Structural determinants within the parathyroid hormone (PTH)/PTH-related peptide (PTHrP) receptor that mediate G-protein activation of adenylate cyclase and phospholipase C are unknown. We investigated the role of the N-terminal region of the third intracellular loop of the opossum PTH/PTHrP receptor in coupling to two signal transduction pathways. We mutated residues in this region by tandem-alanine scanning and expressed these mutant receptors in COS-7 cells and/ The parathyroid hormone (PTH) 1 /PTH-related peptide (PTHrP) receptor is a G-protein-coupled receptor (GPCR) that initiates biological responses to PTH, the major endocrine regulator of calcium and skeletal homeostasis, as well as PTHrP, a cytokine essential for normal endochondral bone formation (1-3). The PTH/PTHrP receptor, by primary sequence alignment, belongs to a distinct subfamily of GPCRs, the PTH/ secretin receptor subfamily, which includes receptors for calcitonin, secretin, vasoactive intestinal polypeptide, gastric inhibitory peptide, glucagon, glucagon-like peptide-1 (GLP-1), corticotrophin-releasing factor, pituitary adenylate cyclase-activating polypeptide (PACAP), and the insect diuretic hormone (4). The PTH/PTHrP receptor mediates its actions by coupling to second messenger generation (cAMP, inositol trisphosphate (IP 3 ), and intracellular Ca 2ϩ ), presumably through activation of G s and G q /G q -like proteins (5, 6). The ability to generate second messengers through two signaling pathways is a distinct functional property shared among many members of the PTH/secretin receptor subfamily. Thus far, the structural features responsible for coupling to dual signaling pathways are unknown for any receptor in this subfamily.Structure-function studies of signal transduction properties of GPCRs have been best described for members of the rhodopsin/adrenergic receptor subfamily. Overall, these studies have showed that all intracellular regions of the receptors contribute to the domains which couple to signaling pathways (7,8). Four intracellular regions (the N-and C-terminal portions of the third intracellular (IC-3) loop, the C-terminal portion of the IC-2 loop, and N-terminal portion of the cytoplasmic tail) have all been shown to play a critical role in G-protein coupling (7,8). Direct sequence comparisons of these intracellular regions between members of the PTH/secretin and the rhodopsin/adrenergic receptor subfamilies, however, have revealed no sequence homologies in these regions. This, therefore, excludes the possibility of identifying shared sequence motifs required for G-protein coupling among these receptors.Studies of signal transduction mediated by the PTH/secretin receptor subfamily have, thus far, provided limited information. Studies comparing different splice variants of members of this subfamily suggested that inserted sequences in the Nterminal region of the IC-1 loop and the C-terminal region of the IC-3 loop could play a role in modulating receptor-G-protein coupling. Insertions in the IC-1 domain of receptors for both...