This study was designed to test the hypothesis of whether activation of presynaptic P2X receptor-gated ion channels elicits noradrenaline release from central catecholaminergic terminals. ATP, ␣,-methylene-adenosine 5Ј-triphosphate (␣,-methyleneATP), and ADP elicited concentration-dependent [ 3 H]noradrenaline outflow from superfused rat hippocampal slices with the following rank order of agonist potency: ␣,-methyleneATP Ͼ ATP Ͼ ADP. Among P2 receptor antagonists, pyridoxal-phosphate-6-azophenyl-2Ј,4Ј-disulphonic acid (30 M), 4,4Ј,4ЈЈ,4ЈЈЈ-[carbonylbis(imino-5,1,3-benzenetriyl-bis(carbonylimino))]tetrakis-1,3-benzenedisulfonic acid (100 nM), and 8,8Ј-[carbonybis(imino-3,1-phenylenecarbonylimino)]bis1,3,5-naphthalenetrisulphonic acid (10 M) significantly inhibited the outflow of [ 3 H]noradrenaline, evoked by ATP, whereas Brilliant Blue G (100 nM), 2Ј-deoxy-N 6 -methyladenosine 3Ј,5Ј-bisphosphate tetraammonium (10 M), the A 1 receptor antagonist 8-cyclopentyl-1,3-dipropylxanthine (250 nM), and the A 2A receptor antagonist 3,7-dimethyl-1-propargylxanthine (250 nM) were ineffective. Pretreatment with the G i protein inhibitor pertussis toxin (2.5 g/ml) did not change the effect of ATP on [ 3 H]noradrenaline outflow. In contrast, a decrease in extracellular pH from 7.4 to 6.6 significantly attenuated the response by ATP. When extracellular Na ϩ was replaced by choline chloride and in the presence of the noradrenaline uptake inhibitor desipramine (10 M), the ATP-evoked [ 3 H]noradrenaline outflow was almost completely abolished, indicating that its underlying mechanism is the sodium-dependent reversal of the noradrenaline transporter. Reverse transcription-polymerase chain reaction analysis revealed that mRNA encoding P2X 1 , P2X 2 , P2X 3 , P2X 4 , P2X 6 , P2X 7 , and P2Y 1 receptor subunits were expressed in the brainstem containing catecholaminergic nuclei projecting to the hippocampus, whereas mRNA encoding P2X 5 , P2Y 2 , P2Y 4 , and P2Y 6 receptors were absent. Taken together, these results indicate that noradrenergic terminals of the rat hippocampus are equipped with presynaptic facilitatory P2X receptors, displaying a pharmacological profile similar to homomeric P2X 1 and P2X 3 receptors.