Pituitary adenylate cyclase-activating polypeptide (PACAP) evokes tachycardia followed by a larger cholinergic bradycardia in isolated guinea pig hearts. We used the selective PAC1 receptor agonist maxadilan and vasoactive intestinal polypeptide (VIP) to test the hypothesis that PACAP27-evoked tachycardia and bradycardia are mediated by VPAC and PAC1 receptors, respectively. Chronotropic actions of these peptides were evaluated in isolated perfused hearts. Direct neuronal actions were determined by intracellular voltage recordings from cholinergic neurons in atrial ganglion whole mounts. Administration of 1 nmol of PACAP27 to isolated hearts evoked typical biphasic rate responses, whereas 1 nmol of maxadilan caused only a minor rate decrease. Desensitization with VIP eliminated the positive chronotropic effect of PACAP27 selectively. Local application of PACAP27 to cardiac neurons frequently evoked slow depolarization and caused prolonged increase of neuronal excitability. Maxadilan rarely affected membrane potential but consistently increased excitability. VIP had no effect on excitability and evoked depolarization in only a few neurons. Because maxadilan increased neuronal excitability but did not trigger action potentials as PACAP often does, we evaluated the interaction of maxadilan with substance P (SP) in isolated hearts. SP depolarizes cardiac neurons more consistently than PACAP, often triggers neuronal action potentials, and causes bradycardia but does not increase neuronal excitability. Maxadilan had a persistent effect to augment negative chronotropic responses to SP. These findings support our hypothesis that PACAP evokes tachycardia and bradycardia through VPAC and PAC1 receptors, respectively. They also suggest that maxadilan and PACAP27 differ in activating PAC1 receptors on cardiac neurons and/or stimulating downstream signaling mechanisms.Pituitary adenylate cyclase-activating polypeptide (PACAP) and vasoactive intestinal polypeptide (VIP) are neuropeptides that belong to the same peptide family, have a wide distribution in the autonomic nervous system, and exert prominent pharmacological effects on cardiovascular function (Vaudry et al., 2000;Laburthe and Couvineau, 2002). Endogenous PACAP occurs as a full-length peptide composed of 38 amino acids (PACAP38) and as a truncated peptide with 27 amino acids (PACAP27). Both forms of PACAP have substantial sequence homology with VIP, and as a consequence, there is some overlap of the pharmacological profiles of these neuropeptides. Shared pharmacological actions of PACAP and VIP can be attributed, in large part, to both peptides having comparable high affinities for the VPAC1 and VPAC2 subtypes of the VIP receptor. In contrast, PACAP receptors (i.e., PAC1) have a very low affinity for VIP but exhibit a high affinity for PACAP27 and PACAP38. Structural analogs of VIP have been developed as selective agonists for VPAC1 and VPAC2 receptors, whereas the only selective PAC1 receptor agonist is a peptide named maxadilan, which was isolated from the...