. Responses to human CGRP, ADM, and PAMP in human thymic arteries. Am J Physiol Regul Integr Comp Physiol 284: R531-R537, 2003; 10.1152/ajpregu.00337.2002Responses to human CGRP, adrenomedullin (ADM), and proadrenomedullin NH2-terminal 20 peptide (PAMP) were studied in small human thymic arteries. CGRP, ADM, and PAMP produced concentrationdependent vasodilator responses in arteries preconstricted with the thromboxane mimic U-46619. Responses to ADM and PAMP were attenuated, whereas responses to CGRP were not altered by endothelial denudation. Inhibitors of nitric oxide synthase and guanylyl cyclase attenuated responses to ADM and PAMP but not to CGRP. The CGRP1 receptor antagonist CGRP(8-37) attenuated responses to CGRP and ADM but not to PAMP. Responses to CGRP were reduced by SQ-22536 and Rp-cAMPS, inhibitors of adenylyl cyclase and PKA. These data suggest that responses to CGRP and ADM are mediated by CGRP(8-37)-sensitive receptors and that the endothelial ADM receptor induces vasodilation by a nitric oxide-guanylyl cyclase mechanism, whereas a smooth muscle CGRP receptor signals by a cAMP-dependent mechanism. A different endothelial receptor recognizes PAMP and signals by a nitric oxide-dependent mechanism. CGRP1 receptor; vascular endothelium; vascular tone; human thymus ADRENOMEDULLIN (ADM) and proadrenomedullin NH 2 -terminal 20 peptide (PAMP) are distinct products encoded by the ADM gene (20-23). The human form of ADM consists of 52 amino acids and a six-membered ring structure that shares homology with CGRP and amylin (20)(21)(22)(23). PAMP consists of 20 amino acids and does not share the six-membered ring structure (20)(21)(22). ADM was discovered in human pheochromocytoma cells and has been localized in many tissues, including vascular smooth muscle cells and the endothelium (11,13,15,16,20). ADM plasma levels are increased in disorders, such as hypertension, heart and renal failure, and hypoxia, and ADM induces a different spectrum of hemodynamic effects than do nitrovasodilators (8, 12-14, 18, 23, 26, 35). PAMP is found in the NH 2 -terminal portion of the precursor for ADM and has a similar distribution, including vascular smooth muscle and the endothelium (17,20,24,36).