The 8-iso-prostaglandin F 2␣ , a prostanoid produced in vivo by cyclooxygenase-independent free-radical-catalyzed lipid peroxidation, acts as a partial agonist on the thromboxane receptor (TXA 2 R) and is a potent vasoconstrictor in the oxidatively stressed isolated perfused rat heart. We hypothesized that the response in the isolated heart may be due to augmentation of TXA 2 R density, which may be initiated by the presence of oxidative radicals. Previous studies have shown that TXA 2 R density is increased during atherosclerosis on both the medial and intimal smooth muscle layers in human coronary arteries. Here we describe the effect of oxidative stress on TXA 2 R. The thromboxane A 2 receptor  isoform (TXA 2 R) was transiently expressed in COS-7 cells. (TXA 2 ) 1 is an unstable arachidonate metabolite, implicated as a mediator in diseases such as myocardial infarction, stroke, and bronchial asthma (1). Binding of TXA 2 to its receptor, a polytopic membrane-spanning protein, induces vasoconstriction and platelet aggregation, as well as mitogenesis and hypertrophy of vascular smooth muscle cells (2). Two TXA 2 receptor (TXA 2 R) isoforms have been identified, TXA 2 R␣ (343 amino acids), which is mainly located in the placenta, and TXA 2 R (407 amino acids), located in the endothelium; these isoforms are generated by the alternative splicing of a single gene (3, 4). The TXA 2 R is part of the G proteincoupled receptor superfamily, and evidence suggests that TXA 2 -induced production of second messenger inositol polyphosphates results from the activation of the G q11 family of heterotrimeric G proteins (5).Isoprostanes are formed by free radical attack on membrane phospholipids during oxidative stress (6). They are found in increased concentration in patients with coronary heart disease and are potent vasoconstrictors (7). We have shown that one of these, the 8-iso-prostaglandin F 2␣ , is a potent coronary vasoconstrictor, and its effect is exerted via partial agonist action on the TXA 2 R (8). This mechanism of action on TXA 2 R, in vascular smooth muscle and in platelets, has been confirmed in a TXA 2 R knock-out mouse (9). Our data suggested that a critical determinant of the intrinsic activity of the isoprostane is the TXA 2 R reserve, and this has subsequently been supported by another study (10). We have shown that, in the normal rat heart perfused at constant pressure in the Langendoff mode, 8-iso-prostaglandin F 2␣ had no effect, even though U46619, a TXA 2 R agonist, produced a pronounced vasoconstriction. However, after an oxidative stress induced by 30 min of low flow and reperfusion or by a superoxide-generating system (i.e. xanthine and xanthine oxidase), 8-iso-prostaglandin F 2␣ became a potent vasoconstrictor, whereas the response to U46619 was unchanged (11). Responses to both agonists were inhibited by the TXA 2 R antagonist SQ29548, suggesting that they act upon the same receptor.The rapidity of the change in response suggests that this is unlikely to be due to alterations in gene expressio...