The mechanisms for the vascular actions of vasodilatory-blockers remain undetermined. For some kinds of-blockers, the involvement of nitric oxide (NO) has been suggested. We studied the effects of vasodilatory-blockers on renal perfusion pressure (RPP) and NO release in the rat kidney. Infusion of bopindolol, celiprolol, and nebivolol caused a dose-dependent reduction in RPP and an increase in NO release (RPP: bopindolol 10 6 mol/L, 232%; celiprolol 10 4 mol/L, 272%; nebivolol 10 5 mol/L, 353%; NO: bopindolol 10 6 mol/L, 332; celiprolol 10 4 mol/L, 412; nebivolol 10 5 mol/L, 455 fmol min 1 g kidney 1 , meanSEM). Metergoline (10 6 mol/L), a 5-hydroxytryptamine (5-HT) 1/2 antagonist, or NAN-190 (10 6 mol/L), a 5-HT 1A antagonist, almost completely abolished the vasorelaxation and NO release caused by bopindolol, celiprolol, and nebivolol. However, neither propranolol nor bisoprolol decreased RPP. Celiprolol and nebivolol caused vasodilation in the rat thoracic aorta, and it was markedly reduced by endothelial denudation, N-nitro-L-arginine methyl ester (10 4 mol/L), or NAN-190 (10 6 mol/L). In deoxycorticosterone acetate-salt hypertensive rats, 4-week administration of celiprolol (50 mg kg 1 d 1 IV) restored the responses regarding RPP and NO release to acetylcholine. These results suggest that several-blockers exert their vasodilatory action through the 5-HT 1A receptor/NO pathway and that treatment with these-blockers may protect against endothelial injury in hypertension. (Hypertension. 1999;33[part II]:467-471.) Key Words: nitric oxide kidney receptors, adrenergic, beta 5-hydroxytryptamine T he mechanism for vasodilation by some-adrenoceptor antagonists (-blockers) is not fully understood. It has been partly explained by intrinsic sympathomimetic activity (ISA). 1 Celiprolol 2 and dilevalol 3 are known to stimulate 2-adrenoceptors. Other mechanisms, such as the blockade of calcium channels by betaxolol 4 and the blockade of-adrenoceptors, have been reported, suggesting that the mechanisms for vasodilator-blockers may be heterogeneous. Although vasodilatory-blockers have little negative chronotropic actions, previous studies have shown that the long-term administration of bucindolol or carvedilol is beneficial in terms of ventricular function and mortality rate in congestive heart failure, 5,6 probably because of the reduction in cardiac afterload and the increase in coronary blood flow. Recent studies have also suggested that several sorts of vasodilatory-blockers, such as tertatolol and nebivolol, exert their effects partly via endothelium-derived nitric oxide (NO) release because their vasodilator effects are endothelium dependent and are suppressed by N-nitro-L-arginine, an NO synthase (NOS) inhibitor; by hemoglobin, a scavenger of NO; or by methylene blue, a soluble guanylate cyclase inhibitor. 7-10 If NO were involved in the effects of vasodilatory-blockers, we could expect these to exert nitrate-like effects and prevent cardiovascular complications, including ischemic organ damage. However, the mechanism...