The present study investigated the serotonin-induced increase in phosphoinositide hydrolysis and mobilization of intracellular Ca 2ϩ ([Ca 2ϩ ] i ) in human uterine smooth muscle cells (HUSMCs) to identify the serotonergic receptor positively coupled to phospholipase C in these cells. In phosphoinositide (PI) assays, serotonin (5-HT) and ␣-methyl-5-HT were potent, full agonists (EC 50 ϭ 20 and 4.1 nM, respectively), whereas the phenyleth- Serotonin (5-hydroxytryptamine, 5-HT) is known to exert a wide variety of physiological actions through its interaction with an extensive family of 5-HT cell surface receptors (Hoyer et al., 1994(Hoyer et al., , 2002. In particular, the 5-HT 2 receptor family comprises three subtypes, 5-HT 2A , 5-HT 2B , and 5-HT 2C , which have been reported to play a major role in a host of central nervous system functions including anxiety, depression, migraine, obesity, and schizophrenia. Due to the involvement of 5-HT 2 receptor signaling in these disorders, there has been an increased interest in the therapeutic potential of selective 5-HT 2 ligands as antidepressants, antiobesity drugs, and anxiolytic agents (Hoyer et al., 1994;. Further studies have identified serotonin in human aqueous humor (Veglio et al., 1998) and functionally coupled 5-HT 2 receptors in rat retinal pigment epithelial cells (Osborne et al., 1993) and bovine ciliary epithelium (Inoue-Matsuhisa et al., 2003).These findings suggested a possible role of serotonin and its receptors in aqueous humor dynamics and as a possible target for ocular pathologies. Indeed, it has recently been shown that topical ocular administration of 5-HT 2 receptor agonists effectively lowered intraocular pressure in a nonhuman primate model of laser-induced ocular hypertension (May et al., 2003), suggesting a potential utility of 5-HT 2 agonists as antiglaucoma therapeutics. However, the current lack of subtype-selective ligands, especially agonists, has made it difficult to ascribe the hypotensive action of these molecules to an individual 5-HT 2 receptor subtype.Recently, the appetite suppressant fenfluramine was withArticle, publication date, and citation information can be found at