The A1 catecholamine neurons of the caudal ventrolateral medulla transmit hemodynamic information to the vasopressin (VP) neurons in the hypothalamus. These neurons corelease ATP with norepinephrine. Perifused explants of the hypothalamoneurohypophyseal system were used to investigate the role of these substances on VP release. ATP (100 M) increased VP release 1.5-fold ( p ϭ 0.027). The response was rapid but unsustained. It was blocked by the P 2 receptor antagonist pyridoxal-phosphate-6-azophenyl-2Ј,4Ј-disulphonic acid (PPADS). The ␣ 1 -adrenergic agonist phenylephrine (PE; 100 M) also increased VP release by 1.5-fold ( p ϭ 0.014). Again, the response was rapid and unsustained. However, simultaneous perifusion of explants with ATP (100 M) and PE (100 M) resulted in a threefold to fourfold increase in VP release, which was sustained for as long as 4 hr. There was a similar synergistic effect of ATP and PE on oxytocin release. Interestingly, the synergistic response was delayed ϳ40 min relative to the response to either agent alone. Several experiments were performed to elucidate the cellular mechanisms of this synergism. The effect was blocked by PPADS, a protein kinase C inhibitor (bisindolylmaleimide I HCl), and actinomycin, an inhibitor of gene transcription. These data suggest that P 2X receptor activation, PKC-mediated phosphorylation, and gene transcription are required for the synergistic response. The marked synergism of these coreleased agents is probably important to achieve sustained increases in plasma VP in response to prolonged hypotension. These observations may also have broad applications to CNS function, because ATP may be coreleased at noradrenergic synapses throughout the CNS.
Key words: norepinephrine; ATP; vasopressin; supraoptic nucleus; catecholamine; neurohypophysis; purinergic transmission; blood pressure regulationVasopressin (VP)-synthesizing neurons of the supraoptic and paraventricular nuclei (SON and PVN) receive direct, excitatory input from the A1 noradrenergic neurons of the caudal ventrolateral medulla (Alonso and Assenmacher, 1984;Day et al., , 1992Shioda et al., 1992;Ginsberg et al., 1994;Smith et al., 1995). In addition to norepinephrine (NE), various substances are colocalized or coreleased from the A1 neurons, including neuropeptide Y, substance P, and ATP (Everitt et al., 1984;Sawchenko et al., 1985;Blessing et al., 1986;Beroukas et al., 1989;Lundberg et al., 1989;Bittencourt et al., 1991;Sperlagh et al., 1998). Although abundant evidence supports the importance of the A1 pathway for stimulation of VP release in response to moderate decreases in blood pressure (Raby and Renaud, 1989;Smith et al., 1995), studies directed at demonstrating that NE is the primary transmitter mediating this response were not successful (Day et al., 1990). Adrenoceptor antagonists did not block A1 activation of VP cells, prompting the suggestion that these neurons use a substance other than NE as their principal transmitter (Day et al., 1990). In addition, injections of the broad-spectrum exci...