Abstract. We examined the effect of Y-27632 ((+)-(R)-trans-4-(1-aminoethyl)-N-(4-pyridyl)cyclo-hexanecarboxamide), a selective Rho-associated kinase (ROCK) inhibitor, on agonist-induced inotropy in isolated mouse left atria. Endothelin-1, angiotensin-II, and prostaglandin F 2a (PGF 2a ) produced positive inotropy, which was significantly attenuated by Y-27632 (100 mM). On the other hand, isoproterenol-induced positive inotropy was not attenuated by the drug. These results provide the first evidence that the Rho / ROCK pathway is involved in endothelin-1-, angiotensin-II-, and PGF 2a -induced positive inotropy, but not in b-adrenoceptormediated positive inotropy.