Despite important roles in myocardial hypertrophy and benign prostatic hyperplasia, little is known about acute effects of agonist stimulation on ␣ 1a -adrenergic receptor (␣ 1a AR) signaling and function. Regulatory mechanisms are likely complex since 12 distinct human ␣ 1a AR carboxyl-terminal splice variants have been isolated. After determining the predominance of the ␣ 1a-1 AR isoform in human heart and prostate, we stably expressed an epitope-tagged ␣ 1a-1 AR cDNA in rat-1 fibroblasts and subsequently examined regulation of signaling, phosphorylation, and internalization of the receptor. Human ␣ 1a AR-mediated inositol phosphate signaling is acutely desensitized in response to both agonist and phorbol 12-myristate 13-acetate (PMA) exposure. Concurrent with desensitization, ␣ 1a ARs in 32 P ilabeled cells are rapidly phosphorylated in response to both NE and PMA stimulation. Despite the ability of PKC to desensitize ␣ 1a ARs when directly activated with PMA, inhibitors of PKC have no effect on agonist-mediated desensitization. In contrast, involvement of GRK kinases is suggested by the ability of GRK2 to desensitize ␣ 1a ARs. Internalization of cell surface ␣ 1a ARs also occurs in response to agonist stimulation (but not PKC activation), but is initiated more slowly than receptor desensitization. Significantly, deletion of the ␣ 1a AR carboxyl terminus has no effect on receptor internalization or either agonist-induced or GRK-mediated receptor desensitization. Because mechanisms underlying acute agonist-mediated regulation of human ␣ 1a ARs are primarily independent of the carboxyl terminus, they may be common to all functional ␣ 1a AR isoforms.␣ 1a -Adrenergic receptors (␣ 1a ARs) 1 are G protein-coupled receptors (GPCR) that mediate sympathetic nervous system responses such as smooth muscle contraction and myocardial inotropy (1). NE stimulation of ␣ 1 ARs predominantly activates G q and results in membrane polyphosphoinositide hydrolysis by activation of phospholipase C; the resultant second messengers IP 3 and DAG mobilize intracellular calcium and activate protein kinase C (PKC), respectively (2). Three ␣ 1 AR subtypes (␣ 1a , ␣ 1b , and ␣ 1d ) have been cloned and pharmacologically characterized in several expression systems (for review, see Ref.2). Clinically, activation of ␣ 1a ARs has been implicated in the dynamic component of benign prostatic hyperplasia leading to bladder outlet obstruction and in the development of myocardial hypertrophy (3-5). Notwithstanding the importance of ␣ 1a ARs in several pathophysiological states, surprising little is known about mechanisms underlying ␣ 1a AR expression and function. Transcriptional mechanisms unique to ␣ 1a ARs have been shown to be important in maintaining full ␣ 1 AR responsiveness to agonist in rat neonatal myocytes where long term (24 -72 h) NE stimulation leads to up-regulation ␣ 1a AR mRNA and receptor protein expression, concurrent with down-regulation of ␣ 1b and ␣ 1d AR subtypes (5, 6). While important, such long-term studies do not examine...