ATP has been proposed to mediate synaptic transmission in the spinal cord dorsal horn, particularly in the pathway carrying nociceptive information. Using transverse spinal cord slices from postnatal rats, we show that EPSCs mediated by P 2X receptors, and presumably activated by synaptically released ATP, are evoked in a subpopulation of spinal cord lamina II neurons, a region known to receive strong input from nociceptive primary afferents. The P 2X receptors on acutely dissociated dorsal horn neurons are nondesensitizing, insensitive to ␣ methylene ATP, and show strong but variable sensitivity to the antagonists suramin and pyridoxal-phosphate-6-azophenyl-2Ј,4Ј-disulfonic acid (PPADS). These characteristics are consistent with a heterogeneous population of P 2X receptors, the composition of which includes P 2X2 , P 2X4 , and P 2X6 receptor subtypes. Our results suggest that ATP-activated P 2X receptors in lamina II of the rat spinal cord may play a role in transmitting or modulating nociceptive information. Holton and Holton (1954) first proposed ATP as a possible neurotransmitter in the dorsal horn over 40 years ago. Since then, its role as a fast neurotransmitter in the peripheral nervous system has been demonstrated (Burnstock et al., 1972;Evans et al., 1992;Silinsky and Gerzanich, 1993;Galligan and Bertrand, 1994). In the C NS only one study, performed on neurons in the medial habenula, has demonstrated that ATP can act as a fast neurotransmitter (Edwards et al., 1992). Within the spinal cord dorsal horn, despite strong evidence implicating ATP as a putative neurotransmitter (Jahr and Jessell, 1983;Fyffe and Perl, 1984;Salter and Henry, 1985;Salter and Hicks, 1994), its role in this regard has not been demonstrated (Li and Perl, 1995).Several ATP receptor subunits have been cloned from different tissues (Brake et al., 1994;Valera et al., 1994;Chen et al., 1995;Lewis et al., 1995;Buell et al., 1996;Collo et al., 1996;Vulchanova et al., 1996). Of those cloned, the ATP P 2X2 , P 2X4 , and P 2X6 receptor subunit RNAs have been shown to be expressed in the spinal cord dorsal horn, particularly in the superficial laminae of the dorsal horn (Brake et al., 1994;Buell et al., 1996;Vulchanova et al., 1996), lending f urther support to the idea that ATP receptors may participate in synaptic function there. Recently, P 2X7 mRNA also was detected in both brain and spinal cord (and elsewhere), but its exact distribution was not described . When P 2X2 , P 2X4 , and P 2X6 receptor subunits are expressed in heterologous cellular systems in homomeric form, they all mediate a nondesensitizing response to ATP and are insensitive to the agonist ␣ methylene ATP (Brake et al., 1994;Collo et al., 1996;Séguéla et al., 1996), making them pharmacologically distinguishable from the other P 2X subunits. A further pharmacological distinction among subunits is that, whereas responses mediated by the P 2X2 subunit are sensitive to the antagonists suramin and pyridoxal-phosphate-6-azophenyl-2Ј,4Ј-disulfonic acid (PPADS), P 2X4 and P 2X...