The aim of this study was to elucidate the mechanism by which prostaglandin E(1) (PGE(1)) acts on ion currents of whole-cell voltage-clamped NG108-15 neuroblastomaxglioma hybrid cells. Ruptured and perforated patch were used. The holding current at -70 mV, the current-voltage curve produced by ramp pulses from -70 to 0 mV and the T-type and hva (high-voltage-activated) Ca(2+) currents associated with rectangular pulses were recorded. Bath application of PGE(1) (0.2 or 3 microM) reversibly increased the holding current, an effect mimicked by the prostanoid agonist iloprost (5-50 nM). The PGE(1) effect was totally blocked by the cAMP-antagonist Rp-cAMPS whereas H-89, an inhibitor of protein kinase A (PKA), failed to inhibit it, even when applied in the fairly high bath concentration of 30 microM. PGE(1) and iloprost also inhibited the T-type and hva Ca(2+) currents and this effect of PGE(1) was likewise not prevented by H-89. In some of the cells, the PGE(1) effect on holding current could be mimicked by 8-pCPT-2Me-cAMP (100-300 microM), a selective agonist of Epac (exchange protein activated by cAMP), but unlike the PGE(1) effect its action was not abolished by Rp-cAMPS. The effect of PGE(1) on the the holding current and on the T-type Ca(2+) current was diminished when EGTA in the pipette solution was replaced by BAPTA, suggesting that Ca(2+) ions are involved in the PGE(1) effect. It is concluded that the PGE(1) effect is mediated by cAMP and Ca(2+) ions but not by PKA or Epac.