In PC12 cells, a well studied model for neuronal differentiation, an elevation in the intracellular cAMP level increases cell survival, stimulates neurite outgrowth, and causes activation of extracellular signalregulated protein kinase 1 and 2 (ERK1/2). Here we show that an increase in the intracellular cAMP concentration induces tyrosine phosphorylation of two receptor tyrosine kinases, i.e. the epidermal growth factor (EGF) receptor and the high affinity receptor for nerve growth factor (NGF), also termed Trk A . cAMP-induced tyrosine phosphorylation of the EGF receptor is rapid and correlates with ERK1/2 activation. It occurs also in Panc-1, but not in human mesangial cells. cAMP-induced tyrosine phosphorylation of the NGF receptor is slower and correlates with Akt activation. Inhibition of EGF receptor tyrosine phosphorylation, but not of the NGF receptor, reduces cAMP-induced neurite outgrowth. Expression of dominant-negative Akt does not abolish cAMP-induced survival in serum-free media, but increases cAMP-induced ERK1/2 activation and neurite outgrowth. Together, our results demonstrate that cAMP induces dual signaling in PC12 cells: transactivation of the EGF receptor triggering the ERK1/2 pathway and neurite outgrowth; and transactivation of the NGF receptor promoting Akt activation and thereby modulating ERK1/2 activation and neurite outgrowth.Neuronal development, differentiation, survival, and repair are subject to regulation by many different external signals under physiological and pathological conditions. For instance, the high affinity receptor for nerve growth factor (NGFR), 1 a receptor tyrosine kinase (RTK) also termed Trk A , is an important mediator of development, differentiation and survival of neurons (1, 2). The rat pheochromocytoma cell line PC12 is the best studied model of neuronal differentiation and survival. In these cells, nerve growth factor (NGF) causes survival upon serum-withdrawal and promotes neurite outgrowth. Activation of the epidermal growth factor receptor (EGFR), another RTK, can induce both proliferation and differentiation (3, 4); the latter response is strongly increased in EGFR-overexpressing cells (5). Activation of the extracellular signal-regulated kinases 1/2 (ERK1/2) pathway appears to play an important role in growth factor-mediated PC12 cell differentiation (5, 6). The mechanism of ERK1/2 activation by RTKs is well established and involves receptor autophosphorylation, recruitment of adaptor proteins such as Shc and Grb2 to the receptor, and activation of guanine nucleotide exchange factors acting on and thereby activating the small GTPase Ras. Active Ras recruits Raf kinases to the membrane, which leads to their activation and subsequent triggering of the ERK pathway (7).Studies on the pro-survival effect of NGF in PC12 cells show that activation of phosphatidylinositol 3-kinase (PI3K) is critical for its protective effect (8). Upon activation, PI3K phosphorylates membrane phosphoinositides at the D-3 position. These 3Ј-phosphorylated phospholipids act as s...