Abstract-Treatment of rats with monocrotaline (MCT) leads to pulmonary hypertension, right ventricular (RV) hypertrophy, and finally to RV heart failure. This is associated with characteristic changes in right ventricular -adrenoceptors (-AR), neuronal noradrenaline transporter (NAT) density and activity (uptake 1 ), and G proteincoupled receptor kinase (GRK) activity. This study aimed to find out factors that determine -AR, uptake 1 , and GRK changes. Thus, 6-week-old rats were treated with 50 mg/kg MCT subcutaneous or 0.9% saline. Within 13 to 19 days after MCT application (group A), RV weight (222Ϯ6 versus 147Ϯ5 mg) and RV/left ventricular (LV) weight ratio (0.42Ϯ0.01 versus 0.29Ϯ0.01) were significantly increased, whereas plasma noradrenaline, RV -AR density, RV NAT density and activity, and RV GRK activity were not significantly altered. Twenty-one to twenty-eight days after MCT (group B), however, not only RV weight (316Ϯ4 versus 148Ϯ2 mg) and RV/LV weight ratio (0.61Ϯ0.01 versus 0.3Ϯ0.01) were markedly increased but also plasma noradrenaline (645Ϯ63 versus 278Ϯ18 pg/mL); now, RV -AR density ( 32 P]-rhodopsin in cpm) significantly increased. LV parameters of MCT-treated rats were only marginally different from control LV. We conclude that in MCT-treated rats ventricular hypertrophy per se is not sufficient to cause characteristic alterations in the myocardial -AR system often seen in heart failure; only if ventricular hypertrophy is associated with neurohumoral activation -ARs are downregulated and GRK activity is increased. Key Words: monocrotaline Ⅲ right heart hypertrophy Ⅲ neurohumoral activation Ⅲ -adrenoceptor Ⅲ G protein-coupled receptor kinase I n human heart failure, there are characteristic alterations in the cardiac -adrenoceptor system: selective downregulation of  1 -adrenoceptors with little or no change in  2 -adrenoceptors, reduced adenylyl cyclase activity, increased G protein-coupled receptor kinases (GRKs) activity, and reduced neuronal noradrenaline transporter. [1][2][3][4][5][6] We and others have recently shown that the monocrotaline rat model of right heart failure exhibits alterations in myocardial -adrenoceptors that resemble those in human heart failure: a decrease in -adrenoceptors, a reduction in adenylyl cyclase, an increase in GRK, and a reduction in neuronal noradrenaline transporter. 7-10 These changes appear to occur predominately in right ventricles, and are therefore, well comparable with those observed in patients with primary pulmonary hypertension. 11 Data from the literature and our own data show that a single injection of the pyrrolizidine alkaloid monocrotaline induces in rats within 14 days after application severe pulmonary hypertension, resulting first in development of right ventricular hypertrophy due to apparent pressure overload and then in right heart insufficiency accompanied by an increase in sympathetic nervous system activity. [7][8]10,[12][13][14] Thus, the monocrotaline rat model allows to investigate whether pressure overload evoked hy...