Abstract-The present study was performed to examine the hypothesis that autoregulation-related changes in renal vascular resistance (RVR) are mediated by extracellular ATP. By use of a microdialysis method, renal interstitial concentrations of ATP and adenosine were measured at different renal arterial pressures (RAPs) within the autoregulatory range in anesthetized dogs (nϭ12). RAP was reduced in steps from the ambient pressure (131Ϯ4 mm Hg) to 105Ϯ3 mm Hg (step 1) and 80Ϯ2 mm Hg (step 2). Renal blood flow and glomerular filtration rate exhibited efficient autoregulation in response to these changes in RAP. RVR decreased by 22Ϯ2% in step 1 (PϽ0.01) and 38Ϯ3% in step 2 (PϽ0.01).The control renal interstitial concentration of ATP was 6.51Ϯ0.71 nmol/L and decreased to 4.51Ϯ0.55 nmol/L in step 1 (PϽ0.01) and 2.77Ϯ0.47 nmol/L in step 2 (PϽ0.01). In contrast, the adenosine concentrations (117Ϯ6 nmol/L) were not altered significantly. Changes in ATP levels were highly correlated with changes in RVR (rϭ0.88, PϽ0.0001).Further studies demonstrated that stimulation of the tubuloglomerular feedback (TGF) mechanism by increasing distal volume delivery elicited with acetazolamide also led to increases in renal interstitial ATP concentrations, whereas furosemide, which is known to block TGF responses, reduced renal interstitial fluid ATP concentrations. The data demonstrate a positive relation between renal interstitial fluid ATP concentrations and both autoregulation-and TGF-dependent changes in RVR and thus support the hypothesis that changes in extracellular ATP contribute to the RVR adjustments responsible for the mechanism of renal autoregulation. (Circ Res. 2000;86:656-662.)Key Words: ATP Ⅲ renal autoregulation Ⅲ tubuloglomerular feedback Ⅲ renal interstitium Ⅲ adenosine T he purine nucleotide ATP, an intracellular energy source, is gaining recognition for its paracrine role in regulating skeletal and heart muscle contractility 1,2 as well as vascular tone in several tissues. 1-5 ATP has been shown to be released from endothelial cells, 6 epithelial cells, 7 smooth muscle cells, 6,8 myocardium, 9 and perivascular nerves. 10 Extracellular ATP exerts a substantial influence on hemodynamic function, acting via P2 purinoceptors, on a variety of tissues and organs, 2-5 including the kidney. 4,5,[11][12][13][14][15] A growing body of evidence obtained in both dogs and rats supports the hypothesis that extracellular ATP exerts a role in mediating renal autoregulatory vascular resistance responses, 14 -18 which are caused by active adjustments of vascular smooth muscle tone, primarily in the afferent arterioles. 14,15 Studies using the isolated blood-perfused juxtamedullary nephron preparation demonstrated that ATP, superfused over the renal microvessels, exerts selective afferent arteriolar vasoconstriction without affecting efferent arteriolar tone, 19,20 which is an important criterion for the agent mediating autoregulatory behavior. 14,15 This occurrence is due to the selective localization of P2 purinoceptors, which have...