In this study, we evaluated the effect of a 2 -adrenoceptor activation on catecholamine release from the adrenal medulla of pre-hypertensive (6-week-old) and hypertensive (16-week-old) spontaneously hypertensive rats (SHR) and of agematched normotensive control Wistar Kyoto (WKY) rats. Catecholamine overflow from isolated adrenal medullae was evoked by the nicotinic receptor agonist 1,1-dimethyl-4-phenylpiperazinium iodide (DMPP) in the absence and presence of the a 2 -adrenoceptor agonist medetomidine (MED). The spontaneous outflow of adrenaline was similar between age-matched SHR and WKY rats. However, the spontaneous outflow of noradrenaline was significantly lower in SHR compared with agematched WKY rats. DMPP (0.1-3 mM) increased the outflow of noradrenaline and adrenaline in a concentration-dependent manner. The E max values for adrenaline overflow were similar between strains, but the E max values for noradrenaline overflow were significantly lower in SHR. The EC 50 values for noradrenaline and adrenaline overflow were significantly higher in SHR compared with age-matched WKY rats. MED (0.1-300 nM) reduced the DMPP-evoked overflow (DMPP 500 lM) of noradrenaline and adrenaline in a concentration-dependent manner and was capable of totally inhibiting this effect. The inhibitory action of MED was similar between age-matched SHR and WKY rats. In the adrenals, the a 2A -and a 2B -adrenoceptor subtypes had the highest mRNA expression levels; the a 2C -adrenoceptor subtype had the lowest mRNA expression levels. The mRNA levels for the three subtypes were similar between strains. In conclusion, in SHR during the development of hypertension, adrenal a 2 -adrenoceptor inhibitory function is conserved, accompanied by reduced noradrenaline release and unchanged adrenaline release. a 2 -Adrenoceptors are important target molecules for endogenous catecholamines and exogenous pharmacological agents. a 2 -Adrenoceptors consist of three genetically distinct subtypes, a 2A , a 2B and a 2C [1]. Presynaptic a 2 -adrenoceptors play a critical role in regulating noradrenaline release from sympathetic nerve terminals by a negative feedback mechanism [2,3]. Moreover, a 2 -adrenoceptors are solely responsible for autocrine feedback inhibition of noradrenaline and adrenaline secretion from the adrenal medulla [4][5][6][7].Increased activity of the sympathetic nervous system (SNS) accompanied by increased noradrenaline spillover has been implicated in the pathogenesis of essential hypertension in humans [8][9][10] and in an animal model of this disorder, the spontaneous hypertensive rat (SHR) [11,12]. Impairment of presynaptic a 2 -adrenoceptors by a reduced expression of the a 2A -adrenoceptor subtype has been associated with the increased noradrenaline release that is associated with the hypertensive phenotype in SHR [13,14].The adrenal medulla in combination with the SNS also plays a role in the epigenesis of hypertension in SHR. Hypertension and left ventricular hypertrophy were absent only in sympathectomized SHR tha...