Background: CR1 on human red blood cells (RBC) capture immune complexes and deliver them to phagocytes. Results: RBC CR1-mediated ATP release increases RBC lipid mobility, CR1 avidity, and neutrophil phagocytosis. Conclusion: ATP release following CR1 ligation alters both RBC and neutrophil function. Significance: A new role for ATP from human RBC in modulating immune complex transfer.