Angiogenesis is regulated by means of a balance between activators and inhibitors. However, little is known regarding the regulation of the quiescent state of adult vessels. Corticotropin-releasing factor receptor 2 (CRFR2) is found in both endothelial and smooth muscle cells (SMCs) in the vasculature, where its function has remained elusive. We have investigated the role of CRFR2 as a determinant of tissue vascularization by comparing control and CRFR2-deficient mice with immunohistological and morphometric techniques. To define the mechanisms responsible for CRFR2 inhibition of angiogenesis, we have also examined in vitro the effect of ligand activation on cell proliferation, cell cycle protein phosphorylation, and capillary tube formation. Our results demonstrate that mice deficient for CRFR2 become hypervascularized postnatally. Activation of this receptor in vitro results in reduced vascular endothelial growth factor (VEGF) release from SMCs, an inhibition of SMC proliferation, and inhibition of capillary tube formation in collagen gels. Treatment of a subcutaneously injected gel matrix with a CRFR2 agonist inhibits growth factor-induced vascularization. Western blots show that cell cycle retinoblastoma protein, which is essential for cell cycle progression, is decreased by CRFR2 agonist treatment in SMCs. These results suggest that CRFR2 is a critical component of a pathway necessary for tonic inhibition of adult neovascularization. CRFR2 may be a potential target for therapeutic modulation of angiogenesis in cancer and ischemic cardiovascular disease. A ngiogenesis is regulated by a balance between activators and inhibitors. Whereas adult neovascularization is normally limited to sites of wound healing and malignancy (1), transgenic mice overexpressing angiogenic factors such as vascular endothelial growth factor (VEGF) or angiopoietin demonstrate that increased vascularization in normal nonischemic tissue can occur under stimulatory conditions (2, 3). Inhibitors of angiogenesis have been shown to be important regulators during neovascularization in development and in tumor formation. Factors such as vascular endothelial growth inhibitor (VEGI), angiostatin, or pigment epithelium-derived factor can inhibit tumor growth by suppressing vascularization (4-6). While these inhibitory factors have been shown to be important for normal vascular development, little is known regarding the regulation of the quiescent state of adult vessels.Corticotropin-releasing factor (CRF) and its family of ligands including urocortin I (UcnI), UcnII (also known as stresscopinrelated peptide), and UcnIII (also known as stresscopin) are found in the periphery as well as in the central nervous system. While CRF is a critical coordinator of the hypothalamic-pituitary-adrenal axis in response to stress, it has also been shown to activate the sympathetic nervous system as well as to promote anxiety-like behaviors (7-9). Central administration of CRF elevates blood pressure and heart rate, whereas peripheral administration of CRF or U...