Autocrine and paracrine signaling leading to stimulation of tumor cell growth is a common theme in human cancers. In addition to polypeptide growth factors such as EGF family members which signal through receptor tyrosine kinases, accumulating evidence supports the autocrine and paracrine involvement of speci®c neuropeptides with de®ned physiologic actions as neurotransmitters and gut hormones in lung, gastric, colorectal, pancreatic and prostatic cancers. These neuropeptides, including gastrin-releasing peptide, neuromedin B, neurotensin, gastrin, cholecystokinin and arginine vasopressin bind seven transmembrane-spanning receptors that couple to heterotrimeric G proteins. Studies with human small cell lung cancer (SCLC) cells support a requirement for balanced signaling through G q and G 12/13 proteins leading to intracellular Ca 2+ mobilization, PKC activation and regulation of the ERK and JNK MAP kinase pathways. While speci®c neuropeptide antagonists o er promise for interrupting the single neuropeptide autocrine systems operating in pancreatic and prostatic cancers, SCLC is exempli®ed by multiple, redundant neuropeptide autocrine systems such that tumor growth cannot be inhibited with a single speci®c antagonist. However, a novel class of neuropeptide derivatives based on the substance P sequence have been de®ned that exhibit broad speci®city for neuropeptide receptors and induce apoptosis in SCLC by functioning as biased agonists that stimulate discordant signal transduction. Thus, interruption of autocrine and paracrine neuropeptide signaling with speci®c antagonists or broad-spectrum biased agonists o er promising new therapeutic approaches to the treatment of human cancers. Oncogene (2001) 20, 1563 ± 1569.