Sympathetic efferent nerves are present in tendons, but their function within tendon is unknown. alpha(1)-Adrenoceptors are expressed by a variety of cell types. In the presence of norepinephrine (NE), adrenoceptors activate G(q/11) signaling pathways that subsequently increase intracellular Ca(2+) concentration ([Ca(2+)](ic)). It was hypothesized that avian tendon cells express functional adrenoceptors that respond to NE by increasing [Ca(2+)](ic). Avian tendon cells were analyzed for mRNA expression of alpha(1)-adrenoceptors by RT-PCR. Avian tendons expressed the alpha(1A)- and alpha(1B)-adrenoceptor subtypes. Furthermore, both tendon surface epitenon cells and internal fibroblasts infused with a Ca(2+)-sensitive dye, fura 2, and stimulated with NE responded by increasing [Ca(2+)](ic). KMD-3213, an alpha(1A)-adrenoceptor antagonist, significantly reduced the Ca(2+) response. Other adrenoceptor antagonists had no effect on the Ca(2+) response. The absence of extracellular Ca(2+) also significantly reduced the response to NE, indicating that Ca(2+) influx contributed to the rise in [Ca(2+)](ic). This study provides the first evidence that tendon cells express adrenoceptors and that the NE-induced Ca(2+) response is coupled to the alpha(1A)-adrenoceptor subtype.