1 The effects of P', P2-di(adenosine) pyrophosphate (AP2A), P',P3-di(adenosine) triphosphate (AP3A), P',P"-di(adenosine) tetraphosphate (AP4A), P',P5-di(adenosine) pentaphosphate (AP5A), ATP, a,,Bmethylene ADP and 2-chloroadenosine (2-ClAd) were examined in the guinea-pig driven left atrium.2 All these purine compounds except a,#-methylene ADP produced a negative inotropic response with a rank order of potency of: 2-ClAd > > AP2A > ATP > AP4A = AP3A = AP5A. The ECs, value for 2-ClAd was approximately 1 guM, while those for the remaining compounds were in the range 10 guM-100 MM, a,f,-Methylene ADP (10-300 gM), a selective P2Y-purinoceptor agonist, produced a small positive inotropism.3 The P1-purinoceptor antagonist, 8-para-sulphophenyltheophylline 20 gM) caused a rightward shift in the concentration-response curves for 2-ClAd, ATP and AP2A, but converted the responses of AP3A, AP4A, and AP5A into positive inotropisms.4 The non-selective P2-purinoceptor antagonist, suramin (300 gM), had no significant effect on the concentration-response curves for 2-ClAd, ATP or AP2A, but significantly antagonized inhibitory responses to AP3A, AP4A and AP5A, and excitatory responses to a,,B-methylene ADP.5 In the presence of 8-pSPT (20 gM), suramin (300 gM) abolished the positive inotropic responses evoked by the dinucleotides. 6 ATP was degraded far more rapidly than any of the dinucleotides, and AP3A was the least stable of the diadenosine compounds. The relative order of stability was AP2A > AP4A = AP5A > AP3A > > ATP.Suramin (300 gM) reduced the rate of degradation of ATP and AP3A by approximately 30%. Suramin had no significant effect on the degradation of AP2A, AP4A or AP5A.7 It is concluded that the diadenosine polyphosphates cause negative inotropic responses via PIpurinoceptors and a hitherto undefined suramin-sensitive P2-purinoceptor, and that they appear to have positive inotropic effects mediated via another suramin-sensitive P2-purinoceptor.