ABSTRACT At the vertebrate neuromuscular junction (nmj), ATP is known to be coreleased with acetylcholine from the synaptic vesicles. We have previously shown that the P2Y 1 receptor is localized at the nmj. Here, we extend the findings to show that another nucleotide receptor, P2Y 2 , is also localized there and with P2Y 1 jointly mediates trophic responses to ATP. The P2Y 2 receptor mRNA in rat muscle increased during development and peaked in adulthood. The P2Y 2 receptor protein was shown to become restricted to the nmjs during embryonic development, in chick and in rat. In both rat and chick myotubes, P2Y 1 and P2Y 2 are expressed, increasing with differentiation, but P2Y 4 is absent. The P2Y 2 agonist UTP stimulated there inositol trisphosphate production and phosphorylation of extracellular signal-regulated kinases, in a dose-dependent manner. These UTP-induced responses were insensitive to the P2Y 1 -specific antagonist MRS 2179 (2Ј-deoxy-N 6 -methyl adenosine 3Ј,5Ј-diphosphate diammonium salt). In differentiated myotubes, P2Y 2 activation induced expression of acetylcholinesterase (AChE) protein (but not control ␣-tubulin). This was shown to arise from AChE promoter activation, mediated by activation of the transcription factor Elk-1. Two Elk-1-responsive elements, located in intron-1 of the AChE promoter, were found by mutation to act in this gene activation initiated at the P2Y 2 receptor and also in that initiated at the P2Y 1 receptor. Furthermore, the promoters of different acetylcholine receptor subunits were also stimulated by application of UTP to myotubes. These results indicate that ATP regulates postsynaptic gene expressions via a common pathway triggered by the activation of P2Y 1 and P2Y 2 receptors at the nmjs