This article is available online at http://www.jlr.org G protein-coupled receptor predominantly coupled to Gsmediated activation of adenylyl cyclase ( 1-3 ). The human (h)IP is subject to complex post-translational lipid modifications ( 4,5 ) and to regulation by a range of interacting proteins ( 6-10 ). For example, it undergoes agonist-induced internalization through a Rab5a-dependent mechanism, with subsequent recycling to the plasma membrane involving a direct interaction between the human prostacyclin receptor (hIP) and Rab11a to dynamically regulate the cellular responses to prostacyclin in vivo ( 6,7,9 ). The hIP also directly interacts with the HDL receptor/scavenger receptor class B type 1 adaptor protein "PDZ domaincontaining protein 1 (PDZK1)," and this interaction is essential for prostacyclin-induced endothelial cell migration and in vitro angiogenesis ( 8 ).Consistent with this and with its actions within the vasculature, imbalances in the levels of prostacyclin or of prostacyclin synthase or the IP have been implicated in a range of cardiovascular disorders ( 11-13 ), and, clinically, prostacyclin analogs are used in the treatment of pulmonary arterial hypertension ( 14 ). Prostacyclin also acts as a critical cardio/cytoprotective agent during acute myocardial ischemia ( 15-17 ) and enhances endothelial cell (EC) survival, supporting neovascularization ( 18 ). Several single-nucleotide polymorphisms occur in the hIP gene that correlate with receptor dysfunction, including enhanced platelet activation in deep vein thrombosis and increased intimal hyperplasia ( 19-21 ) and, more recently, with increased occurrence of major obstruction in patients with coronary artery disease ( 19,22,23 )