The importance of adenine nucleotides as extracellular signaling molecules is well established (1, 2). ATP and/or ADP are released in a regulated fashion from neurons, platelets, and other cells and interact with two major classes of cell surface receptors, the ligand-gated P2X receptors and the G proteincoupled P2Y receptors (3-5). These receptors, which are encoded by at least a dozen different genes, in turn promote an exceptionally broad range of functional responses. Although physiologically important release of uridine nucleotides is less well defined, the identification of at least three P2Y receptors that are selectively activated by low concentrations of UTP or UDP is consistent with an important extracellular signaling role for pyrimidines (5, 6).Hydrolysis by ecto-nucleotidases provides a mechanism whereby the physiological effects of extracellular nucleotides are terminated (2, 7-9). Degradation of ATP and ADP also apparently serves as a major source of extracellular adenosine, which in turn activates A1, A2, and A3 adenosine receptors (10). The enzymatic species involved in hydrolysis of extracellular nucleotides have not been unambiguously defined, although certain ATP-diphosphohydrolases exhibiting kinetic properties consistent with those of physiologically relevant ecto-nucleotidases have been purified and/or cloned (11, 12). The possibility that other types of ectoenzymes contribute to the metabolism and/or interconversion of extracellular adenine and uridine nucleotides has not been considered extensively.Nucleoside diphosphokinase (NDPK) 1 catalyzes the transphosphorylation of nucleoside diphosphates utilizing nucleoside triphosphates as the ␥-phosphate donor (13). Intracellular NDPK fulfills a crucial role in maintaining the high energy phosphate bond in ATP as part of the citric acid chain. NDPK also has been proposed to play a major role in the cytosolic synthesis of nucleoside triphosphates in addition to ATP and in maintaining a relative balance in the concentrations of nucleoside triphosphates. Human nm23 genes encode for nucleoside diphosphokinases (14,15), and an inverse relationship exists between nm23 expression and metastatic potential (16,17).In contrast to its well established significance in intermediary metabolism, the potential location and function of NDPK as an extracellular enzyme involved in the transfer of terminal phosphates between extracellular nucleotides has not been determined. Therefore, we have tested this possibility using 1321N1 human astrocytoma cells stably expressing the P2Y 4 receptor which we show is selectively activated by UTP. Extracellular conversion of UDP to UTP has been measured in the presence of ATP, and P2Y 4 receptor-promoted elevation of intracellular Ca 2ϩ has been quantitated as a functional measure of this conversion. Accordingly, we have identified an ecto-NDPK activity associated with 1321N1 cells that, in the presence of a ␥-phosphate donor, promotes formation of UTP or ATP from their corresponding diphosphate nucleotides. The activity of t...