Corticotropin-releasing factor (CRF) and its paralogues urocortin (Ucn)I, -II, and -III signal by activating their receptors, CRF receptors (CRFR)1 and -2, to maintain homeostasis through endocrine, autonomic, and behavioral responses. CRFR2 is found in cardiomyocytes and in endothelial and smooth muscle cells of the systemic vasculature. Echocardiography and cardiac catheterization were used in mice to assess the physiologic effects of i.v. UcnII and CRFR2 deficiency on left ventricular function and the systemic vasculature. UcnII treatment augmented heart rate, exhibited potent inotropic and lusitropic actions on the left ventricle, and induced a downward shift of the diastolic pressure-volume relation. UcnII also reduced systemic arterial pressure, associated with a lowering of systemic arterial elastance (end-systolic pressure͞stroke volume) and systemic vascular resistance. CRFR2-deficient mice showed no alteration in cardiac contractility or blood pressure in response to UcnII administration, suggesting that the effects of UcnII are specific to CRFR2 function. Pretreatment with a -adrenergic receptor antagonist, esmalol, had no effect on the inotropic or lusitropic effects of UcnII in vivo, indicating that its actions are independent of -adrenergic receptors. Single i.v. bolus administration of UcnII to a heart failure model (muscle-specific LIM protein-deficient mice) produced significant enhancement of inotropic and lusitropic effects on left ventricular function and improved cardiac output. These results demonstrate the potent cardiovascular physiologic actions of UcnII in both wild-type and cardiomyopathic mice and support a potential beneficial use of this peptide in therapy of congestive heart failure.corticotropin-releasing factor receptor 2 ͉ hemodynamics ͉ inotropic agents ͉ lusitropic agents ͉ afterload reduction C orticotropin-releasing factor (CRF), a coordinator of the hypothalamic-pituitary-adrenal axis (1), is one of a family of peptides that includes urocortin (Ucn)I (2), UcnII (also known as stresscopin-related peptide) (3, 4), and UcnIII (also known as stresscopin) (4, 5). These peptides signal through two G proteincoupled receptors, CRF receptors (CRFR)1 and -2, to modulate endocrine, autonomic, and behavioral responses to stress. Although both receptors are found in the central nervous system, CRFR2 is particularly abundant in the periphery, including the heart and systemic vasculature (6-10). UcnII and -III bind selectively to CRFR2, with no appreciable activity at CRFR1 (3, 5).CRF and UcnI both demonstrate vasodilatory, inotropic, and chronotropic effects on the cardiovascular system via activation of CRFR2 on cardiac myocytes and in the systemic vasculature (2,(11)(12)(13)(14). These actions are absent in CRFR2-deficient mice (15, 16). However, both CRF and UcnI also activate CRFR1 in the pituitary and thus stimulate the hypothalamic-pituitaryadrenal axis, complicating the potential use of these peptides for treatment of cardiovascular disorders (14). Therefore, to characterize the...