AbstractP2Y receptors are widely expressed in all gastrointestinal (GI) epithelia. Commonly, one epithelial tissue or cell expresses several P2Y receptors, which are located in both the apical and basolateral membranes. In almost all studied GI tissues, stimulation of P2Y receptors activates ion secretion, either that of NaCl, KCl, NaHCO3, or KHCO3. In most GI epithelia, an apical P2Y2 receptor is responsible for these ion secretory effects. Major progress during the last 10 years now permits integrated concepts of purinergic regulation of epithelial function. Most importantly, the apical mucus layer can be viewed as a restricted space for local paracrine purinergic regulation of ion transport. Extracellular ATP is present in the mucus in sufficiently high concentrations to activate apical P2Y receptors. Several physiological stimuli have been identified or suggested to trigger ATP release into the luminal space. These include flow‐induced, primary cilium‐dependent ATP secretion into the bile, acidic intraluminal pH in the duodenum, and agonist‐activated secretion of ATP by secretory salivary and pancreatic acini as well as the intestinal crypts. A functional role of the intestinal alkaline phosphatase as ATP cleavage enzyme and thus signal termination is another novel discovery important for duodenal secretion. The overall functional consequence of apical P2Y receptor function is to provide an additional input signal to activate digestive fluid secretion when demanded for by a given physiological stimulus. WIREs Membr Transp Signal 2013, 2:27–36. doi: 10.1002/wmts.74For further resources related to this article, please visit the WIREs website.
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