Abstract-This study investigated the process of nitric oxide (NO) release from platelets after stimulation with different angiotensin II type 1 (AT 1 )-receptor antagonists and its effect on platelet adhesion and aggregation. Angiotensin II AT 1 -receptor antagonist-stimulated NO release in platelets was compared with that in human umbilical vein endothelial cells by using a highly sensitive porphyrinic microsensor. In vitro and ex vivo effects of angiotensin II AT 1 -receptor antagonists on platelet adhesion to collagen and thromboxane A 2 analog U46619-induced aggregation were evaluated. Losartan, EXP3174, and valsartan alone caused NO release from platelets and endothelial cells in a dose-dependent manner in the range of 0.01 to 100 mol/L, which was attenuated by NO synthase inhibitor N G -nitro-L-arginine methyl ester. The angiotensin II AT 1 -receptor antagonists had more than 70% greater potency in NO release in platelets than in endothelial cells. The degree of inhibition of platelet adhesion (collagen-stimulated) and aggregation (U46619-stimulated) elicited by losartan, EXP3174, and valsartan, either in vitro or ex vivo, closely correlated with the NO levels produced by each of these drugs alone. The inhibiting effects of angiotensin II AT 1 -receptor antagonists on collagen-stimulated adhesion and U46619-stimulated aggregation of platelets were significantly reduced by pretreatment with N G -nitro-L-arginine methyl ester. Neither the AT 2 receptor antagonist PD123319, the cyclooxygenase synthase inhibitor indomethacin, nor the selective thromboxane A 2 /prostaglandin H 2 receptor antagonist SQ29,548 had any effect on angiotensin II AT 1 -receptor antagonist-stimulated NO release in platelets and endothelial cells. Key Words: platelets Ⅲ nitric oxide Ⅲ endothelium Ⅲ angiotensin II Ⅲ angiotensin antagonist P latelets play an important role in arterial thrombosis and the onset of acute myocardial infarction after atherosclerotic plaque rupture. Inhibition of platelet aggregation has become a critical step in preventing thrombotic events that are associated with stroke, heart attack, and peripheral arterial thrombosis. 1 Thrombosis is a multicellular event in which other cells, such as endothelial cells, are involved in the regulation of platelet reactivity. During the past several years, clear evidence has emerged that a concerted action of nitric oxide (NO) generated by either endothelial or platelet NO synthases regulates platelet activation, causing inhibition of adhesion and aggregation. 2,3 Recently developed nonpeptide angiotensin II (Ang II) AT 1 -receptor antagonists (AT 1 -As) make up a new generation of antihypertensive agents that also modulate hemostasis, 4,5 and apparently this effect is not solely a result of Ang II-receptor blockage. Ang II induces an early phase of platelet activation 6 and increases secretion of plasminogen activator inhibitor type I from vascular endothelial cells, 7 whereas AT 1 -As inhibit the vasoconstrictor and platelet aggregation effects induced by tromboxane A 2 (T...