Upon hormone stimulation, the sst2 somatostatin receptor couples to adenylyl cyclase through G i/o proteins and undergoes rapid endocytosis via clathrin-coated pits. In this study, we determined the relationship between the ability of ligands to induce sst2 receptor internalization and inhibit adenylyl cyclase. Immunocytochemical studies demonstrated that peptide agonists octreotide, vapreotide,and nonpeptide agonists (such as L-779,976), stimulated the rapid endocytosis of sst2 receptors in human embryonic kidney 293 and CHO-K1 cells. In contrast, two antagonists did not induce receptor endocytosis by themselves and completely blocked agonist stimulation. Using a quantitative enzyme-linked immunosorbent assay to measure sst2 receptor sequestration, we found that peptide agonists varied by more than 100-fold in their potencies but exhibited the same efficacy as somatostatin14. In contrast, L-779,976 did not induce maximal receptor internalization. It is interesting that although arrestin-2 was recruited to cell surface sst2 receptors after stimulation with either somatostatin14 or L-779,976, the arrestin-receptor complex dissociated earlier in the endocytic pathway with the nonpeptide ligand. Although all agonists, including L-779,976, produced the same maximal inhibition of cyclic AMP, the potency ratio for inhibition of cyclic AMP and stimulation of receptor endocytosis varied by 15-fold. In general, native peptides showed similar potencies for cyclic AMP inhibition and receptor endocytosis, whereas short therapeutic analogs were substantially more potent at inhibiting cyclic AMP synthesis. These results demonstrate that the activity of somatostatin analogs to regulate receptor endocytosis and signaling are not tightly linked and provide compelling evidence for the induction of agonist specific states of the sst2 receptor.Somatostatin is a regulatory peptide that exerts a broad spectrum of actions in endocrine, neuroendocrine, neuronal, smooth muscle, and immune cells (for review, see Schonbrunn, 2001Schonbrunn, , 2004Olias et al., 2004). These actions include modulation of neurotransmission in the central and peripheral nervous system, inhibition of hormone secretion by the pancreas and the pituitary, inhibition of exocrine secretion in the pancreas and the gastrointestinal tract, and regulation of smooth muscle contraction. Moreover, somatostatin has been shown to inhibit secretion and growth by a number of neuroendocrine tumors (Reubi, 1997). The biological actions of somatostatin are mediated by six G protein-coupled receptors encoded by five genes, named sst1 through sst5. The sst2 receptor exists in two variants in rodents: the unspliced sst2A form and the spliced sst2B form with a different carboxyl terminus. So far, however, only the sst2A variant has been found in humans.The sst2 receptor is the most widely distributed somatostatin receptor subtype in both normal tissues and tumors and hence has been aggressively targeted pharmacologically.