The ATP-gated P2X 7 receptor is a plasma membrane receptor belonging to the family of P2X purinoceptors. Its activation leads to multiple downstream events including influx of ions, pore formation to allow the passage of larger molecular weight species, and cell death by apoptosis and/or necrosis. The cell death is thought to be correlated with the pore formation but does not directly result from the dilatation of pores. We have generated and characterized a clone of chicken DT40 lymphocytes stably transfected with the rat P2X 7 receptor. In this study, we investigated the mechanism of P2X 7 receptor-induced cell death using this clone. Treatment with P2X 7 receptor agonist, 2-3-O-(4-benzoylbenzoyl)-ATP induced depolarization of membrane potential, pore formation, and cell shrinkage, an early hallmark of apoptosis in the buffer containing physiological concentrations of ions. Analysis by flow cytometry revealed that the activity of pore formation in shrunk cells was much higher than in non-shrunk cells. The activation of P2X 7 receptor also caused the release of lactate dehydrogenase from cells. The P2X 7 receptormediated cell shrinkage and lactate dehydrogenase release were blocked when media Cl ؊ was replaced with gluconate. However, removal of extracellular Cl ؊ did not affect plasma membrane depolarization and pore formation by treatment with 2-3-O-(4-benzoylbenzoyl)-ATP. Therefore we concluded that pore formation plays a critical role in the P2X 7 receptor-induced apoptotic cell death and that this is mediated by extracellular Cl ؊ influx.Extracellular ATP plays an important role in cell signaling, modulation of cell growth, differentiation, and induction of cell death by apoptosis and/or necrosis (1, 2). The actions of extracellular ATP are mediated through P2 purinoceptors, which are classified into two major subtypes: ionotropic P2X and metabotropic G protein-coupled P2Y receptors (3, 4). The P2X 7 receptor, previously designated as P2Z receptor and now the seventh member of P2X receptors, utilizes extracellular ATP to increase cationic permeability with consecutive plasma membrane depolarization, and its intense or prolonged activation leads to the opening of a large non-selective pore allowing the passage of hydrophilic molecules of up to 900 Da in size. This receptor shares 35-40% homology with other members of the P2X family, all with the same predicted topology of two transmembrane regions, a cysteine-rich extracellular loop, and intracellular N and C termini. The C terminus is more than 100 amino acids longer than that of any other member of the family and is essential for the opening of the large pore (5). The activation of the P2X 7 receptor has been reported to link to a number of other cellular events including cell fusion (6), membrane blebbing (7), and interleukin-1 release (8). The P2X 7 receptor was first cloned from rat brain (5) and subsequently from human monocytes (9) and mouse microglial cells (10