ATP is a widely used extracellular signaling molecule. The mechanism of ATP release from cells is presently unresolved and may be either vesicular or channel-mediated. Erythrocytes release ATP in response to low oxygen or to shear stress. In the absence of vesicles, the release has to be through channels. Erythrocytes do not form gap junctions. Yet, here we show with immunohistochemical and electrophysiological data that erythrocytes express the gap junction protein pannexin 1. This protein, in addition to forming gap junction channels in paired oocytes, can also form a mechanosensitive and ATP-permeable channel in the nonjunctional plasma membrane. Consistent with a role of pannexin 1 as an ATP release channel, ATP release by erythrocytes was attenuated by the gap junction blocker carbenoxolone. Furthermore, under conditions of ATP release, erythrocytes took up fluorescent tracer molecules permeant to gap junction channels.ATP release ͉ gap junction ͉ hemichannel ͉ dye uptake P annexins represent a recently discovered second family of gap junction proteins in vertebrates (1). Pannexins have no sequence homology with the well known connexin family of vertebrate gap junction proteins. Instead, they are related to innexins, which were originally considered to be exclusively invertebrate gap junction proteins. The functional role of pannexins is unknown. The existence of connexin-specific diseases, despite an overlap of connexin and pannexin expression, suggests a functional role of pannexins that is distinct from that of connexins. Pannexin 1, in addition to forming gap junctions in paired oocytes, also forms nonjunctional membrane channels that provide a passageway from the cytoplasm to the extracellular space for molecules in the size range of second messengers (2, 3). It can be hypothesized that the physiological role of pannexin 1 is formation of a nonjunctional membrane channel.Although the role of ATP as an extracellular signaling molecule is well recognized (4), the release mechanism for ATP from cells to the extracellular space has remained enigmatic. Two general release modes have been proposed: (i) vesicular release akin to the exocytotic release of transmitters and (ii) channel-mediated release. Although vesicular ATP release is well documented (5, 6), it cannot account for all of the ATP release phenomena. In particular, ATP is released from erythrocytes, which, under physiological conditions, are vesicle-free (7). Various channels have been implicated in the process, including CFTR (cystic fibrosis transmembrane conductance regulator), connexin 43 (Cx43) hemichannels, a volumeregulated channel (VRAC), and the purinergic receptor P2X7 (5,6,(8)(9)(10)(11). However, the evidence for their involvement falls short because of questionable specificity of the pharmacological blockers used to determine channel identity.Mechanical stress is a prime stimulus for ATP release in many cell types, including erythrocytes (12). An efficient release mechanism thus may involve a channel that is both mechanosensitive and...