The sympathetic nervous system plays an important role in the regulation of blood pressure. There is increasing evidence for positive and negative interactions between dopamine and adrenergic receptors; the activation of the ␣-adrenergic receptor induces vasoconstriction, whereas the activation of dopamine receptor induces vasorelaxation. We hypothesize that the D 1-like receptor and/or D3 receptor also inhibit ␣1-adrenergic receptor-mediated proliferation in vascular smooth muscle cells (VSMCs). In this study, VSMC proliferation was determined by measuring [3 H]thymidine incorporation, cell number, and uptake of 3-(4,5-dimethylthiazol-2-yl)-diphenyltetrazolium bromide (MTT). Norepinephrine increased VSMC number and MTT uptake, as well as [ 3 H]thymidine incorporation via the ␣ 1 -adrenergic receptor in aortic VSMCs from Sprague-Dawley rats. The proliferative effects of norepinephrine were attenuated by the activation of D1-like receptors or D3 receptors, although a D1-like receptor agonist, fenoldopam, and a D3 receptor agonist, PD-128907, by themselves, at low concentrations, had no effect on VSMC proliferation. Simultaneous stimulation of both D1-like and D3 receptors had an additive inhibitory effect. The inhibitory effect of D3 receptor was via protein kinase A, whereas the D1-like receptor effect was via protein kinase C-. The interaction between ␣1-adrenergic and dopamine receptors, especially D1-like and D3 receptors in VSMCs, could be involved in the pathogenesis of hypertension.␣ 1-adrenergic receptor; hypertension CARDIOVASCULAR DISEASE REMAINS the major cause of death in the world, and hypertension accounts for the major cause of these deaths in the United States and Western Europe (46). Hypertension is known to be associated with an increase in sympathetic activity (8,42). The sympathetic neurotransmitters, norepinephrine and epinephrine, play important roles in the regulation of physiological and pathological processes in the cardiovascular system, via binding to adrenoceptors (21). Vascular smooth muscle cell (VSMC) proliferation is central to the development of vascular diseases, such as restenosis and atherosclerosis. In addition to the fact that prolonged elevation of plasma catecholamines is a risk factor for vascular diseases, recent reports have shown that catecholamines directly induce hypertrophy of the arterial wall by stimulation of ␣ 1 -adrenoceptors (7, 10). Catecholamines in cell and organ culture induce dose-dependent proliferation of VSMCs, and the trophic effect is dependent on the production of reactive oxygen species (5). Furthermore, the potency of these effects is strongly augmented in hypertensive states (47,55,60).Although dopamine is a precursor of norepinephrine and epinephrine, by itself it also exerts widespread effects both in neuronal and nonneuronal tissues (18, (2,34,36,53,54,60). Dopamine, at low concentrations, via D 1 -like receptors, relaxes blood vessels and decreases blood pressure (18, 57). We have reported that in the rat mesenteric artery, D 3 receptor agonis...