Structure-activity relationships (SAR) at P2 receptors that support their subclassification into at least five nucleotide receptor subtypes, P2=, P2T, P, , , P, , , and P, , , are reviewed. The PZz receptor is the most sensitive to alterations to ATP. The adenine base, D-ribose sugar, and 5'-triphosphate chain are absolute requirements, but substitutions are tolerated at the C-2 position and replacement by sulphur of an ionized phosphate oxygen leads to enhanced potency. The P, , receptor, where ADP i s the only endogenous agonist, has an absolute requirement for the adenine base, D-ribose sugar, and a 5'-diphosphate chain. C-2 substitution and replacement by sulphur of an ionized oxygen i s tolerated. Many analogs of AMP and of ATP are antagonists. The P, , receptor requires an adenine base, D-ribose, and a 5'-polyphosphate for maximal potency only. C-2 substitution, and replacement of an ionized oxygen by sulphur, can enhance potency. Methylenephosphonate potencies depend on the position of the methylene group. ADP-P-F is a specific agonist. The P, , receptor i s least sensitive to alterations to ATP. There is no requirement for an adenine base, D-ribose sugar, or triphosphate chain. Methylenephosphonates and some phosphorothioates have enhanced potencies. L-AMP-PCP i s a specific agonist. Evidence from SAR for a P, , subtype i s reviewed. SAR studies are complicated by the presence of ectonucleotidases. The overall subclassification of P2 receptors i s inadequate and awaits the availability of selective competitive antagonists. 0 1993 Wiley-Liss, Inc.