Pituitary adenylate cyclase-activating polypeptide (PACAP) and vasoactive intestinal polypeptide (VIP) have been found within mammalian intracardiac ganglia, but the cellular effects of these neuropeptides remain poorly understood. Fluorometric calcium imaging and whole cell patch clamp recordings were used to examine the effects of PACAP and VIP on [ Pituitary adenylate cyclase-activating polypeptide (PACAP) 1 and vasoactive intestinal polypeptide (VIP) are pleiotropic neuropeptides that belong to the glucagon/secretin/growth hormone-releasing factor family of peptides (1-4). These neuropeptides have pronounced effects on the central nervous system as well as on neurons and effector targets of the autonomic nervous system. For example, in the central nervous system, PACAP is involved in hippocampal synaptic plasticity and associative learning in mice (5), whereas VIP has been shown to regulate intrathalamic rhythm activity and may modulate information transfer through the thalamocortical circuit (6). In the peripheral nervous system, PACAP and VIP appear to play a major role in autonomic regulation of the cardiovascular system. VIP has been shown to cause positive chronotropic and inotropic effects (7-9). In contrast, PACAP has been shown to cause a transient increase in sinus rate and atrial contractility that is followed by negative chronotropic and inotropic responses in isolated canine atria (10). Also, both PACAP and VIP are potent dilators of coronary arteries (11,12). Whereas these neuropeptides can directly influence cardiac tissues, the effects of PACAP and VIP on the heart are in part due to neuroregulatory effects on parasympathetic intracardiac ganglia (9,10,13,14).Mammalian intracardiac ganglia play a major role in neuronal control of the heart and are believed to be capable of independently monitoring and influencing cardiac function. A variety of neurotransmitters and neuromodulators, including PACAP and VIP, appear to be involved in the relaying of information within intracardiac ganglia and onto effector targets such as cardiac valves, coronary arteries, and cardiomyocytes. PACAP and VIP have been detected by immunocytochemistry in nerve fibers in the heart, coronary vasculature, and cardiac parasympathetic ganglia (15)(16)(17)(18)(19)(20). Although extrinsic fibers may be one source of these neuropeptides in the heart (21), PACAP and VIP are also found in cell bodies and nerve fibers of intrinsic cardiac neurons (15)(16)(17)(18)(19)(20). Despite the fact that data clearly demonstrate that these endogenous neuropeptides are potent regulators of the cardiovascular system, the cellular mechanisms mediating their effects remain poorly understood. There are also conflicting reports in the literature concerning the mechanisms by which PACAP and VIP regulate the function of intrinsic cardiac neurons. For example, it has been suggested that PACAP and VIP modulate neurotransmission