We have evaluated the muscarinic acetylcholine family of G protein-coupled receptors (mAChRs) for their oncogenic potential. These receptors are preferentially expressed in postmitotic cells, transducing signals specified by their endogenous agonist, the neurotransmitter acetylcholine. Cells transfected with individual human mAChR genes were morphologically indistinguishable from parental NIH 3T3 cells in the absence of agonist. In contrast, when cultures were supplemented with carbachol, a stable analog of acetylcholine, foci of transformation readily appeared in ml, m3, or m5 but not in m2 or m4 mAChRs transfectants. Receptor expression was verified by ligand binding and was similar for each transfected culture. Transformation was dose-dependent and required only low levels of receptor expression. In transformation-competent cells, agonist induced phosphatidylinositol hydrolysis, whereas in m2 or m4 transfectants, receptors were coupled to the inhibition of adenylyl cyclase. These findings demonstrate that mAChRs linked to phosphatidylinositol hydrolysis can act as conditional oncogenes when expressed in cells capable of proliferation.Receptors for polypeptides, such as epidermal growth factor and platelet-derived growth factor, can induce cellular transformation when constitutively activated (1-4). Structural mutations or unregulated availability of ligand are mechanisms known to account for their transforming activity. These receptors are prototypes of a class that mediate signal transduction by virtue of an intrinsic protein-tyrosine kinase activity (2,5,6). When the mas oncogene was discovered, a class of cell-surface receptors lacking protein-tyrosine kinase domains was also implicated in cellular transformation. The mas oncogene product has a structural motif characteristic of receptors that mediate signal transduction by coupling to GTP-binding proteins (G proteins) (7). Although mas has a weak focus-inducing activity in vitro, cells transfected with this gene are highly tumorigenic in nude mice (7). More recently, G protein-coupled serotonin receptors have been shown to convert fibroblasts to a tumorigenic state (8). Because in these latter cases exogenous ligand is not required for transformation, either these genes encode aberrant receptors or endogenous ligands are responsible for their activation. Thus, ligand independence has limited the study of the mechanism by which these receptors mediate transformation.In the present study, we have directly tested the hypothesis that normal G-protein-coupled receptors can induce agonistdependent neoplastic transformation. We chose a family of cell-surface neurotransmitter receptors, human muscarinic acetylcholine receptors (mAChRs), which possess sequence homology with both mas and the serotonin receptor (9-12). Muscarinic receptors are preferentially expressed in neurons and other postmitotic cells, and they transduce signals specified by their endogenous agonist, the neurotransmitter acetylcholine. The mAChR family consists of five distinct but high...