“…The inner surfaces of smooth muscle organs are covered by a variety of epithelial cells (e.g., vascular endothelium, bladder urothelium, endometrium, airway epithelium, and gastric mucosa) that also contribute to the functional complexity of the smooth muscle wall. Virtually all cell types can release extracellular purines in response to mechanical stretch, cell swelling, inflammatory mediators, action potential firings, receptor activation or smooth muscle contraction (2,4,15). Purine (i.e., ATP) release pathways range from vesicle exocytosis to release through connexin and pannexin channels, P2X7 receptor pores, maxi ion channels, volume-regulated ion channels, and membrane transport (4,6,16).…”