Abstract-Using B 2 kinin receptor gene knockout mice (B 2 Ϫ/Ϫ ), we tested the hypothesis that (l) lack of B 2 receptors may affect blood pressure and cardiac function and aggravate cardiac remodeling after myocardial infarction (MI), and (2) kinins partially mediate the cardiac beneficial effect of angiotensin-converting enzyme inhibitors (ACEi) or angiotensin II type 1 receptor antagonists (AT 1 -ant), whereas lack of B 2 receptors may diminish this cardioprotective effect. Chronic heart failure (HF) was induced by MI, which was caused by coronary artery ligation in both B 2 Ϫ/Ϫ and 129/SvEvTac mice (wild-type control, B 2 ϩ/ϩ ). An ACEi (ramipril, 2.5 mg/kg/d) or AT 1 -ant (L-158809, 3 mg/kg/d) was given 1 week after MI and was continued for 12 weeks. Left ventricular (LV) ejection fraction, cardiac output (CO), diastolic LV dimension (LVDd), and LV mass were evaluated by echocardiography. Myocyte cross-sectional area and interstitial collagen fraction were studied histopathologically. We found that basal blood pressure and cardiac function were similar in B 2 ϩ/ϩ and B 2 Ϫ/Ϫ mice. After MI, development of HF and remodeling were also similar between the 2 strains. The ACEi improved cardiac function and remodeling in both strains; however, its effects were attenuated in B Key Words: angiotensin-converting enzyme inhibitors Ⅲ AT 1 receptor antagonist Ⅲ heart failure Ⅲ B 2 kinin receptors Ⅲ mice C hronic heart failure (CHF) is characterized by left ventricular (LV) pump dysfunction, chamber dilatation, neurohormonal system activation, and exercise intolerance. The renin-angiotensin system (RAS) plays a central role in this process. 1-3 Over the past decade, clinical and laboratory studies have provided evidence that interruption of the RAS achieved by angiotensin-converting enzyme inhibitors (ACEi) improves cardiac function, regresses LV remodeling, and prolongs survival in patients with CHF. 4 -6 However, it remains unclear whether the benefits of ACEi are entirely due to blockade of angiotensin II (Ang II) formation or partially derived from increased kinins, because ACE is also the major kininase that degrades kinins to inactive fragments. 7,8 We and others have previously reported that ACEi attenuated the deterioration of LV function and remodeling in animals with CHF due to myocardial infarction (MI) and that this effect was either blocked by a B 2 kinin receptor antagonist (B 2 -ant) 9,10 or blunted in rats with kininogen deficiency due to spontaneous mutation of the kininogen gene, 11 indicating that kinins play an important role in the cardioprotective mechanism of ACEi. However, it remains controversial whether kinins play an essential role in regulating blood pressure (BP) and cardiac function under physiological conditions or in the pathophysiology of CHF. It has recently been reported that disruption of the bradykinin B 2 receptor gene in mice (B 2 Ϫ/Ϫ mice) increased BP, heart weight, and LV chamber dimen-