Samson WK, Bagley SL, Ferguson AV, White MM. Hypocretin/ orexin type 1 receptor in brain: role in cardiovascular control and the neuroendocrine response to immobilization stress. Am J Physiol Regul Integr Comp Physiol 292: R382-R387, 2007. First published August 10, 2006; doi:10.1152/ajpregu.00496.2006.-Hypocretin/orexin acts pharmacologically in the hypothalamus to stimulate stress hormone secretion at least in part by an action in the hypothalamic paraventricular nucleus, where the peptide's receptors have been localized. In addition, orexin acts in the brain to increase sympathetic tone and, therefore, mean arterial pressure and heart rate. We provide evidence for the role of endogenously produced hypocretin/orexin in the physiological response to immobilization stress and identify the receptor subtype responsible for this action of the peptide. Antagonism of the orexin type 1 receptor (OX 1R) in the brain prevented the ACTHstimulating effect of centrally administered hypocretin/orexin. Furthermore, pretreatment of animals with the OX 1R antagonist blocked the ACTH response to immobilization/restraint stress. The OX 1R antagonist did not, however, block the pharmacological or physiological release of prolactin in these two models. Antagonism of the OX 1R also blocked the central action of orexin to elevate mean arterial pressures and heart rates in conscious rats. These data suggest receptor subtype-selective responses to hypocretin/orexin and provide further evidence for the importance of endogenously produced peptide in the physiological control of stress hormone secretion. autonomic function; hypothalamus; adrenocorticotropin; prolactin IN ADDITION TO THE WELL-CHRONICLED pharmacological actions of the hypocretins/orexins on arousal state (6,23,29,36), the peptides (referred to here simply as orexins) exert a variety of behavioral (24), autonomic (7,15,34), and endocrine (1, 5, 7, 13, 22, 26 -28, 31, 32) actions mediated by the two characterized binding proteins, the orexin type 1 (OX 1 R) and the orexin type 2 (OX 2 R) receptors (29). Although orexin A and orexin B have many common pharmacological effects, some actions unique to one and not the other have been reported (7,36). Since orexin A binds with higher affinity to the OX 1 R than orexin B and both isoforms bind with apparently equal affinity to the OX 2 R, many investigators have narrowed their attention to the pharmacological effects of orexin A. Our original studies focused on endocrine, cardiovascular, and behavioral actions of orexin A in the hypothalamus and brain stem (7,32,37,38). We demonstrated direct neuronal actions of orexin in the hypothalamic paraventricular nucleus (PVN) and established that the action of exogenous orexin to stimulate the hypothalamic-pituitary-adrenal (HPA) axis was mediated at least in part by the release of corticotrophin-releasing hormone (CRH) (32). We have attempted to identify the receptor subtype responsible for the cardiovascular and neuroendocrine actions of these peptides and provide evidence for the i...