Background-Inhibition of L-type Ca 2ϩ current contributes to negative inotropy of  3 adrenergic receptor ( 3 AR) activation, but effects on other determinants of excitation-contraction coupling are not known. Of these, the Na ϩ -K ϩ pump is of particular interest because of adverse effects attributed to high cardiac myocyte Na ϩ levels and upregulation of the  3 AR in heart failure. Methods and Results-We voltage clamped rabbit ventricular myocytes and identified electrogenic Na ϩ -K ϩ pump current (I p ) as the shift in holding current induced by ouabain. The synthetic  3 AR agonists BRL37344 and CL316,243 and the natural agonist norepinephrine increased I p . Pump stimulation was insensitive to the  1 / 2 AR antagonist nadolol and the protein kinase A inhibitor H-89 but sensitive to the  3 AR antagonist L-748,337. Blockade of nitric oxide synthase abolished pump stimulation and an increase in fluorescence of myocytes loaded with a nitric oxide-sensitive dye. Exposure of myocytes to  3 AR agonists decreased  1 Na ϩ -K ϩ pump subunit glutathionylation, an oxidative modification that causes pump inhibition. The in vivo relevance of this was indicated by an increase in myocardial  1 pump subunit glutathionylation with elimination of  3 AR-mediated signaling in  3 AR Ϫ/Ϫ mice. The in vivo effect of BRL37344 on contractility of the nonfailing and failing heart in sheep was consistent with a beneficial effect of Na ϩ -K ϩ pump stimulation in heart failure. Conclusions-The  3 AR mediates decreased  1 subunit glutathionylation and Na ϩ -K ϩ pump stimulation in the heart. Upregulation of the receptor in heart failure may be a beneficial mechanism that facilitates the export of excess Na ϩ . (Circulation. 2010;122:2699-2708.)Key Words: heart failure Ⅲ molecular biology Ⅲ myocardium Ⅲ nitric oxide synthase Ⅲ receptors, adrenergic T he  3 adrenergic receptor ( 3 AR) differs from  1 / 2 ARs in its molecular structure, genetic coding, 1,2 and affinities for adrenergic ligands. 3 Cellular responses to receptor activation also differ. In cardiac tissue,  3 AR activation decreases contractility, contrasting with the increase mediated by the  1 AR. 4 Consistent with this,  3 AR activation is associated with a decrease in the amplitude of the cytosolic Ca 2ϩ transient that initiates contraction. 5-7 Inhibition of sarcolemmal L-type Ca 2ϩ current 5,7 that triggers release of sarcoplasmic reticulum Ca 2ϩ is likely to contribute to this. However, effects of  3 AR activation on other proteins that are important for excitation-contraction coupling remain to be determined. 7 The membrane Na ϩ -K ϩ pump is of particular interest because it maintains the transmembrane electrochemical gradient for Na ϩ that provides the electrochemical energy for the Na ϩ -Ca 2ϩ exchanger, quantitatively the most important determinant of total cell Ca 2ϩ and hence sarcoplasmic reticulum Ca 2ϩ that is triggered for release during systole. A modest increase in the intracellular Na ϩ concentration, and hence cell Ca 2ϩ , increases con...