In the present study, we evaluated the relative abundance of angiotensin type 2 receptor (AT2R) protein in various tissues of adult rats. We found that pancreatic islets expressed the highest AT2R protein compared with all other tissues. Accordingly, we then determined the functional significance of AT2R in the endocrine pancreas in in vivo and in vitro experiments by using angiotensin II (ANG II) alone, losartan (Los; AT1R antagonist), compound 21 (C21; AT2R agonist), and PD-123319 (PD; AT2R antagonist). Experiments carried out in rats indicated that, 1) ANG II treatment significantly increased plasma insulin concentration (1.51 Ϯ 0.20 vs. 0.82 Ϯ 0.14 ng/ml, n ϭ 7, P Ͻ 0.05) in the fed state. This insulinotropic effect was further augmented by combined treatment with ANG II ϩ Los (2.31 Ϯ 0.25 ng/ml, n ϭ 7, P Ͻ 0.01). C21 also elevated insulin levels (2.13 Ϯ 0.20 ng/ml, n ϭ 7, P Ͻ 0.01), which was completely abolished by PD. 2) ANG II impaired glucose tolerance, whereas ANG II ϩ Los or C21 improved this function. 3) All treated rats displayed an enhanced insulin secretory response to a glucose challenge. 4) All treated rats displayed upregulated proinsulin 2 mRNA and insulin protein expression in the pancreas. In in vitro experiments using INS-1E cells and isolated rat islets, we found that AT2R activation significantly improved insulin biosynthesis and secretion. These results suggest that the AT2R functions as an insulinotropic mediator. AT2R and its downstream signaling pathways may be potential therapeutic targets for diabetes. compound 21; insulin production; INS-1E cells AS ONE OF THE PRIMARY ANGIOTENSIN II (ANG II) receptor subtypes, the angiotensin type 2 receptor (AT 2 R) was pharmacologically identified (10, 41) and molecularly cloned (19,27) around 20 years ago. However, a complete understanding of the function of the AT 2 R is still incomplete. Evidence implies that the AT 2 R exerts numerous effects such as vasodilatation, tissue protection, and regeneration (21). These biological actions, however, are rarely observed in intact animals because of the relatively lower expression level of AT 2 R compared with its antagonistic twin, the angiotensin type 1 receptor (AT 1 R), and the absence of an exclusive native ligand to the AT 2 R (13).Another reason that AT 2 R actions are not well appreciated comes from the prevailing concept concerning its ontogeny (13). The AT 2 R has long been considered to express at high levels in the fetus and then dramatically decline within 24 h after birth. As a consequence, the AT 2 R in the adult animal has been believed to be a retrogressive receptor and play a minor regulatory role (5). Recent data from our laboratory, however, documented that this dogma may not be true (42). We found that adult rat (43) and mouse (15) expressed significantly higher AT 2 R protein compared with the fetus and neonate. We believe that these results suggest an important function for the AT 2 R in adulthood (16,17).ANG II has been recently assumed to play a role in the regulation of pancre...