In Search of Novel Cardiovascular Hormones. Kenji Kangawa. Department of Biochemistry, National Cardiovascular Center Research Institute, Suita, Osaka 565‐8565, Japan.Cardiovascular function is regulated by many systemic and local factors. For further understanding the intricate mechanism of cardiovascular system, we have been searching for still unidentified vasoactive peptides. In 1984, we discovered atrial natriuretic peptide (ANP) in human and rat heart by using a simple bioassay system, which monitors a chick rectum relaxation activity. Identification of ANP evoked explosive series of investigations of natriuretic peptides (NPs), and revealed that the heart is not only a mechanical pump but is also an endocrine organ regulating the circulation system. Following ANP, brain natriuretic peptide (BNP) and C‐type natriuretic peptide (CNP) were isolated from porcine brain as a second and third member of the NP family. While BNP is not recognized as a cardiac hormone, CNP is a local hormone functioning in the vascular remodeling as well as a brain peptide.After the identification of NPs, we established a new assay method that monitors an elevating activity of platelet camp. In 1993, we discovered a novel hypotensive peptide, designated adrenomedullin (AM), in human pheochromocytoma. Adrenomedullin, 52‐residue peptide, is structurally a member of CGRP family, and shows a potent and long‐lasting vasodepressor activity in anesthetized rats. We also identified a novel 20 residue peptide termed proadrenomedullin N‐terminal 20 peptide (PAMP) with an amidated carboxyl terminus, which was predicated to be processed from AM precursor. PAMP also showed a rapid and strong hypotensive effect in rats. Adrenomedullin mRNA was detected with high concentrations in several tissues including adrenal medulla, heart, lung, kidney and aorta as well as pheochromocytoma. Both AM and PAMP were circulating peptides in the blood. In recent studies, it was revealed that AM mainly functions as a local factor in vascular wall. The occurrence of two novel hypotensive peptides, AM and PAMP processed from the common precursor, revealed the presence of dual control in the cardiovascular system.Recently we have established an assay system to identify unknown endogenous ligands for orphan G‐protein coupled receptors. We constructed a stable CHO cell line expressing rat growth hormone secretagogue receptor (GHS‐R) for monitoring intracellular calcium ion concentration changes induced by tissue extracts. By using the assay system, we have identified in rat stomach a new endogenous ligand specific for GHS‐R. The new ligand is a novel peptide consisting of 28 amino acids, in which the Ser‐3 residue is n‐octanoylated. O‐n‐octanoylation at Ser‐3 is essential for the activity. The new peptide induced GH release in a dose‐dependent manner both in vitro and in vivo. We designate the GH‐releasing peptide “GHRELIN” (“ghre” is the Proto‐Indo‐European root of the word “grow”).Ghrelin immunoreactive cells in the stomach were found in X/A‐like cells, an endocrine cell in stomach. In rat brain, ghrelin immunoreactive neurons were found to be localized in the hypothalamic arcuate nucleus, a region which regulates GH release and food intake. In fact, ICV injection of ghrelin induced potent appetite‐stimulating effects in rat. In human studies, IV injection of ghrelin elicited a potent GH release and had beneficial hemodynamic effects via decreasing mean arterial pressure and increasing cardiac output without an increase in heart rate.Thus, the occurrence of ghrelin in both stomach and hypothalamus will give a new dimension to the regulation of GH release and feeding. Further, GHS‐R is widely expressed in peripheral (heart, lung, pancreas, intestine, adipose tissue, etc.). Ghrelin also thus have multifaceted roles in the cardiovascular system and metabolism.