Serotonin (5-hydroxytryptamine; 5-HT) is a potent pulmonary vasoconstrictor and mitogenic agent whose plasma level is increased in pulmonary hypertensive patients. Thus, we explored the signalling pathways involved in the contractile response to 5-HT in human pulmonary arteries (HPAs).Intact and b-escin permeabilised rings from HPAs mounted in an organ bath system were used to assess both tension and myofilament Ca 2+ -sensitisation. KEYWORDS: Calcium, contraction, human pulmonary artery, myofilament calcium sensitivity, 5-HT S erotonin (5-hydroxytryptamine; 5-HT) is mainly stored in the platelets but is also locally released in the lung by pulmonary neuroendocrine cells, neuroepithelial bodies and pulmonary arterial endothelial cells [1][2][3]. 5-HT is a potent pulmonary vasoconstrictor whose high circulating concentration is clinically associated with pulmonary arterial hypertension (PAH), an often fatal disease. In animal models of PAH, 5-HT-induced hyperreactivity and mitogenic effects have been reported in pulmonary arteries [4,5]. In human pulmonary arteries (HPAs), while numerous studies have explored the role of 5-HT in vascular remodelling associated with smooth muscle hyperplasia [6,7], few studies have been performed on the contractile effect of 5-HT [8,9]. Nevertheless, 5-HT 1B , 5-HT 2A and 5-HT 2B receptors have been detected in HPA, and the contractile effect of 5-HT appeared to be mainly mediated by the 5-HT 1B receptors and also by the 5-HT 2A receptors [6,[8][9][10][11][12]. Despite the fact that pulmonary arterial vasoconstriction is an important early component of PAH, the current knowledge about transduction pathways involved in the 5-HTinduced vasoreactivity remains incomplete for HPAs.Owing to the low availability of human tissue, we previously studied the contractile response to 5-HT in rat intrapulmonary arteries and we demonstrated that there were regional differences in 5-HT-induced contraction [13]. Since calcium is essential for smooth muscle contraction, we addressed the relative contribution of calcium pools involved in the vasoreactivity to 5-HT. In small vessels, 5-HT activates voltage-independent calcium channels to a larger extent than it does voltage-dependent calcium channels (L-type calcium channels) [5,[13][14][15]. Calcium release from intracellular calcium stores (sarcoplasmic reticulum) also contributes to 5-HT-induced contraction in rat pulmonary arteries [13][14][15]. Studies from other groups have been performed on calcium signalling and ion channels in cultured human