Abstract-Slow dissociation of endothelin 1 from its endothelin A receptors is responsible for the long-lasting vasoconstrictor effects of the peptide. We showed recently that calcitonin gene-related peptide selectively terminates long-lasting contractile responses to endothelin 1 in isolated rat mesenteric arteries. Here we assessed whether the antiendothelinergic effect of calcitonin gene-related peptide is vascular bed specific and may terminate long-lasting pressor responses to exogenous and locally produced endothelin 1 in vivo. Regional heterogeneity of the calcitonin gene-related peptide/endothelin A receptor cross-talk was explored in arteries isolated from various rat organs. Endothelin A receptor-mediated arterial contractions were terminated by calcitonin gene-related peptide in rat mesenteric, renal, and spermatic arteries but not in basilar, coronary, epigastric, gastric, splenic, and saphenous arteries. Endothelin A receptor antagonism only ended endothelin 1-induced contractions in spermatic arteries. In anesthetized rats, instrumented with Doppler flow probes to record regional blood flows, long-lasting pressor and vasoconstrictor responses to an intravenous bolus injection of endothelin 1 or big endothelin 1 were transiently reduced by sodium nitroprusside (NO donor) but terminated by intravenously administered calcitonin gene-related peptide. In conscious rats, calcitonin gene-related peptide but not sodium nitroprusside terminated prolonged (Ͼ60-minute) pressor responses to endothelin 1 but not those to intravenous infusion of phenylephrine.In conclusion, pressor responses to circulating and locally produced endothelin 1 that are resistant to endothelin receptor antagonism and NO can be terminated by a regionally selective effect of calcitonin gene-related peptide. 16,17 We proposed recently that this may be because of the atypical molecular pharmacology of ET-1 (for review see Reference 3 ). The binding of ET-1 to ET A is polyvalent (ie, ET-1 has Ն2 binding sites on ET A ), "tight" (ie, ET-1 dissociates very slowly from ET A ), and refractory to antagonists (ie, antagonists cannot fully reverse ET A -mediated signaling). 18 This peculiar pharmacology of ET-1 is responsible for the longlasting pressor responses that can be observed after intravenous administration of the peptide in rodents and humans. 1,19 These pressor effects of ET-1 may trigger counterregulatory mechanisms needed to maintain adequate blood pressure regulation. For instance, endothelium-derived NO can reduce ET-1-induced vasoconstrictions 20 and inhibits the production of ET-1. 21 In addition, vasodilators like calcitonin generelated peptide (CGRP), NO, and substance P released from sensory-motor nerves (SMNs) can reduce ET-1-induced vasoconstrictions, and endogenously released CGRP can prevent ET-1-induced increases in blood pressure. 22 Established complexes between ET-1 and ET A have a half-life of Յ77 hours. 3 Because of this tight binding of ET-1 on ET A , functional antagonism by vasodilators like NO can transiently r...