Abstract. Purinergic receptors are important in the regulation of renal hemodynamics; therefore, this study sought to determine if such receptors influence macula densa cell function. Isolated glomeruli containing macula densa cells, with and without the cortical thick ascending limb, were loaded with the Ca 2ϩ sensitive indicators, Fura Red (confocal microscopy) or fura 2 (conventional video image analysis). Studies were performed on an inverted microscope in a chamber with a flowthrough perfusion system. Changes in cytosolic calcium concentration ([Ca 2ϩ ] i ) from exposed macula densa plaques were assessed upon addition of adenosine, ATP, UTP, ADP, or 2-methylthio-ATP (2-MeS-ATP) for 2 min added to the bathing solution. The tubuloglomerular feedback (TGF) mechanism is a very important regulator of renal hemodynamics. This mechanism operates as a negative feedback loop, sensing changes in distal nephron fluid flow rate by detecting flow-dependent alterations in luminal sodium chloride concentration ([NaCl]) at the macula densa. Signals are then sent by the macula densa cells, which contract the afferent arteriole, thereby adjusting the level of GFR and renal blood flow (1-3). Furthermore, macula densa cells can also influence release of renin from the granular cells in the afferent arteriole (4). The primary mechanism by which the macula densa cells detect changes in [NaCl] is through an apically located Na:2Cl:K cotransport mechanism (5,6). It has also been found that the sensitivity of this TGF mechanism can be reset by a large number of different factors. For instance, renal interstitial pressure and angiotensin II are potent regulators of TGF sensitivity (7,8). Nitric oxide, prostaglandin, thromboxanes, and many other local factors and hormones can also influence the sensitivity of the TGF mechanism (9). The site(s) at which all these factors exert their influence is not well understood. One possibility is that modulation of TGF can occur at the level of the macula densa cells, and it is therefore of particular interest to investigate the receptors expressed by macula densa cells and what effects occur in these cells with receptor activation. For instance, it has recently been reported that macula densa cells possess AT 1 receptors for angiotensin II and that activation of these receptors increases sodium-proton exchange of the apical NHE2 isoform (10 -12).Purinergic receptors have been identified as playing a large role within the juxtaglomerular apparatus (13). These receptors are activated by extracellular purines (adenosine, ADP, and ATP) and pyrimidines (UDP and UTP) and are important signaling molecules that mediate various biologic effects in the kidney. They may serve as paracrine regulators of renal microvascular resistance (14,15) and may modulate mesangial cell contraction, alter epithelial ion transport, and influence the TGF mechanism (16 -20) via cell surface receptors for purines.There are two main families of purine receptors: adenosine or P1 receptors and P2 receptors, the latter recogni...