ABSTRACT. Vascular dopamine (DAI) receptors may modulate circulatory hemodynamics in lambs. We evaluated resting dopaminergic tone in lambs by pharmacologically manipulating peripheral DAI receptors with i.v. SCH 23390, (a highly selective, competitive DAI receptor antagonist) and i.v. fenoldopam, (a highly selective DAI receptor agonist) in unanesthetized lambs, instrumented for circulatory studies, while measuring the systemic and pulmonary vascular changes that the manipulations induced. We examined both the independent effects of DAI receptor stimulation and blockade as well as the effects of the agonist and the antagonist infused together (competitive interaction). SCH 23390, infused at 2.5 pg/kg.min-I, caused significant increases in left atrial, systemic, and pulmonary artery pressure, as well as an increase in systemic vascular resistance and a decrease in heart rate. Fenoldopam, infused at the dose of 60 pg/kg. min-' caused significant decreases in mean systemic artery pressure and systemic vascular resistance while increasing cardiac index and mean pulmonary artery pressure. SCH 23390 blunted the fenoldopam-induced effects. Our data suggest that dopaminergic influence may be active in the maintenance of resting hemodynamics of the lamb. (Pediatr Res 33: 181-184, 1993) Abbreviations models (6), which does not address the role of dopaminergic function under normal physiologic states.Dopamine concentrations in amniotic fluid and in plasma of fetuses are higher than plasma levels in adults (7. 8). These data provide some indirect evidence that endogenous dopamine is important in the fetus and newborn. Studies investigating dopamine receptor density and affinity in the fetal and newborn kidney. as well as studies examining the physiologic responses to dopaminergic stimulation in fetal and newborn animals. have not provided a concise answer, though they also point to a role of dopamine as a factor in fetal development (9-1 1). Most of this research has focused on renal tubular effects of dopamine. though vasodilating dopamine receptors are also present in mesenteric, coronary, and pulmonary vascular beds (6, 12, 13) of adult animals. Weir (14) has postulated that in the pulmonary circulation, the normal. low vascular tone is the active phase of the vascular response. If the factors causing the vasodilation are removed, vasoconstriction results (14). It is possible that active vasodilation also occurs in the systemic circulation where. as suggested by Bell ( 1 5). endogenous dopamine has a physiologic function in control of blood volume and blood pressure. Defects in the dopaminergic system may play an important role in the etiology of hypertensive states ( 16). Vascular receptors mediating vasodilation, such as DAI, may play a significant role in the maintenance of the vascular hemodynamics, especially for the fetus and during the transitional circulation period of the newborn. DAI, postsynaptic, vascular dopamine receptor We hypothesized that if systemic and pulmonary DAI recep-PAP, mean pulmonary arter...