The binding of biologically active 125I-labeled heat-stable enterotoxin (ST) of Escherichia coli with cultured mammalian cells was dose dependent and could be inhibited with low concentrations of unlabeled toxin or by neutralization with specific antiserum. There was positive cooperativity among cell binding sites. A single cultured cell bound approximately 4 X 10(4) molecules of ST; the dissociation constant was 1.33 X 10(-10) M. The specific binding of ST was partially inhibited by Pronase (Sigma Chemical Company, St. Louis, Missouri) and trypsin, but not by lipid- or carbohydrate-specific enzymes, simple sugars, or saccharides. Addition of ST to cultures of rat basophilic leukemia cells resulted in a dose-dependent secretion of histamine. Pharmacologic agents that inhibited calcium uptake or prostaglandin synthesis decreased the amount of histamine released. These data demonstrate the specific binding of ST by cultured cells and support the contention that calcium and prostaglandins may be important in the molecular mechanism(s) whereby ST activates guanylate cyclase.