We tested the hypothesis that activation of angiotensin type 2 (AT 2) receptors, by both exogenous and endogenous ANG II, modulates neurally mediated vasoconstriction in the renal cortical and medullary circulations. Under control conditions in pentobarbital-anesthetized rabbits, electrical stimulation of the renal nerves (RNS; 0.5-8 Hz) reduced renal blood flow (RBF; Ϫ88 Ϯ 3% at 8 Hz) and cortical perfusion (CBF; Ϫ92 Ϯ 2% at 8 Hz) more than medullary perfusion (MBF; Ϫ67 Ϯ 6% at 8 Hz). Renal arterial infusion of ANG II, at a dose titrated to reduce RBF by ϳ40 -50% (5-50 ng ⅐ kg Ϫ1 ⅐ min Ϫ1 ) blunted responses of MBF to RNS, without significantly affecting responses of RBF or CBF. Subsequent administration of PD123319 (1 mg/kg plus 1 mg ⅐ kg Ϫ1 ⅐ h Ϫ1 ) during continued renal arterial infusion of ANG II did not significantly affect responses of RBF or CBF to RNS but enhanced responses of MBF, so that they were similar to those observed under control conditions. In contrast, administration of PD123319 alone blunted responses of CBF and MBF to RNS. Subsequent renal arterial infusion of ANG II in PD123319-pretreated rabbits restored CBF responses to RNS back to control levels. In contrast, ANG II infusion in PD123319-pretreated rabbits did not alter MBF responses to RNS. These data indicate that exogenous ANG II can blunt neurally mediated vasoconstriction in the medullary circulation through activation of AT2 receptors. However, AT2-receptor activation by endogenous ANG II appears to enhance neurally mediated vasoconstriction in both the cortical and medullary circulations. kidney medulla; renal circulation; renin-angiotensin system; sympathetic nervous system THE RENAL MEDULLARY MICROCIRCULATION (7)(8)(9)(10)20), the renal sympathetic nerves (11), and the renin-angiotensin system (37) all play key roles in long-term regulation of arterial pressure. Renal sympathetic nerves innervate juxtamedullary afferent and efferent arterioles and outer medullary descending vasa recta (17, 18), vascular elements likely important in control of medullary perfusion (20). Angiotensin type 2 (AT 2 ) and/or AT 1 receptors are also localized to these vascular elements (32). Activation of the renal nerves (18, 24) and AT receptors (13, 14) can alter renal medullary blood flow. However, medullary blood flow appears to be less sensitive than cortical blood flow to vasoconstriction evoked by either neural activation or ANG II (18,20).We recently found that renal arterial infusion of ANG II, at doses that reduce baseline total renal blood flow (RBF) and cortical laser Doppler flux (CLDF; an index of cortical blood flow) by Ͼ30% but do not significantly alter baseline medullary laser Doppler flux (MLDF), blunt reductions in MLDF induced by electrical stimulation of the renal nerves (RNS) (21). In contrast, ANG II infusion did not significantly affect responses of RBF or CLDF to RNS (21). This raised the interesting possibility that ANG II might act specifically within the medullary circulation to blunt vasoconstrictor responses to RNS. This...