Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) are major causes of acute respiratory failure associated with high morbidity and mortality. Although ALI/ARDS pathogenesis is only partly understood, pulmonary endothelium plays a major role by regulating lung fluid balance and pulmonary edema formation. Consequently, endothelium-targeted therapies may have beneficial effects in ALI/ARDS. Recently, attention has been given to the therapeutic potential of purinergic agonists and antagonists for the treatment of cardiovascular and pulmonary diseases. Extracellular purines (adenosine, ADP, and ATP) and pyrimidines (UDP and UTP) are important signaling molecules that mediate diverse biological effects via cell-surface P2Y receptors. We previously described ATP-induced endothelial cell (EC) barrier enhancement via a complex cell signaling and hypothesized endothelial purinoreceptors activation to exert anti-inflammatory barrier-protective effects. To test this hypothesis, we used a murine model of ALI induced by intratracheal administration of endotoxin/lipopolysaccharide (LPS) and cultured pulmonary EC. The nonhydrolyzed ATP analog ATP␥S (50 -100 M final blood concentration) attenuated inflammatory response with decreased accumulation of cells (48%, P Ͻ 0.01) and proteins (57%, P Ͻ 0.01) in bronchoalveolar lavage and reduced neutrophil infiltration and extravasation of Evans blue albumin dye into lung tissue. In cell culture model, ATP␥S inhibited junctional permeability induced by LPS. These findings suggest that purinergic receptor stimulation exerts a protective role against ALI by preserving integrity of endothelial cell-cell junctions.endotoxin/lipopolysaccharide; mice; inflammation; endothelial barrier THE ENDOTHELIAL LINING of blood vessels forms a selective barrier between plasma and interstitial spaces. In the course of acute lung injury (ALI), the endothelial barrier of the pulmonary microvasculature becomes compromised, leading to pulmonary edema, a characteristic feature of ALI. It is widely accepted that endothelial cell (EC) barrier dysfunction is initiated by agonist-induced cytoskeletal remodeling, which leads to disruption of cell-cell contacts and formation of paracellular gaps, allowing penetration of protein-rich fluid and inflammatory cells. Little is known about processes that determine barrier enhancement or protection. Recently, it has been shown that extracellular ATP stabilizes barrier function of endothelial monolayers (15,18,21) and attenuates barrier disruption caused by thrombin (12) and reperfusion (13). Extracellular purines (adenosine, ADP, and ATP) are important signaling molecules that mediate diverse biological effects via cellsurface receptors. Purinergic receptors are divided into two classes: P1 or adenosine receptors, and P2, which recognize primarily extracellular ATP, ADP, UTP, and UDP (26). The P2 receptors are further subdivided into two subclasses. P2X receptors are ATP-gated calcium-permeable nonselective cation channels. The P2Y receptors are coupled...