Background and Purpose-Stimulation of P 2u purinoceptors by UTP on endothelium dilates the rat middle cerebral artery (MCA) through the release of endothelium-derived relaxing factor/nitric oxide (EDRF/NO) and an unknown relaxing factor. The purpose of this study was to determine whether this unknown relaxing factor is endothelium-derived hyperpolarizing factor (EDHF). Methods-Rat MCAs were isolated, cannulated, pressurized, and luminally perfused. UTP was added to the luminal perfusate to elicit dilations. Results-Resting outside diameter of the MCAs in one study was 209Ϯ7 m (nϭ10). The MCAs showed concentrationdependent dilations with UTP administration. Inhibition of NO synthase with N G -nitro-L-arginine methyl ester (L-NAME) (1 mol/L to 1 mmol/L) did not diminish the maximum response to UTP but did shift the concentration-response curve to the right. Scavenging NO with hemoglobin (1 or 10 mol/L) or inhibition of guanylate cyclase with ODQ (1 or 10 mol/L) had effects on the UTP-mediated dilations similar to those of L-NAME. In the presence of L-NAME, dilations induced by 10 mol/L UTP were accompanied by 13Ϯ2 mV (PϽ0.009) hyperpolarization of the vascular smooth muscle membrane potential (Ϫ28Ϯ2 to Ϫ41Ϯ1 mV). Iberiotoxin (100 nmol/L), blocker of the large-conductance calcium-activated K channels, sometimes blocked the dilation, but its effects were variable. Charybdotoxin (100 nmol/L), also a blocker of the large-conductance calcium-activated K channels, abolished the L-NAME-insensitive component of the dilation to UTP. Conclusions-Stimulation of P 2u purinoceptors on the endothelium of the rat MCA released EDHF, in addition to EDRF/NO, and dilated the rat MCA by opening an atypical calcium-activated K channel. (Stroke. 1999;30:1125-1133.)Key Words: cerebrovascular circulation Ⅲ endothelium-derived relaxing factor Ⅲ endothelium, vascular Ⅲ muscle, smooth Ⅲ potassium channels Ⅲ rats T he naturally occurring purine and pyrimidine phosphates-ATP, ADP, and UTP-dilate cerebral vessels by stimulating purinoceptors located on the endothelium. [1][2][3][4][5][6][7][8] In the rat middle cerebral artery (MCA), ADP likely produces dilation through stimulation of the P 2y (or P2Y 1 ) purinoceptors with the subsequent synthesis and release of endothelium-derived relaxing factor/nitric oxide (EDRF/NO). 7 (The term EDRF/NO is used [in place of the commonly used term NO] to accurately reflect the fact that the molecular structure of this relaxing factor is not known. The relaxing factor responsible for stimulating guanylate cyclase in many circumstances may be an NO-containing compound. This is especially true in the cerebral circulation, where there is good evidence against the gas, NO, and evidence for a NOcontaining compound. 9,10 ) On the other hand, ATP and UTP See Editorial Comment, page 1132 dilate the rat MCA by stimulating P 2u purinoceptors (likely P2Y 2 subtype) with the subsequent release of EDRF/NO and possibly another endothelium-derived relaxing factor. 7 N GNitro-L-arginine methyl ester (L-NAME), an NO synthas...