Selective estrogen receptor-␣ and estrogen receptor- agonists rapidly decrease pulmonary artery vasoconstriction by a nitric oxide-dependent mechanism. Am J Physiol Regul Integr Comp Physiol 295: R1486 -R1493, 2008. First published October 1, 2008 doi:10.1152/ajpregu.90667.2008.-Both endogenous and exogenous estrogen decrease pulmonary artery (PA) vasoconstriction. Whether these effects are mediated via estrogen receptor (ER)-␣ or ER-, and whether the contribution of ERs is stimulus-dependent, remains unknown. We hypothesized that administration of the selective ER-␣ agonist propylpyrazole triol (PPT) and/or the selective ER- agonist diarylpropiolnitrile (DPN) rapidly decreases PA vasoconstriction induced by pharmacologic and hypoxic stimuli via a nitric oxide (NO)-dependent mechanism. PA rings (n ϭ 3-10/group) from adult male Sprague-Dawley rats were suspended in physiologic organ baths. Force displacement was measured. Vasoconstrictor responses to phenylephrine (10 Ϫ8 M Ϫ 10 Ϫ5 M) and hypoxia (PO2 35-45 mmHg) were determined. Endothelium-dependent and -independent vasorelaxation were measured by generating dose-response curves to acetylcholine (10 Ϫ8 M Ϫ 10 Ϫ4 M) and sodium nitroprusside (10 Ϫ9 M Ϫ 10 Ϫ5 M). PPT or DPN (10 Ϫ9 M Ϫ 5 ϫ 10 Ϫ5 M) were added to the organ bath in the presence and absence of the NO-synthase inhibitor N -nitro-L-arginine methyl ester (L-NAME) (10 Ϫ4 M). Selective ER-␣ activation (PPT, 5 ϫ 10 Ϫ5 M) rapidly (Ͻ20 min) decreased phenylephrine-induced vasoconstriction. This effect, as well as PPT's effects on endothelium-dependent vasorelaxation, were neutralized by L-NAME. In contrast, selective ER- activation (DPN, 5 ϫ 10 Ϫ5 M) rapidly decreased phase II of hypoxic pulmonary vasoconstriction (HPV). L-NAME eliminated this phenomenon. Lower PPT or DPN concentrations were less effective. We conclude that both ER-␣ and ER- decrease PA vasoconstriction. The immediate onset of effect suggests a nongenomic mechanism. The contribution of specific ERs appears to be stimulus specific, with ER-␣ primarily modulating phenylephrine-induced vasoconstriction, and ER- inhibiting HPV. NO inhibition eliminates these effects, suggesting a central role for NO in mediating the pulmonary vascular effects of both ER-␣ and ER-. propylpyrazole triol; diarylpropiolnitrile; phenylephrine; hypoxic pulmonary vasoconstriction; nongenomic effects FEMALE SEX IS INCREASINGLY recognized as a protective factor in patients suffering from trauma and sepsis (12, 16). The critical role of sex hormones has recently been recognized. In particular, 17-estradiol (E2) has been shown to improve outcomes in experimental trauma hemorrhage and shock (13, 14, 41), sepsis (5, 7, 12), myocardial ischemia-reperfusion (39, 40), and acute lung injury (30,35,42). The protective effects of E2 are mediated via estrogen receptor (ER)-␣ and ER-. The effects of these ER subtypes are tissue and compartment specific. For example, ER-␣ decreases proinflammatory cytokine production by splenic macrophages and Kupffer cells after traumahemor...