Transactivation of epidermal growth factor receptor (EGFR) by a 1 -adrenoceptor (a 1 -AR) is implicated in contraction and hypertrophy of vascular smooth muscle (VSM). We examine whether all a 1 -AR subtypes transactivate EGFR and explore the mechanism of transactivation. Chinese hamster ovary (CHO) cells stably expressing one subtype of a 1 -AR were transiently transfected with EGFR. The transactivation mechanism was examined both by coexpression of a chimeric erythropoietin (EPO)-EGFR with an extracellular EPO and intracellular EGFR domain, and by pharmacologic inhibition of external and internal signaling routes. All three a 1 -AR subtypes transactivated EGFR, which was dependent on the increase in intracellular calcium. The EGFR kinase inhibitor AG1478 [4-(39-chloroanilino)-6,7-dimethoxyquinazoline] abrogated a 1A -AR and a 1D -AR induced phosphorylation of EGFR, but both the inhibition of matrix metalloproteinases by GM6001or blockade of EGFR by cetuximab did not. Stimulation of a 1A -AR and a 1D -AR also induced phosphorylation of EPO-EGFR chimeric receptors. Moreover, a 1A -AR stimulation enhanced phosphorylation of extracellular signal regulated kinase (ERK) 1/2 and serine-threonine kinases (Akt), which were both unaffected by AG1478, indicating that ERK1/2 and Akt phosphorylation is independent of EGFR transactivation. Accordingly, inhibitors of ERK1/2 or Akt did not influence the a 1A -AR-mediated EGFR transactivation. Inhibition of calcium/ calmodulin-dependent kinase II (CaMKII), phosphatidylinositol 3-kinase (PI3K), and Src, however, did block EGFR transactivation by a 1A -AR and a 1D -AR. These findings demonstrate that all a 1 -AR subtypes transactivate EGFR, which is dependent on an intracellular signaling route involving an increase in calcium and activation of CaMKII, PI3K, and Src, but not the of ERK1/2 and Akt pathways.