Urotensin-II (U-II), a peptide with multiple vascular effects, is detected in cholinergic neurons of the rat brainstem and spinal cord. Here, the effects of U-II on [Ca 2+ ] i was examined in dissociated rat spinal cord neurons by fura 2 microfluorimetry. The neurons investigated were choline acetyltransferasepositive and had morphological features of motoneurons. U-II induced [Ca 2+ ] i increases in these neurons with a threshold of 10 )9 M, and a maximal effect at 10 )6 M with an estimated EC 50 of 6.2 · 10 )9 M. The [Ca 2+ ] i increase induced by U-II was mainly caused by Ca 2+ influx from extracellular space, as the response was markedly attenuated in a Ca 2+ -free medium. Omega-conotoxin GVIA (10 )7 M), a N-type Ca 2+ channel blocker, largely inhibited these increases, whereas the P/Q Ca 2+ channel blocker, omega-conotoxin GVIIC (10 )7 M) and the L-type Ca 2+ channel blocker, verapamil (10 )5 M) had minimal effects. Down-regulation of protein kinase C by 4-aphorbol 12-myristate 13-acetate (10 )6 M) or enzyme inhibition using the specific inhibitor bisindolylmaleimide I (10 )6 M) did not inhibit the observed effects. Similarly, inhibition of protein kinase G with KT5823 (10 )6 M) or Rp-8-pCPT-cGMPS (3 · 10 )5 M) did not modify U-II-induced [Ca 2+ ] i increases. In contrast, protein kinase A inhibitors KT5720 (10 )6 M) and Rp-cAMPS (3 · 10 )5 M) reduced the response to 25 ± 3% and 42 ± 8%, respectively. Present results demonstrate that U-II modulates [Ca 2+ ] i in rat spinal cord neurons via protein kinase A cascade.