G. Endothelium-derived nitric oxide mediates the antiadrenergic effect of human vasostatin-1 in rat ventricular myocardium. Am J Physiol Heart Circ Physiol 292: H2906 -H2912, 2007. First published February 9, 2007 doi:10.1152/ajpheart.01253.2006 are vasoactive peptides derived from chromogranin A (CgA), a protein contained in secretory granules of chromaffin and other cells. The negative inotropic effect and the reduction of isoproterenol (Iso)-dependent inotropism induced by VSs in the heart suggest that they have an antiadrenergic function. However, further investigation of the mechanisms of action of VSs is needed. The aim of the present study was to define the signaling pathways activated by VS-1 in mammalian ventricular myocardium and cultured endothelial cells that lead to the modulation of cardiac contractility. Ca 2ϩ and nitric oxide (NO) fluorometric confocal imaging was used to study the effects induced by recombinant human VS-1 [STA-CgA-(1-76)] on contractile force, L-type Ca 2ϩ current, and Ca 2ϩ transients under basal conditions and after -adrenergic stimulation in rat papillary muscles and ventricular cells and the effects on intracellular Ca 2ϩ concentration and NO production in cultured bovine aortic endothelial (BAE-1) cells. VS-1 had no effect on basal contractility of papillary muscle, but the effect of Iso stimulation was reduced by 27%. Removal of endocardial endothelium and inhibition of NO synthesis and phosphatidylinositol 3-kinase (PI3K) activity abolished the antiadrenergic effect of VS-1 on papillary muscle. In cardiomyocytes, 10 nM VS-1 was ineffective on basal and Iso (1 M)-stimulated L-type Ca 2ϩ current and Ca 2ϩ transients. In BAE-1 cells, VS-1 induced a Ca 2ϩ -independent increase in NO production that was blocked by the PI3K inhibitor wortmannin. Our results suggest that the antiadrenergic effect of VS-1 is mainly due to a PI3K-dependent NO release by endothelial cells, rather than a direct action on cardiomyocytes. calcium channel; myocardial contractility; peptide hormones; endothelial cell CHROMOGRANIN A (CgA) and chromogranin B have long been proposed to control the physiological process of secretory granule formation because of their pH-, Ca 2ϩ -, and catecholamine-dependent aggregation properties (18).