Acting through cell surface receptors, ADP activates platelets resulting in shape change, aggregation, thromboxane A 2 production, and release of granule contents. ADP also causes a number of intracellular events including inhibition of adenylyl cyclase, mobilization of calcium from intracellular stores, and rapid calcium influx in platelets. However, the receptors that transduce these events remain unidentified and their molecular mechanisms of action have not been elucidated. The receptor responsible for the actions of ADP on platelets has been designated the P2T receptor. In this study we have used ARL 66096, a potent antagonist of ADP-induced platelet aggregation, and a P2X ionotropic receptor agonist, ␣,-methylene adenosine 5-triphosphate, to distinguish the ADP-induced intracellular events. ARL 66096 blocked ADP-induced inhibition of adenylyl cyclase, but did not affect ADPmediated intracellular calcium increases or shape change. Both ADP and 2-methylthio-ADP caused a 3-fold increase in the level of inositol 1,4,5-trisphosphate over control levels which peaked in a similar fashion to the Ca 2؉ transient. The increase in inositol 1,3,4-trisphosphate was of similar magnitude to that of inositol 1,4,5-trisphosphate. ␣,-Methylene adenosine 5-triphosphate did not cause an increase in either of the inositol trisphosphates. These results clearly demonstrate the presence of two distinct platelet ADP receptors in addition to the P2X receptor: one coupled to adenylyl cyclase and the other coupled to mobilization of calcium from intracellular stores through inositol trisphosphates.ADP was the first low molecular weight agent recognized to cause platelet aggregation (1, 2). It is stored in the dense granules of human platelets and is an important platelet agonist as evidenced by the fact that patients with defective ADP storage have bleeding tendencies (3, 4). Activation of platelets by ADP follows a defined sequence. The first event, shape change, occurs when discoid shaped resting cells are rapidly converted to spiculated spheres. Shape change is followed by platelet aggregation and granule secretion which releases more ADP as well as many other substances (5). Acting extracellularly, ADP causes a number of intracellular events including rapid calcium influx (6, 7), mobilization of intracellular calcium stores (8), and inhibition of adenylyl cyclase (9). An increase in intracellular Ca 2ϩ may be due to an increase in inositol trisphosphate (10 -13) but this finding remains controversial (14, 15). In addition, arachidonic acid, liberated from platelet membranes due to activation of phospholipase A 2 , is converted to thromboxane A 2 , itself a powerful platelet agonist. Despite this knowledge the exact identity of platelet ADP receptors responsible for functional responses of ADP are not fully defined and the mechanism by which aggregation occurs is still under investigation.The idea that ADP's effects on platelets are receptor-mediated was indicated by the finding that ATP shows true competitive inhibition of ADP-...