Trans-synaptic regulation of muscarinic, peptidergic, and purinergic responses after denervation has been reported previously in rat parotid acinar cells (McMillian, M. K., Soltoff, S. P., Cantley, L. C., Rudel, R., and Talamo, B. R. (1993) Br. J. Pharmacol. 108, 453-461). Characteristics of the ATP-mediated responses and the effects of parasympathetic denervation were further analyzed through assay of Ca 2؉ influx, using fluorescence ratio imaging methods, and by analysis of P 2x receptor expression. ATP activates both a high affinity and a low affinity response with properties corresponding to the recently described P 2x4 and the P 2z (P 2x7 )-type purinoceptors, respectively. Reverse transcription-polymerase chain reaction analysis reveals mRNA for P 2x4 as well as P 2x7 subtypes but not P 2x1 , P 2x2 , P 2x3 , P 2x5 , or P 2x6 . P 2x4 protein also is detected by Western blotting. Distribution of the two types of ATP receptor responses on individual cells was stochastic, with both high and low affinity responses on some cells, and only a single type of response on others. Sensitivity to P 2x4 -type activation also varied even among cells responsive to low concentrations of ATP. Parasympathetic denervation greatly enhanced responses, tripling the proportion of acinar cells with a P 2x4 -type response and increasing the fraction of highly sensitive cells by 7-fold. Moreover, P 2x4 mRNA is significantly increased following parasympathetic denervation. These data indicate that sensitivity to ATP is modulated by neurotransmission at parasympathetic synapses, at least in part through increased expression of P 2x4 mRNA, and suggest that similar regulation may occur at other sites in the nervous system where P 2x4 receptors are widely expressed.Extracellular ATP acts as a signaling molecule through the interaction of ATP with ligand-gated ion channels (P 2x ) as well as metabotropic receptors (P 2y ) (for reviews see Refs. 2-4). These receptors are distributed throughout the body, including synapses where ATP seems to function as a neurotransmitter (5, 6). The pharmacology and physiology of ATP-activated ion fluxes indicate the existence of multiple subtypes of P 2x receptors, confirmed by molecular cloning of seven genes for P 2x receptor subunits (3,(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17).Relatively little is known about the physiological regulation of P 2x receptors. We have shown that removal of the autonomic innervation alters ATP responses in parotid acinar cells, which therefore provide a good model for investigating trans-synaptic regulation of receptor-mediated signaling. We previously described two ATP responses in rat parotid acinar cells, a P 2z/x7 type and a high affinity ATP receptor with distinctly different P 2x -like pharmacology (1).Expression of the P 2x -type proteins in heterologous systems shows that each can form functional, homomeric, ligand-gated ion channels with a significant permeability to Ca 2ϩ ions as well as other inorganic cations, including Na ϩ and K ϩ . Properties of P 2x7 recept...