ATP is released from many central and peripheral terminals in a rapid, synchronous manner. It can act both as a neurotransmitter substance and as a neuromodulator in conjunction with a primary neurotransmitter. We begin this perspective by reviewing the evidence for the quantal release of ATP together with acetylcholine (ACh) from motor nerve endings. Next, we discuss the inhibitory effects of adenosine derivatives on presynaptic and postsynaptic membranes at cholinergic synapses. With regard to the presynaptic effects of adenosine, after hydrolysis to adenosine ATP is the mediator of skeletal neuromuscular depression at low frequencies of stimulation. The evidence confirming the suggestion that this inhibitory effect of adenosine at motor nerve endings is mediated downstream of calcium entry is presented. Finally, the data showing the mutually occlusive effects of ATP and ACh at cholinoceptive neurons are summarized and discussed. Drug Dev. Res. 52:22-33, 2001
OVERVIEWATP is released as a neurotransmitter proper in the peripheral and central nervous systems [Edwards et al., 1992;Silinsky and Gerzanich, 1993;Evans et al., 1992;Galligan and Bertrand, 1994; see Silinsky et al., 1998, for review]. ATP also is released together with neurotransmitter substances [Silinsky and Hubbard, 1973;Silinsky, 1975] and, once it is in the extracellular domain, can exert both presynaptic and postsynaptic actions on the release or effects of the neurotransmitter [for reviews see Silinsky et al., 1998;Burnstock and Williams, 2000]. This review focuses on the release of ATP and the effects of released ATP derivatives at presynaptic membranes strategically designed for the release of acetylcholine (ACh) and at postsynaptic membranes that possess nicotinic receptors for ACh. We begin by describing the detection of the release of ATP in response to discrete, temporally isolated nerve impulses from motor nerve endings together with the neurotransmitter ACh. We then review the evidence that this ATP release, after hydrolysis to adenosine, mediates presynaptic neuromuscular depression. Finally, we review the data showing the mutually occlusive postsynaptic effects of P2X ATP receptor activation and nicotinic receptor agonists.
DETECTION OF ATP RELEASE FROM NERVE ENDINGS USING BIOCHEMICAL METHODSIn early studies of the co-release of ATP and ACh, the bathing fluid from stimulated preparations was removed and assayed for ATP by the luciferin-luciferase method [Silinsky and Hubbard, 1973;Silinsky, 1975]. These results suggested an intimate stoichiometry between the release of ATP and its hydrolysis products and the neurotransmitter ACh. ACh release was detected electrophysiologically by measuring evoked synaptic responses (end-plate potentials, or EPPs) and spontane-