“…Moreover, a recent study performed on two P2X 7 Ϫ/Ϫ mouse lines indicated that, at least in the hippocampus of healthy mouse brains, these receptors are either not expressed or are expressed at undetectable levels (Sim et al, 2004), suggesting that they are unlikely candidates for gliotransmitter release under physiological situations. In contrast, under pathological conditions such as during inflammation, ischemia, spreading depression, and trauma, when upregulation of these receptors, changes in extracellular cation composition, and increased extracellular ATP levels have been reported (Kraig and Nicholson, 1978;Harris and Symon, 1984;Nilsson et al, 1993;Le Feuvre et al, 2002;Guerra et al, 2003;Narcisse et al, 2005), the participation of P2X 7 R might be expected to exacerbate the extent of cell damage. Indeed, evidence for the participation of P2X 7 R in the regulation of extracellular transmitter levels was provided from studies showing that ATP-evoked glutamate efflux from neuronal and non-neuronal cells was greatly attenuated in P2X 7 R-null hippocampal slices (Papp et al, 2004) and from those showing that P2X 7 R antagonists greatly attenuated the extent of cell damage after acute spinal cord traumatic injury (Wang et al, 2004).…”