acid precursor. 6 CRH plays a key role in regulating the basal and stress-induced pituitary-adrenal axis that increases glucocorticoid and androgen secretion. 7 CRH release in response to acute stress is essential for the survival of the organism, but CRH released as a result of exposure to chronic stress may influence emotions and exert negative effects on the homeostasis of the organism's physiological functions. 8 Urocortin 1 (UCN1),-2, and-3 were identified as a 2nd mammalian CRH family of peptides. Vaughan et al identified UCN1 in the Edinger-Westphal nucleus and lateral superior olive regions of the rat brain as a mammalian member of the mammalian CRH family of peptides. 9 The peptide was named UCN1 because of its homology with fish urotensin and CRH. UCN2 (38 amino acids) and UCN3 (38 amino acids) were identified as members of CRH-like peptides by searching human genome databases and cloning from human and mouse cDNA libraries. 10,11 Simultaneously, human stresscopin (N-terminally 2-amino acid extended UCN3) and stresscopin-related peptide (N-terminally 5-amino acid extended UCN2) were identified as members of the CRH family of peptides by Hsu et al. 12 Although CRH mRNA is expressed widely throughout the brain, UCN mRNA expression has restricted expression levels in the mammalian brain. 13 In peripheral tissue, UCN1 mRNA is broadly expressed in multiple organs, including the pituitary, gastrointestinal tract, testis, heart, G-protein coupled receptors (GPCRs) belong to the largest and most diverse superfamily of cell surface receptors. They react to extracellular stimuli and regulate cardiovascular (CV) function through cellular G-protein-mediated signaling. 1 GPCRs are a conserved family of 7 transmembrane receptors that have been targeted for drug therapy. 2 GPCRs are involved in cardiac dysfunction and hypertension, 3 and inhibitors of GPCRs are widely used to treat patients with CV diseases such as heart failure and hypertension. 4 Several studies have investigated various aspects of 2 GPCR families, β-adrenergic receptors and angiotensin II receptors, in CV diseases. There are approximately 800 GPCRs in humans, but the role of most of the GPCRs in CV diseases remains unclear, suggesting that uncharacterized GPCRs have considerable potential in the development of novel therapeutics for CV diseases. This review focuses on corticotropin-releasing hormone receptors (CRHRs) as potential therapeutic GPCRs in CV diseases, as well as their agonists and antagonists. Corticotropin-Releasing Hormone Family CRH, also named corticotropin-releasing factor, is a peptide that was first characterized from the ovine hypothalamus. 5 CRH is a 41-amino acid polypeptide (Figure) generated by the cleavage of the C-terminus of pre-proCRH, a 196-amino