Epidermal Langerhans cells (LC) are associated anatomically with epidermal nerves, and a product of these nerves, calcitonin gene-related peptide (CGRP), inhibits the antigen-presenting capacity of LC and macrophages. As the CGRP receptor appears to be coupled to Gs a protein, which in turn activates adenylate cyclase, the ability of CGRP to induce cAMP in LC was examined and correlated with functional effects. LC were isolated from murine epidermal cells using antibodies on magnetic microspheres. Exposure to CGRP induced a significant increase in cAMP content, which could be inhibited by coculture with a truncated form of CGRP ] that is a specific competitive inhibitor of CGRP. Substance P and calcitonin failed to induce cAMP in LC. Although culture in CGRP reduced the ability of murine epidermal cells enriched for LC content to present pigeon cytochrome c to a responsive clone or to present antigen for elicitation of delayed-type hypersensitivity in immune mice, culture in forskolin had little or no effect on antigen presentation despite increased cAMP content of LC as much or more than that induced by CGRP. The effect of CGRP on antigen presentation in these systems could be blocked with CGRP-(8-37). CGRP inhibited the induction of B7-2 by lipopolysaccharide on peritoneal macrophages and a LC line, whereas calcitonin did not. CGRP induces specific accumulation of cAMP in LC and inhibits LC antigen-presenting function by a receptor-mediated event. However, the induction of cAMP by itself does not account for inhibition of antigen presentation. Suppression of the expression of B7-2 may be one mechanism by which CGRP inhibits antigen presentation.Langerhans cells (LC) are dendritic antigen-presenting cells in the skin that play a key role in the cutaneous immune system (1). We have recently discovered an anatomical association between LC and peripheral nerves and have hypothesized that the nervous system regulates the function of LC via release of neuron-derived factors, resulting in the modulation of cutaneous immune responses (2). In particular, calcitonin generelated peptide (CGRP), a major neuropeptide of peripheral sensory nerves (3), was found on the surface of some epidermal LC, and CGRP inhibited the antigen-presenting function of LC in some assay systems (2). We aimed to elucidate this relationship further and to obtain direct evidence for the presence of specific receptors for CGRP on LC.Many neuropeptides (4), as well as many neurotransmitters (5), transduce signals through specific membrane receptors that belong to the large family of G protein-coupled receptors.Two major second-messenger systems, the cAMP-protein kinase A pathway and the phosphatidylinositol-protein kinase C (PKC) pathway, are activated through G proteins, and several ion channels are also modulated by second-messenger systems coupled to G proteins (6). The CGRP receptor appears to be coupled to Gs a subunit, which in turn activates adenylate cyclase (7). Increases in cellular cAMP concentration and/or adenylate cyclase a...