1 Histamine induces relaxation of human cranial arteries. Studies have revealed that the relaxant histamine H 1 -receptor predominates in human cerebral and the H 2 -receptor in temporal arteries, while H 1 -and H 2 -receptors are of equal importance in the middle meningeal artery. The purpose of the present study was to examine the role of the endothelium and nitric oxide in histamine-induced responses and to show the presence of mRNA encoding H 1 -and H 2 -receptors in human cranial arteries. 2 Electrophoresis of polymerase chain reaction (PCR) products from human cerebral, middle meningeal and temporal arteries, demonstrated products corresponding to mRNA encoding both H 1 -and H 2 -receptors in arteries with and without endothelium. The ampli®ed PCR products were sequenced and showed 100% homology with the published sequences of these histamine receptors. 3 A sensitive in vitro system was used to study vasomotor responses to histamine. In precontracted cerebral, middle meningeal and temporal arteries with and without endothelium, histamine caused a concentration-dependent relaxation with I max values between 87% and 81% and pIC 50 values between 8.14 and 7.15. In arteries without endothelium the histamine-induced relaxation was signi®cantly less potent (I max values between 87% and 66% and pIC 50 values between 7.01 and 6.67) than in cranial arteries with an intact endothelium. 4 The addition of histamine to arteries without endothelium and pretreated with the histamine H 2 -antagonist, cimetidine (10 75 M), caused a concentration-dependent contraction of the cranial arteries with E max values between 86% and 29% and pEC 50 values between 7.53 and 6.77. This contraction was blocked by the histamine H 1 -receptor antagonist, mepyramine (10 77 M), and even turned into a relaxation with I max values between 84% and 14% and pIC 50 values between 7.42 and 5.86. 5 The nitric oxide synthase inhibitor N G -nitro-L-arginine methyl ester (L-NAME, 3610 75 M) signi®cantly inhibited the relaxant response to histamine in cerebral and temporal arteries (pIC 50 values between 7.43 and 7.13). The combined treatment with L-NAME (3610 75 M) and cimetidine (10 75 M) caused a further displacement of the concentration-response curve (pIC 50 values between 7.14 and 6.57) and decreased the maximum relaxant responses in all three cranial arteries (I max values between 62% and 39%). 6 In conclusion, this is the ®rst study which show mRNA encoding histamine H 1 -and H 2 -receptors in human cranial arteries. The results indicate that histamine-induced relaxation of human cranial arteries is partially mediated via an endothelial H 1 -receptor coupled to the production of nitric oxide and partially via a H 2 -receptor associated with the smooth muscle cells. In addition, there is evidence for a contractile H 1 -receptor in the smooth muscle cells in these arteries.