkA) leads to stimulation of early response kinase 1͞2 (ERK1͞2) via Ras͞Raf pathways, which is required for differentiation, as well as the activation of the survival kinase, Akt (6). The regulation of NGF͞ TrkA signaling is determined by availability of NGF, as well as TrkA activation, characterized by receptor autophosphorylation, internalization, and retrograde transport from axons to cell bodies (7). Recent evidence has shown that receptor crosstalk is an important mechanism for regulation of neurotrophin signaling (6). The NGF͞ TrkA-signaling pathway converges with pain-related ion channels to regulate NGF-mediated heat sensitivity of sensory neurons (5) and with adenosine A 2A receptors to regulate neuronal survival (8). The contributions of other signal transduction pathways integrated with NGF͞TrkA signali...