The 3-adrenoreceptor plays a major role in lipolysis but the role and distribution of 3-receptors in other specific sites have not been extensively studied. 3-adrenergic receptors are present not only in adipose tissue but also in human gall bladder, colon, prostate, and skeletal muscle. Recently, 3-adrenergic receptor stimulation was shown to elicit vasorelaxation of rat aorta through the NO-cGMP signal transduction pathway. Here we show that 3-receptors are present in human corpus cavernosum and are localized mainly in smooth muscle cells. After activation by a selective 3-adrenergic receptor agonist, BRL 37344, there was a cGMP-dependent but NOindependent vasorelaxation that was selectively blocked by a specific 3-receptor antagonist. In addition, we report that the human corpus cavernosum exhibits basal 3-receptor-mediated vasorelaxant tone and that 3-receptor activity is linked to inhibition of the RhoA͞ Rho-kinase pathway. These observations indicate that 3-receptors may play a physiological role in mediating penile erection and, therefore, could represent a therapeutic target for treatment of erectile dysfunction.erectile dysfunction ͉ Rho kinase ͉ endothelin E rectile dysfunction (ED) is defined as the inability to achieve and maintain an erection sufficient to permit satisfactory sexual intercourse. ED is the result of psychological, neurologic, hormonal, arterial, or cavernosal impairment or a combination of two or more of these factors. After sexual stimulation, nerve impulses cause the release of neurotransmitters, including nitric oxide (NO), from the cavernous nerve terminal, resulting in the relaxation of arteries and arterioles with a consequent increase in penile blood flow. NO is also generated by vascular endothelial cells in the corpus cavernosum in response to increased penile blood flow. This process, together with relaxation of the trabecular smooth muscle leading to an increase in the compliance of sinusoids, results in the filling and expansion of the sinusoidal system (1).NO seems to be the principal mediator released both by nerves and endothelial cells after sexual stimulation. The vascular smooth muscle relaxant effect of NO is mediated by cGMP, and the tissue levels of cGMP in the corpus cavernosum are regulated by phosphodiesterase-5 (2, 3). The pathophysiology of ED was not well understood until the discovery was made that NO is the principal neurotransmitter of the nonadrenergic͞noncholinergic nerves that innervate the corpus cavernosum, and that the NO-cGMP signal transduction pathway is the main effector of penile erection (4-6). These findings were followed by the availability of sildenafil for the oral treatment of ED. Despite the clinical success of sildenafil, the physiology of the corpus cavernosum and the pathophysiology of ED are still incompletely understood (3).The  3 -adrenergic receptor subtype of sympathetic nervous system has been extensively characterized at the structural level (7, 8). Humans, other large mammalian species, and rodents possess  3 -rec...