Human adrenomedullin (AM) is a 52-amino acid peptide belonging to the calcitonin peptide family, which also includes calcitonin gene-related peptide (CGRP) and AM2. The two AM receptors, AM 1 and AM 2 , are calcitonin receptor-like receptor (CL)/receptor activity-modifying protein (RAMP) (RAMP2 and RAMP3, respectively) heterodimers. CGRP receptors comprise CL/RAMP1. The only human AM receptor antagonist (AM ) is a truncated form of AM; it has low affinity and is only weakly selective for AM 1 over AM 2 receptors. To develop novel AM receptor antagonists, we explored the importance of different regions of AM in interactions with AM 1 , AM 2 , and CGRP receptors. AM 22-52 was the framework for generating further AM fragments (AM 26 -52 and AM 30 -52 ), novel AM/␣CGRP chimeras (C1-C5 and C9), and AM/AM 2 chimeras (C6 -C8). cAMP assays were used to screen the antagonists at all receptors to determine their affinity and selectivity. Circular dichroism spectroscopy was used to investigate the secondary structures of AM and its related peptides. The data indicate that the structures of AM, AM2, and ␣CGRP differ from one another. Our chimeric approach enabled the identification of two nonselective highaffinity antagonists of AM 1 , AM 2 , and CGRP receptors (C2 and C6), one high-affinity antagonist of AM 2 receptors (C7), and a weak antagonist selective for the CGRP receptor (C5). By use of receptor mutagenesis, we also determined that the C-terminal nine amino acids of AM seem to be responsible for its interaction with Glu74 of RAMP3. We provide new information on the structure-activity relationship of AM, ␣CGRP, and AM2 and how AM interacts with CGRP and AM 2 receptors.Human adrenomedullin (AM) is a 52-amino acid peptide belonging to the calcitonin family of peptides, which also includes calcitonin gene-related peptide (CGRP) and AM2 (also known as intermedin). The calcitonin peptide family shows weak homology at the level of the primary sequence, but there are stronger relationships at the secondary structure level. Each member of the family has an N-terminal ring structure and an amidated carboxyl terminus. Both of these structures are critical for receptor binding and subsequent signaling (Eguchi et al., 1994;Conner et al., 2002). Truncation of the N-terminal ring structure produces antagonist peptides in all family members. The ring structure of AM is created by the formation of a disulfide bond between two cysteine residues at positions 16 and 21 of the peptide (Eguchi et al., 1994). Truncation of AM yields the AM antagonist AM . Interfering with the C-terminal amidated tyrosine residue of AM results in a peptide with reduced receptor affinity (Eguchi et al., 1994). AM 13-52 and AM 15-52 are both agonists with similar affinity to full-length AM, however, little is known structurally about AM.The combination of the calcitonin receptor-like receptor (CL) with a receptor activity-modifying protein (RAMP) constitutes receptors that bind AM . CL is unusual for a G protein-coupled receptor in that it cannot f...