Modulation of voltage-gated Ca 2+ channels via G-protein-coupled receptors is a prime mechanism regulating neurotransmitter release and synaptic plasticity. Despite extensive studies, the molecular mechanism underlying G q/11-mediated modulation remains unclear. We found cloned and native N-type Ca 2+ channels to be regulated by phosphotidylinositol 4,5-bisphosphate (PIP 2). In inside-out oocyte patches, PIP 2 greatly attenuated or reversed the observed rundown of expressed channels. In sympathetic neurons, muscarinic M 1 ACh receptor suppression of the Ca 2+ current ( I Ca) was temporally correlated with PIP 2 hydrolysis, blunted by PIP 2 in whole-cell pipettes, attenuated by expression of PIP 2-sequestering proteins, and became irreversible when PIP 2 synthesis was blocked. We also probed mechanisms of receptor specificity. Although bradykinin also induced PIP 2 hydrolysis, it did not inhibit I Ca. However, bradykinin receptors became nearly as effective as M 1 receptors when PIP 2 synthesis, IP 3 receptors, or the activity of neuronal Ca 2+ sensor-1 were blocked, suggesting that bradykinin receptor-induced intracellular Ca 2+ increases stimulate PIP 2 synthesis, compensating for PIP 2 hydrolysis. We suggest that differential use of PIP 2 signals underlies specificity of G q/11-coupled receptor actions on the channels.