Brief activation of the ATP-sensitive P2X 7 receptor (P2X 7 R) stimulates the maturation and release of interleukin 1 (IL-1) in macrophages, whereas prolonged agonist activation induces the formation of cytolytic pores in cell membranes. The present study investigated potential downstream mechanisms associated with native human P2X 7 R activation in lipopolysaccharide and interferon-␥ differentiated THP-1 cells. did not alter P2X 7 -mediated calcium influx or IL-1 release. SB 202190 and KN-62 also attenuated BzATP-mediated activation of phosphorylated p38 MAPK (pp38 MAPK). Two caspase inhibitors, YVAD (caspase 1) and DEVD (caspase 3), attenuated both BzATPinduced pore formation and IL-1 release in a concentrationdependent fashion. Neither DEVD nor p38-MAPK inhibitors blocked cell membrane pore formation evoked by maitotoxin or by activation of human P2X 2a receptors. These results indicate that P2X 7 R-mediated pore formation results from a coordinated cascade involving both the p38 MAPK and caspase pathways that is distinct from other cytolytic pore-forming mechanisms. In contrast, P2X 7 R-mediated IL-1 release is dependent on caspase activity but not p38 MAPK. Taken together, these results support the hypothesis that downstream cellular signaling mechanisms, rather than channel dilation, mediate cytolytic pore formation after prolonged agonist activation, which underlies P2X 7 receptors. The P2X 7 R is an ATP-sensitive, ligand-gated ion channel that functions as a nonselective cation channel and, upon prolonged agonist exposure, leads to the formation of progressively enlarged cytolytic pores (ϳ900 Da) on the cell surface (North, 2002). Currently, seven different P2X receptor subtypes have been molecularly defined, and the P2X 7 R appears to be the most divergent member of this family in terms of molecular structure, pharmacology, and function (Jacobson et al., 2002;North, 2002). Homomeric P2X 7 Rs contain a longer intracellular C terminus compared with other P2X receptors. This C terminus is composed of a hydrophobic domain, as well as putative interaction sites for LPS (Denlinger et al., 2001), SH 2 domains (Kim et al., 2001), and ␣-actin (Kim et al., 2001). P2X 7 R-mediated pore formation is dependent on an intact C terminus and is inhibited in the presence of extracellular divalent cations (Rassendren et al., 1997). Unlike many other P2XRs, the P2X 7 R does not Article, publication date, and citation information can be found at