ABSTRACT-We investigated the mechanisms of 5-HT-induced tachycardia, which we reported previously to be triggered by 5-HT3 receptor stimulation, in the isolated guinea pig atrium in comparison with that induced by isoproterenol and histamine. We found that 5-HT-induced tachycardia was completely inhibited by ruthenium red. 5-HT-induced tachycardia was reduced in the capsaicin pre-treated atrium as well as in the presence of capsaicin. The effects of isoproterenol and histamine were not affected by ruthenium red or capsaicin treatment. Furthermore, 5-HT-induced tachycardia was found to be potentiated by thiorphan, an inhibitor of peptide degeneration. Calcitonin gene-related peptide (CGRP) (1 -37), a full agonist of CGRP 1 -like receptors, was found to act selectively as a potent stimulator of chronotropic action. CGRP (8 -37), an antagonist of CGRP 1 -type receptors, inhibited 5-HT-induced tachycardia as well as effects induced by CGRP (1 -37). The observation that tetrodotoxin failed to affect 5-HT-induced tachycardia excluded the involvement of 5-hydroxytryptaminergic interneurons. Thus, we confirmed that the mechanism of 5-HTinduced tachycardia is distinct from that induced by isoproterenol and histamine. In conclusion, the activation of 5-HT 3 receptors on the sensory nerve terminals brought about ruthenium red-sensitive Ca 2+ influx and resulted in the release of CGRP from capsaicin-sensitive stores, and then CGRP stimulated CGRP 1 -like receptors to produce 5-HT-induced tachycardia.