The hemodynamic effects of the glucagon-like peptide-1 (GLP-1) receptor agonist, exendin-4, and putative underlying mechanisms were assessed in conscious male Sprague-Dawley rats. At a dose of 25 ng kg Ϫ1 i.v., exendin-4 had little effect, but doses of 250 and 2500 ng kg Ϫ1 had significant tachycardic effects (ϩ66 Ϯ 9 and ϩ95 Ϯ 16 beats min Ϫ1 at 5 min, respectively) and pressor actions (ϩ10 Ϯ 2 and ϩ12 Ϯ 1 mm Hg), accompanied by substantial falls in mesenteric vascular conductance (Ϫ38 Ϯ 3% and Ϫ47 Ϯ 3%) and increases in hindquarters vascular conductance (ϩ82 Ϯ 14% and ϩ126 Ϯ 15%). The latter were likely due to adrenaline-mediated activation of  2 adrenoceptors since they were abolished by the  2 adrenoceptor antagonist, ICI 118551, and absent in adrenaldemedullated rats. In the presence of -adrenoceptor antagonism, the tachycardic effects of exendin-4 were suppressed, but the pressor action was enhanced. Enhancement of the pressor action of exendin-4 was not seen in adrenal-demedullated rats or in animals given phentolamine in addition to propranolol, consistent with a component of the pressor action of exendin-4 being due to an adrenaline-mediated positive inotropic effect mediated by ␣-adrenoceptors. The mesenteric vasoconstrictor effect of exendin-4 was unaffected by antagonism of ␣-adrenoceptors, vasopressin receptors, angiotensin receptors, or GLP-1 receptors, although antagonism of the latter substantially inhibited the hindquarter vasodilator effects of exendin-4. These results are consistent with exendin-4 having cardiovascular effects through GLP-1 receptor-dependent and -independent mechanisms, some of which involve sympathoadrenal activation.Members of the superfamily of glucagon-related peptides include glucagon, glucagon-like peptide (GLP)-1, GLP-2, secretin, pituitary adenylate cyclase-activating polypeptide-27, and vasoactive intestinal polypeptide (for review, see Kieffer and Habener, 1999). It is now known that these peptide hormones are produced not only in the gastrointestinal tract but also in the peripheral and central nervous systems (for review, see Kieffer and Habener, 1999) and that, in addition to metabolic effects, they have significant cardiovascular actions, although these vary between the peptides (e.g., Gardiner et al., 1994).GLP-1 receptors are found not only in the pancreas but also in the stomach, lung, kidney, heart, and in several regions of the brain, many of which are intimately involved in cardiovascular regulation (for review, see Kieffer and Habener, 1999). Because of their beneficial effects on glucose metabolism, GLP-1 and other "incretin mimetics" are promising therapeutic agents for the treatment of type 2 diabetes (Drucker, 2001;Knudsen, 2004), but their potential cardiovascular actions and any underlying mechanisms have not been fully elucidated. Barragá n et al. (1994, 1996, 1999) performed a series of experiments concerned with the cardiovascular actions of the full-length GLP-1-(1-37), truncated GLP-1-(7-36) amide, and the structurally related pept...