(PASMCs). Its upregulation by chronic hypoxia is associated with enhanced myogenic tone, and genetic deletion of trpv4 suppresses the development of chronic hypoxic pulmonary hypertension (CHPH). Here we further examine the roles of TRPV4 in agonist-induced pulmonary vasoconstriction and in the enhanced vasoreactivity in CHPH. Initial evaluation of TRPV4-selective antagonists HC-067047 and RN-1734 in KCl-contracted pulmonary arteries (PAs) of trpv4 Ϫ/Ϫ mice found that submicromolar HC-067047 was devoid of off-target effect on pulmonary vasoconstriction. Inhibition of TRPV4 with 0.5 M HC-067047 significantly reduced the sensitivity of serotonin (5-HT)-induced contraction in wild-type (WT) PAs but had no effect on endothelin-1 or phenylephrine-activated response. Similar shift in the concentrationresponse curve of 5-HT was observed in trpv4 Ϫ/Ϫ PAs, confirming specific TRPV4 contribution to 5-HT-induced vasoconstriction. 5-HT-induced Ca 2ϩ response was attenuated by HC-067047 in WT PASMCs but not in trpv4 Ϫ/Ϫ PASMCs, suggesting TRPV4 is a major Ca 2ϩ pathway for 5-HT-induced Ca 2ϩ mobilization. Nifedipine also attenuated 5-HT-induced Ca 2ϩ response in WT PASMCs but did not cause further reduction in the presence of HC-067047, suggesting interdependence of TRPV4 and voltage-gated Ca 2ϩ channels in the 5-HT response. Chronic exposure (3-4 wk) of WT mice to 10% O 2 caused significant increase in 5-HT-induced maximal contraction, which was partially reversed by HC-067047. In concordance, the enhancement of 5-HT-induced contraction was significantly reduced in PAs of CH trpv4 Ϫ/Ϫ mice and HC-067047 had no further effect on the 5-HT induced response. These results suggest unequivocally that TRPV4 contributes to 5-HT-dependent pharmaco-mechanical coupling and plays a major role in the enhanced pulmonary vasoreactivity to 5-HT in CHPH.TRPV4; serotonin; pulmonary arteries; chronic hypoxia; pulmonary hypertension TRANSIENT RECEPTOR POTENTIAL vanilloid 4 (TRPV4), a member of the transient receptor potential (TRP) channel superfamily, is a Ca 2ϩ and Mg 2ϩ permeating nonselective cation channel widely distributed in various tissues including kidney, brain, lung, aorta, heart, liver, and skeletal muscle (32). TRPV4 is a highly versatile channel. It can be activated by a variety of physical and chemical stimuli, including abnormal osmolarity (37, 48), sheer stress (24, 30), pressure (59, 60), heat (5, 36, 68), endogenous substances such as arachidonic acid and its cytochrome P450-derived metabolites [epoxyeicosatrienoic acids (EETs); 64, 65, 67], as well as synthetic compounds such as PKC-activating and nonactivating phorbol ester derivatives (66). It is involved in a wide range of physiological functions, including osmotic and volume regulation, thermo-sensing and regulation, mechanosensation in endothelium and urinary bladder, vascular and epithelium permeability, synaptic transmission, nociception, as well as bone formation and remodeling (16).TRPV4 channels are highly expressed in endothelial and vascular smooth muscle cell...