Significance Adhesion G protein-coupled receptors (GPCRs) are expressed in many developing organs, immune cells, and cancer cells, suggesting that they might play an important role in physiological and pathological functions. Compared with their potential importance, their function and signaling mechanisms are poorly understood. Disruption of the G protein-coupled receptor 126 ( Gpr126 ) gene in mice leads to lack of myelination in the peripheral nervous system (PNS) and heart abnormalities. Similarly, the zebrafish mutant line gpr126 st49 exhibits PNS abnormalities but, in contrast, no heart phenotype. Here we provide an explanation for these discrepancies. The presented data suggest that in the heart, the N-terminal fragment of Gpr126 can act independently as a ligand or coreceptor. Taken together, our data provide evidence of tissue- and domain-specific adhesion GPCR function.