The control and regulation of the lower urinary tract are partly mediated by purinergic signaling. This study investigated the distribution and function of P2Y receptors in the rat urinary bladder. Application of P2Y agonists to rat urothelial cells evoked increases in intracellular calcium; the rank order of agonist potency (pEC 50 Ϯ SE) was ATP (5.10 Ϯ 0.07) Ͼ UTP (4.91 Ϯ 0.14) Ͼ UTP␥S (4.61 Ϯ 0.16) ϭ ATP␥S (4.70 Ϯ 0.05) Ͼ 2-methylthio adenosine 5Ј-diphosphate ϭ 5Ј-(N-ethylcarboxamido)adenosine ϭ ADP (Ͻ3.5). The rank order potency for these agonists indicates that urothelial cells functionally express P2Y 2/P2Y4 receptors, with a relative lack of contribution from other P2Y or adenosine receptors. Real-time PCR, Western blotting, and immunocytochemistry confirmed the expression of P2Y 2 and to a lesser extent P2Y4 in the urothelium. Immunocytochemical studies revealed expression of P2Y 2 staining in all layers of the urothelium, with relative absence of P2Y 4. P2Y2 staining was also present in suburothelial nerve bundles and underlying detrusor smooth muscle. Addition of UTP and UTP␥S was found to evoke ATP release from cultured rat urothelial cells. These findings indicate that cultured rat urothelial cells functionally express P2Y 2/P2Y4 receptors. Activation of these receptors could have a role in autocrine and paracrine signaling throughout the urothelium. This could lead to the release of bioactive mediators such as additional ATP, nitric oxide, and acetylcholine, which can modulate the micturition reflex by acting on suburothelial myofibroblasts and/or pelvic afferent fibers. purinergic receptors; urinary bladder; epithelium; lower urinary tract THE CONTROL AND REGULATION of lower urinary tract functions are regulated by the complex integration of sympathetic, parasympathetic, and afferent pathways (18). These highly regulated processes are mediated by neural controls involving many neurotransmitters, including acetylcholine, amino acids, nitric oxide, neuropeptides, and monoamines, as well as ATP acting on purinergic receptors (18). Kasakov and Burnstock (27) initially demonstrated that parasympathetic neural contractions of the bladder were in part mediated by nonadrenergic, noncholinergic atropine resistant purinergic transmission. Purinergic transmission is also involved in transducing bladder mechanosensation and other forms of afferent information to the central nervous system (17,18,22). For example, intravesical administration of ATP or ␣,-methylene ATP into the bladder evokes bladder hyperactivity, an effect that is blocked with selective purinergic receptor antagonists (34,40,49).P2 purinergic and pyrimidinergic receptors can be divided into two major families, ionotropic ligand-gated P2X and metabotropic G-protein coupled P2Y receptors. To date, seven P2X receptors have been identified (P2X 1-7 ) and eight P2Y receptors have been recognized as molecularly distinct proteins that can produce functional responses (P2Y 1 , P2Y 2 , P2Y 4 , P2Y 6 , P2Y 11 , P2Y 12 , P2Y 13 , and P2Y 14 ). Urinary...