Erythropoietin enhances hydrogen peroxide-mediated dilatation of canine coronary collateral arterioles during myocardial ischemia in dogs in vivo. We have previously demonstrated that endothelium-derived hydrogen peroxide (H 2O2) plays an important role in the canine coronary microcirculation as an endothelium-derived hyperpolarizing factor in vivo. However, it remains to be examined whether endogenous H 2O2 is involved in the dilatation of coronary collaterals during myocardial ischemia in vivo and, if so, whether erythropoietin (EPO) enhances the responses. Canine subepicardial native collateral small arteries (CSA; Ն 100 m) and arterioles (CA; Ͻ100 m) were observed using an intravital microscope. Experiments were performed after left anterior descending coronary artery ischemia (90 min) under the following eight conditions (n ϭ 5 each): control, EPO, EPOϩcatalase, EPOϩN-monomethyl-L-arginine (L-NMMA), EPOϩL-NMMAϩcatalase, EPOϩL-NMMAϩ iberiotoxin [Ca 2ϩ -activated K ϩ (KCa) channel blocker], EPOϩL-NMMAϩapaminϩcharybdotoxin (K Ca channel blocker), and EPOϩwortmannin (phosphatidylinositol 3-kinase inhibitor). Myocardial ischemia caused significant vasodilatation in CA but not in CSA under control conditions, which was significantly decreased by catalase in CA. After EPO, the vasodilatation was significantly increased in both sizes of arteries and was significantly decreased by catalase. The enhancing effect of EPO was reduced by L-NMMA but not by catalase in CSA and was reduced by L-NMMAϩcatalase in CA, where the greater inhibitory effects were noted with L-NMMAϩcatalase, L-NMMAϩiberiotoxin, L-NMMAϩapaminϩcharybdotoxin, or wortmannin. EPO significantly ameliorated ischemia-induced impairment of myocardial Akt phosphorylation, which was abolished by L-NMMAϩcatalase or wortmannin. EPO also ameliorated oxidative stress and myocardial injury, as assessed by plasma 8-hydroxydeoxyguanosine and troponin-T, respectively. These results indicate that EPO enhances H2O2-mediated dilatation of coronary collateral arterioles during myocardial ischemia in dogs in vivo. coronary microcirculation; endothelium-derived hyperpolarizing factors RECENT STUDIES SUGGEST that endothelium-derived hyperpolarizing factor (EDHF) plays an important role in microcirculation. Several candidates for EDHF have been proposed, including cytochrome P-450 metabolites (2, 5), endothelium-derived