See article by Ge et al. [61] ( pages 547 -556) in thishyperpolarization in the rat aorta and pulmonary artery [4], issue.the rabbit femoral artery [5] or the dog mesenteric artery [6]. Therefore, the existence of another relaxing factor, unrelated to NO and prostanoids, was proposed to contrib-1. Introduction ute to endothelium-mediated relaxations [4,7,8]. This factor has been called endothelium derived hyperpolarizing The endothelium plays a pivotal role in the control of factor (EDHF). Later reports showed that inhibition of vascular tone and blood pressure. In response to a variety NOS had no effect on endothelium-dependent hyperpolariof physiological stimuli, such as bradykinin, acetylcholine, zation in the coronary artery [9,10], the rat mesenteric histamine, substance P, shear stress and pulsatile stretch, artery [11] and femoral vein [12]. The importance of endothelial cells release vasodilator substances. Those EDHF in vasorelaxation was described to depend on the include prostacyclin [1] and endothelium-derived relaxing stimulus, the kind of vascular bed and the species under factor (EDRF) [2]. The latter has been identified as nitric study. In several vascular beds, it has been shown that oxide (NO) [3]. This labile compound is continuously endothelium-dependent EDHF-mediated relaxations insynthesized from L-arginine by the nitric oxide synthase crease with decreasing size of the vessel [13]. Up to now, (NOS) enzyme constitutively expressed in the endothelial however, the chemical nature of this factor remains cell. It acts by direct stimulation of the soluble guanylyl elusive. Among possible candidates are epoxyeicosatcyclase in vascular smooth muscle cells. Since the elucidarienoic acids (EETs) [14], which are cytochrome P450-tion of the biosynthesis of NO, L-arginine analogues such derived metabolites of arachidonic acid, arachidonyl-etha-and N -nitro-Lnolamide or a related cannabinoid [15], or potassium ions arginine (L-NA) and its methyl ester (L-NAME) have been [16]. Recent evidence suggests that an EDHF diffuses to used as inhibitors of NOS to assess the contribution of the the vascular smooth muscle cells via heterocellular gap NO / cGMP pathway in endothelium-dependent responses.junctions [17]. In the presence of inhibitors of both cyclo-oxygenase and NOS, residual endothelium-dependent relaxations were observed in a variety of preparations. Moreover, 2. Nitric oxide causes hyperpolarization direct measurements of the smooth muscle membrane potential showed agonist-induced hyperpolarizations which During the past decade, the existence of a separate disappeared after removal of the endothelium. Hyperpo-EDHF has been repeatedly challenged. Thus, while earlier larization of the vascular smooth muscle cells is known to studies had shown that NO itself did not influence the cause relaxation by decreasing the open-probability of resting membrane potential of vascular smooth muscle voltage-dependent calcium channels and by interfering cells [6,18], a key observation questioning the existence of w...