Severity of left ventricular hypertrophy (LVH) correlates with elevated plasma levels of neuropeptide Y (NPY) in hypertension. NPY elicits positive and negative contractile effects in cardiomyocytes through Y 1 and Y 2 receptors, respectively. This study tested the hypothesis that NPY receptor-mediated contraction is altered during progression of LVH. Ventricular cardiomyocytes were isolated from spontaneously hypertensive rats (SHRs) pre-LVH (12 weeks), during development (16 weeks Mammalian myocardium contains large quantities of neuropeptide Y (NPY) (Onuoha et al., 1999), mainly colocalized with noradrenaline in perivascular sympathetic neurons innervating cardiac tissue (Franco-Cereceda et al., 1985;Allen et al., 1986). NPY has been implicated in left ventricular hypertrophy (LVH), an initial compensatory response of the heart to pressure overload precipitated by hypertension (Agabiti-Rosei and Muiesan, 2001) because increased plasma levels of the peptide are found in hypertension, myocardial infarction, and heart failure (Maisel et al., 1989) and correlate with severity of LVH (Hulting et al., 1990).NPY can both decrease and increase the contractile response of electrically stimulated rat ventricular cardiomyocytes (Piper et al., 1989;Millar et al., 1991). The negative effect, observed in isoproterenol-treated cells, is due primarily to stimulation of the transient outward current (I to ) and mediated through an inhibitory G protein/adenylate cyclase pathway (Kassis et al., 1987;Piper et al., 1989;Millar et al., 1991). Use of the selective Y 2 receptor agonists, PYY 3-36 and NPY , inferred Y 2 receptor involvement (McDermott et al., 1997), but the finding that long C-terminal fragments of both PYY and NPY also exhibit high affinity for the Y 5 receptor subtype (Hu et al., 1996) emphasizes the need for clarification of receptor subtypes involved in NPY-stimulated cardiomyocyte contraction. NPY alone does not influence the basal level of contraction of cardiomyocytes, but in the presence of 4-aminopyridine, which selectively inhibits I to in these cells, a positive response to NPY is unmasked (Millar et al., 1991). This has been observed also in chicken cardiomyocytes in the absence of rectifier current blockade (Jacques et This work was supported by the British Heart Foundation. Article, publication date, and citation information can be found at