Abstract-On the basis of data obtained in rabbits, the imidazoline receptor ligand rilmenidine has been suggested to decrease blood pressure in humans by activating central ␣ 2A -adrenoceptors. A prerequisite for this hypothesis was the unproved assumption that rabbit and human ␣ 2A -adrenoceptors are equally activated by rilmenidine. Because ␣ 2A -adrenoceptors in the brain and on cardiovascular sympathetic nerve terminals are identical, the latter were used as a model for the former to confirm or disprove this assumption. Human atrial appendages and rabbit pulmonary arteries were used to determine the potencies of ␣ 2 -adrenoceptor agonists in inhibiting the electrically (2 Hz) evoked [ 3 H]norepinephrine release and of antagonists in counteracting the ␣ 2 -adrenoceptor-mediated inhibition induced by moxonidine. In the rabbit pulmonary artery, rilmenidine and oxymetazoline are potent full agonists, whereas in the human atrial appendages they are antagonists at the ␣ 2 -autoreceptors, sharing this property with rauwolscine, phentolamine, and idazoxan. In contrast, prazosin is ineffective. In addition, a partial nucleotide and amino acid sequence of the rabbit ␣ 2A -adrenoceptor (a region known to substantially influence the pharmacological characteristics of the ␣ 2 -adrenoceptor) revealed marked differences between the rabbit and the human ␣ 2A -adrenoceptor. The sympathetic nerves of both the human atrial appendages and rabbit pulmonary artery are endowed with ␣ 2A -autoreceptors, at which, however, both rilmenidine and oxymetazoline exhibit different properties (antagonism and agonism, respectively). The antagonistic property of rilmenidine at human ␣ 2A -adrenoceptors indicates that in contrast to the suggestion based on rabbit data, the hypotensive property of the drug in humans is not due to activation of