Multiple receptor activation elicits synergistic IP formation in nonpigmented ciliary body epithelial cells

We have examined theinteraction between muscarinic and ₂-adrenergic receptoractivation on inositol phosphate (IP) formation in the nonpigmentedcells of the ciliary body epithelium (NPE cells) of the rabbit. We havecompared these changes with those previously observed in theintracellular free Ca²⁺ concentration. Whereas muscarinicreceptor activation causes an increase in intracellularCa²⁺ and IP formation, activation of₂-receptors does not significantly increase eitherintracellular Ca²⁺ or IPs over basal levels. However,simultaneous activation of muscarinic and ₂-adrenergicreceptors with the specific agonists carbachol and UK-14304 producesmassive Ca²⁺ increases and results in a synergisticincrease in IP formation. This synergistic IP formation is inhibited byboth muscarinic and ₂-adrenergic receptor antagonists aswell as by pertussis toxin and an inhibitor of phospholipase C. IPformation is predominantly independent of intracellularCa²⁺, because it is decreased but not prevented by blockingthe entry of Ca²⁺ with LaCl₃ or chelatingintracellular Ca²⁺ with1,2-bis(2-aminophenoxy)ethane-N,N,N',N'-tetraacetic acid. Thus synergistic IP formation underlies, at least in part, the synergistic increase in intracellular Ca²⁺ resulting fromsimultaneous activation of muscarinic and ₂-adrenergic receptors.