On the basis of data obtained in rabbits, the imidazoline receptor ligand r
ilmenidine has been suggested to decrease blood pressure in humans by activ
ating central alpha(2A)-adrenoceptors. A prerequisite for this hypothesis w
as the unproved assumption that rabbit and human alpha(2A)-adrenoceptors ar
e equally activated by rilmenidine. Because alpha(2A)-adrenoceptors in the
brain and on cardiovascular sympathetic nerve terminals are identical, the
latter were used as a model for the former to confirm or disprove this assu
mption. Human atrial appendages and rabbit pulmonary arteries were used to
determine the potencies of alpha(2)-adrenoceptor agonists in inhibiting the
electrically (2 Hz) evoked [H-3]norepinephrine release and of antagonists
in counteracting the alpha(2)-adrenoceptor-mediated inhibition induced by m
oxonidine. In the rabbit pulmonary artery, rilmenidine and oxymetazoline ar
e potent full agonists, whereas in the human atrial appendages they are ant
agonists at the alpha(2)-autoreceptors, sharing this property with rauwolsc
ine, phentolamine, and idazoxan. In contrast, prazosin is ineffective. In a
ddition, a partial nucleotide and amino acid sequence of the rabbit alpha(2
A)-adrenoceptor (a region known to substantially influence the pharmacologi
cal characteristics of the alpha(2)-adrenoceptor) revealed marked differenc
es between the rabbit and the human alpha(2A)-adrenoceptor. The sympathetic
nerves of both the human atrial appendages and rabbit pulmonary artery are
endowed with a,,autoreceptors, at which, however, both rilmenidine and oxy
metazoline exhibit different properties (antagonism and agonism, respective
ly). The antagonistic property of rilmenidine at human alpha(2A)-adrenocept
ors indicates that in contrast to the suggestion based on rabbit data, the
hypotensive property of the drug in humans is not due to activation of alph
a(2A)-adrenoceptors but other, presumably I-1-imidazoline receptors, are pr
obably involved.