Circulating levels of arginine vasopressin (AVP) are elevated during hypovolemia and during cardiac stress. AVP activates arginine vasopressin type 1A (V 1A )/Ga q -coupled receptors in the heart and vasculature and V 2 /Ga s -coupled receptors in the kidney. However, little is known regarding the signaling pathways that influence the effects of V 1A receptor (V 1A R) activation during cellular injury. Using hypoxia-reoxygenation (H/R) as a cell injury model, we evaluated cell survival and caspase 3/7 activity in H9c2 myoblasts after treatment with AVP. Pretreatment of H9c2 cells with AVP significantly reduced H/R-induced cell death and caspase 3/7 activity, effects that were blocked via both selective V 1A R inhibition and mitogenactivated protein kinase (MEK1/2) inhibition. AVP increased extracellular-regulated kinase 1/2 (ERK1/2) phosphorylation in a concentration-dependent manner that was sensitive to MEK1/2 inhibition and V 1A R inhibition, but not V 1B R or V 2 R inhibition. Discrete elements of the V 1A /Ga q -protein kinase C (PKC) and V 1A /G protein-coupled receptor kinase (GRK)/b-arrestin signaling cascades were inhibited to dissect the pathways responsible for the protective effects of V 1A R signaling: Ga q (overexpression of Gq-I-ires-green fluorescent protein), PKC (administration of Ro 31-82425; 2-[8-(aminomethyl)-6,7,8,9-tetrahydropyrido[1,2-a]indol-3-yl]-3-(1-methyl-1H-indol-3-yl)maleimide, HCl, bisindolylmaleimide X, HCl), GRK2 [C-terminal GRK2 peptide overexpression and small interfering RNA (siRNA) knockdown], GRK5 (siRNA knockdown), and b-arrestin1 (siRNA knockdown). These studies demonstrated that both Ga q /PKC-and GRK2/b-arrestin1-dependent V 1A R signaling were capable of inducing ERK1/2 phosphorylation in response to AVP stimulation. However, AVP-mediated protection against H/R was elicited only via GRK2-and b-arrestin1-dependent signaling. These results suggest that activation of the V 1A R in H9c2 cells mediates protective signaling via a GRK2/b2 arrestin1/ERK1/2-dependent mechanism that leads to decreased caspase 3/7 activity and enhanced survival under conditions of ischemic stress.