1 To further investigate into the mechanisms of PAF-induced cardiopulmonary actions, we examined the eects of the nitric oxide synthase (NOS) inhibitor L-N o -nitro-L-arginine (L-NNA), of the speci®c cyclooxygenase-2 (COX-2) inhibitor NS 398, and of the combined presence of both COX and NOS inhibitors on the PAF responses in the heart lung preparation of guinea-pig (HLP). 2 In HLPs perfused with homologous blood, dose-response curves for the haemodynamic and bronchial eects of PAF (1 ± 32 ng) were carried out in the absence or presence of L-NNA (200 mM). L-NNA caused an increase in the resting pulmonary arterial pressure (PAP) without aecting the other basal values, and strongly potentiated the bronchoconstriction and pulmonary hypertension elicited by PAF. An enhancement of the PAF-induced actions on right atrial pressure (RAP) and cardiac output (CO) was also observed. All the eects of L-NNA were antagonized by L-arginine (2 mM).3 The presence of L-NNA in the perfusing blood of HLPs failed to aect the pulmonary hypertensive and bronchoconstrictor responses induced by the thromboxane A 2 mimetic U46619 (0.05 ± 1.6 mg), 5-hydroxytryptamine (0.1 ± 1.6 mg), and histamine (0.1 ± 1.6 mg), thus suggesting that these PAF secondary mediators are not responsible for the hyper-responsiveness to PAF induced by L-NNA.4 Blocking COX-2 pathway with NS 398 (15 ± 30 mM) did not alter the cardiopulmonary resting variables. However, a reduction of the PAF-mediated pulmonary hypertension, but not of bronchoconstriction, was observed. When L-NNA was added to the perfusing medium of HLPs pretreated with NS 398 or with indomethacin (15 mM), the basal PAP values were enhanced. However, in the combined presence of COX and NOS inhibitors, only a slight increase in the hypertensive responses to the highest doses of PAF was observed, whereas the PAF mediated actions at bronchial and cardiac level were unaected. 5 This study indicates that (i) the cardiopulmonary actions induced by PAF are speci®cally modulated by endogenous NO through the NOS pathway, and (ii) COX-2 isoform is involved in the pulmonary hypertensive, but not bronchoconstrictor, eects of PAF. Furthermore, an interaction between PAF stimulated COX, particularly COX-2, and NOS pathways appears to take a functional role at both bronchial and cardiovascular level.