Pinho D, Quintas C, Sardo F, Cardoso TM, Queiroz G. Purinergic modulation of norepinephrine release and uptake in rat brain cortex: contribution of glial cells. J Neurophysiol 110: 2580 -2591, 2013. First published September 11, 2013 doi:10.1152/jn.00708.2012.-The pathogenesis of psychiatric and neurodegenerative diseases is often associated with a deregulation of noradrenergic transmission. Considering the potential involvement of purinergic signaling in the modulation of noradrenergic transmission in the brain cortex, this study aimed to identify the P2Y receptor subtypes involved in the modulation of neuronal release and neuronal/glial uptake of norepinephrine. Electrical stimulation (100 pulses at 5 Hz) of rat cortical slices induced norepinephrine release that was inhibited by ATP and ADP (0.01-1 mM), adenosine 5=-O-(2-thiodiphosphate) (ADPS, 0.03-0.3 mM), and UDP (0.1-1 mM). The effect of ADPS was mediated by P2Y 1 receptors and possibly by A 1 /P2Y 1 heterodimers since it was attenuated by the A 1 receptor antagonist DPCPX and by the P2Y 1 receptor antagonist MRS 2500 but was resistant to the effect of adenosine deaminase (ADA). UDP inhibited norepinephrine release through activation of P2Y 6 receptors, an effect that was abolished by the P2Y 6 receptor antagonist MRS 2578 and by DPCPX, indicating that it depends on the formation and/or release of adenosine and activation of A 1 receptors. Supporting this hypothesis, the inhibitory effect of UDP was also prevented by inhibition of ectonucleotidases, by ADA and was attenuated by the inhibitor of nucleoside transporter 6-[(4-nitrobenzyl)thio]-9--D-ribofuranosylpurine (NBTI). Additionally, the inhibitory effect of UDP was attenuated when norepinephrine uptake 1 or 2 was inhibited. In astroglial cultures, ADPS and UDP increased norepinephrine uptake mainly by activation of P2Y 1 and P2Y 6 receptors, respectively. The results indicate that neuronal and glial P2Y 1 and P2Y 6 receptors may represent new targets of intervention to regulate noradrenergic transmission in CNS diseases. adenosine receptors; P2Y receptors; glial norepinephrine uptake; glia-neuron communication