Hill J, Lee SK, Samasilp P, Smith C. Pituitary adenylate cyclaseactivating peptide enhances electrical coupling in the mouse adrenal medulla. Am J Physiol Cell Physiol 303: C257-C266, 2012. First published May 16, 2012; doi:10.1152/ajpcell.00119.2012.-Neuroendocrine adrenal medullary chromaffin cells receive synaptic excitation through the sympathetic splanchnic nerve to elicit catecholamine release into the circulation. Under basal sympathetic tone, splanchnicreleased acetylcholine evokes chromaffin cells to fire action potentials, leading to synchronous phasic catecholamine release. Under elevated splanchnic firing, experienced under the sympathoadrenal stress response, chromaffin cells undergo desensitization to cholinergic excitation. Yet, stress evokes a persistent and elevated adrenal catecholamine release. This sustained stress-evoked release has been shown to depend on splanchnic release of a peptide transmitter, pituitary adenylate cyclase-activating peptide (PACAP). PACAP stimulates catecholamine release through a PKC-dependent pathway that is mechanistically independent of cholinergic excitation. Moreover, it has also been reported that shorter term phospho-regulation of existing gap junction channels acts to increase junctional conductance. In this study, we test if PACAP-mediated excitation upregulates cell-cell electrical coupling to enhance chromaffin cell excitability. We utilize electrophysiological recordings conducted in adrenal tissue slices to measure the effects of PACAP stimulation on cell coupling. We report that PACAP excitation increases electrical coupling and the spread of electrical excitation between adrenal chromaffin cells. Thus PACAP acts not only as a secretagogue but also evokes an electrical remodeling of the medulla, presumably to adapt to the organism's needs during acute sympathetic stress. acute stress; catecholamine; connexin-43; connexin-36; gap junction ADRENAL MEDULLARY CHROMAFFIN cells are neural crest-derived neurosecretory cells that release catecholamine into the bloodstream (2). Chromaffin cells are innervated by the bifurcating sympathetic splanchnic nerve. Under sympathetic tone, corresponding to the "rest and digest" metabolic state, the splanchnic nerve fires at a modest rate to maintain catecholamine homeostasis. Splanchnic-released acetylcholine binds to nicotinic ionotropic receptors on the chromaffin cell membrane, leading to action potential firing and controlled, phasic catecholamine release (1,7,13,18). Under the acute sympathetic stress response, the splanchnic nerve fires at a heightened rate, leading to rapid and robust cholinergic-evoked catecholamine secretion (25). Yet, the cholinergic pathway rapidly desensitizes (4, 5, 29) while elevated catecholamine secretion persists (44). Pituitary adenylate cyclase-activating peptide (PACAP) is a noncholinergic splanchnic-derived peptide transmitter released selectively during elevated splanchnic firing. PACAP has been identified as the peptide transmitter driving tonic catecholamine secretion after desensi...