1 Systemic infusions of urocortin 1 produce a decrease in mean arterial pressure. This effect may be mediated by a direct action on novel corticotropin-releasing factor type 2(CRF2) receptors predicted to be expressed in blood vessels and the heart. Our objectives were to determine the presence of CRF2 receptors in the human cardiovascular system using the selective radioligand [I-125] antisauvagine 30. We also investigated the potential functional roles of novel CRF2 ligands in the regulation of vascular tone in human arteries in vitro. 2 Radioligand binding techniques were used to characterise the CRF2 receptor. [I-125] antisauvagine 30 bound specifically, saturably, reversibly and with high affinity to CRF2 receptors in human left ventricle (K-D 0.21 +/- 0.03 nM, B-MAX 0.80 +/- 0.18 fmol mg(-1) protein), and no change in receptor density or affinity was observed in the dilated cardiomyopathy group. 3 Autoradiographical studies revealed highly localised binding of [I-125] antisauvagine 30 to intramyocardial blood vessels. Binding sites were also detected in the myocardium and in the medial layer of internal mammary arteries. 4 In endothelium-denuded human internal mammary artery in vitro, all peptides tested produced a potent and sustained vasodilator response reversing endothelin-1-induced constrictions ( 10 nM) ( urocortin 1: pD(2) 8.39 +/- 0.32, E-MAX 46 +/- 7.7%; urocortin 2: pD(2) 8.27 +/- 0.17, E-MAX 60 +/- 8.5%; urocortin 3: pD(2) 8.61 +/- 0.25, E-MAX 61 +/- 7.2%; CRF: pD(2) 8.28 +/- 0.27, E-MAX: 40 +/- 10%). 5 We have demonstrated the presence of CRF2 receptors in the human cardiovascular system and a direct, endothelium-independent vasodilator action of urocortins 2and 3, which may counter-balance the centrally mediated pressor effects of CRF and urocortin 1.