Purinergic transmission, which uses ATP and its derivatives as extracellular signaling molecules, is widely distributed throughout all tissues and systems, including the gastrointestinal system. Ionotropic P2X purinoceptors have been identified in various parts of the enteric nervous system, including myenteric, submucosal motor, sensory, and secretomotor neurones, in enteric glial cells and interstitial cells of Cajal. Purinergic mechanosensory transduction, where there is release of ATP from mucosal epithelial cells during distension, stimulating subepithelial nerve endings of intrinsic and extrinsic sensory nerves to modulate peristalsis and initiate nociception. Purinergic signaling in the gut is involved in development, aging, and regeneration of the gut, and the pathophysiology of enteric purinergic signaling in diseases including irritable bowel syndrome, postoperative ileus, esophageal reflux, constipation, diarrhea, diabetes, Chaga's and Hirschprung's diseases.Myenteric neurons have been classified into two groups: Dogiel Type I/S neurons (which are motor neurons or interneurons) and Dogiel Type II/AH neurons (which are sensory neurons). ATP-induced hyperpolarizations reduced excitability of AH neurons, while ATP-induced depolarization increased excitability of most S neurons. 9 Later it was shown that ATP mediates fast synaptic potentials in enteric neurons. 22 P2X receptors mediated fast excitatory postsynaptic currents in guinea pig cultured myenteric neurons; these neurons express both fast-desensitizing α,β-methylene ATP (α,β-meATP)-sensitive P2X 1 -like receptors and slow-desensitizing α,β-meATP-insensitive P2X 2 -like receptors. 23 P2X 2 receptors were considered to be the dominant P2X receptor in cultured rat myenteric neurons. 24 In another study of guinea pig myenteric neurons, it was concluded that the P2X receptors on the neurons shared properties with P2X 4 and P2X 6 receptors. 25 ATP elevates [Ca 2+ ] i via P2 receptors in cultured Type II/AH neurons from adult guinea pigs' small intestine. 26 Fast excitatory postsynaptic potentials (EPSPs) mediated, at least in apart, via P2X receptors, are predominant in myenteric neurons along the small and large intestines of guinea pigs, but are rare in the gastric corpus. 27 Volume 1,