Microglia, the resident macrophages in the central nervous system (CNS), are rapidly activated upon trauma or ischemic injury, releasing cytokines and undertaking tissue repair. Recent studies have indicated that CNS immune cells express ionotropic P
2X and metabotropic P
2Y purinoceptors and undergo functional changes in response to extracellular ATP. Non-stimulated cultured rat retinal microglia expressed metabotropic P
2U(P2Y
2, P2Y
4) and ionotropic P
2Z (P2X
7) purinoceptors equally, whereas in LPS-stimulated microglia, P
2Z and its Ca
2+ response became dominant. Upon hypoxia (1% oxygen) activation, the P
2U response became dominant, and proliferation was induced possibly via intracellular Ca
2+ mobilization and/or capacitative Ca
2+ entry. TNF-α and IL-1β were released in both LPS- and hypoxia-activated states, enhanced by the P
2Z agonist BzATP and suppressed by the antagonist oATP, indicating P
2Z involvement in their release. P
2Z activation was simultaneously anti-mitotic and induced apoptosis of microglia. Release of cytokines may be induced via Ca
2+ influx and activation of NFAT, NF-κB or p44/42 and p38 MAP kinases, switching off the mitotic signal transduction pathway and triggering the apoptotic cascade at the same time.
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