The effects of adenine nucleotides and adenosine on DNA synthesis and cell growth have been studied in bovine aortic endothelial cells (BAECs). ATP produced a small but significant (+44%) increase of the fraction of BAECs whose nuclei are labeled by [3H]thymidine. This mitogenic effect was mimicked by ADP, the phosphorothioate analogues ATPyS and ADP,BS, and the nonhydrolyzable analogue adenosine 5'-(,6,y-imido)triphosphate (APPNP), whereas adenosine 5'-(a3,-methylene)triphosphate (APCPP), a selective agonist of P2x-purinoceptors, had no effect at 10 ,uM and a small one at 100 ,iM; this profile is consistent with the involvement of P2y-receptors. Adenosine induced a mitogenic response of a magnitude similar to that of ATP. This effect was not reproduced by R-phenylisopropyl adenosine, by 5'-Nethylcarboxamide adenosine, or by 2',5'-dideoxyadenosine, selective ligands of the A1-and A2-receptors and the P site, respectively, nor was it inhibited by 8-phenyltheophylline, an antagonist of both A1-and A2-receptors. The mechanism of this adenosine action thus remains unclear. ATP and ATPyS did not enhance the proliferation of BAECs cultured in the presence of fetal calf serum concentrations ranging from 0.5% to 10%. They inhibited the growthpromoting effect of basic fibroblast growth factor; among the various nucleotides tested, APCPP was the least effective to reproduce the action of ATP, suggesting the possible involvement of P2y-receptors. In conclusion, the action of ATP on the proliferation of BAECs is complex: an increase in the fraction of cells synthesizing DNA, no effect on the cell proliferation in the presence of serum, and inhibition of the growth-promoting effect of basic fibroblast growth factor. (Circulation Research 1992;70:82-90) A TP induces a rapid release of endotheliumderived relaxing factor (nitric oxide) and prostacyclin (prostaglandin 12) from vascular endothelial cells.' These actions, which are mediated by P2y-receptors, are obtained in a range of ATP concentrations (1-100 ,uM) comparable to those obtained in plasma after platelet degranulation. They might thus play an important role in the interaction between platelets and the endothelium.' In endothelial cells, as in other cells, P2y-receptors are coupled to a phospholipase C that hydrolyzes phosphatidylinositol bisphosphate.12 As a consequence of this initial event, ATP induces in aortic endothelial cells several biochemical responses that are often associated with a mitogenic action: enhanced phosphorylation of 27-kd proteins,3-5 stimulation of phosphati-