Studies were undertaken to determine the nature of the receptors mediating contractile effects of tachykinins in the uteri of nonpregnant women, and to analyse the expression of preprotachykinins (PPT), tachykinin receptors and the cell-surface peptidase, neprilysin (NEP), in the myometrium from pregnant and nonpregnant women. The neurokinin B (NKB) precursor PPT-B was expressed in higher levels in the myometrium from nonpregnant than from pregnant women. Faint expression of PPT-A mRNA was detectable in the myometrium from nonpregnant but not pregnant women. PPT-C, the gene encoding the novel tachykinin peptide hemokinin-1 (HK-1), was present in trace amounts in the uteri from both pregnant and nonpregnant women. Tachykinin NK2 receptors were more strongly expressed in tissues from nonpregnant than from pregnant women. NK1 receptor mRNA was present in low levels in tissues from both pregnant and nonpregnant women. A low abundance transcript corresponding to the NK3 receptor was present only in tissues from nonpregnant women. The mRNA expression of the tachykinin-degrading enzyme NEP was lower in tissues from nonpregnant than from pregnant women. Substance P (SP), neurokinin A (NKA) and NKB, in the presence of the peptidase inhibitors thiorphan, captopril and bestatin, produced contractions of myometrium from nonpregnant women. The order of potency was NKA≫SP≥NKB. The potency of NKA was unchanged in the absence of peptidase inhibitors. The tachykinin NK2 receptor-selective agonist [Lys5MeLeu9Nle10]NKA(4–l0) was approximately equipotent with NKA, but the tachykinin NK1 and NK3 receptor-selective agonists [Sar9Met(O2)11]SP and [MePhe7]NKB were ineffective in the myometrium from nonpregnant women. The uterotonic effects of [Lys5MeLeu9Nle10]NKA(4–10) were antagonized by the tachykinin NK2 receptor-selective antagonist SR48968. Neither atropine, nor phentolamine nor tetrodotoxin affected responses to [Lys5MeLeu9Nle10]NKA(4–10). These data are consistent with a role of tachykinins in the regulation of human uterine function, and reinforce the importance of NK2 receptors in the regulation of myometrial contraction. Keywords: Human myometrium, [Lys5MeLeu9Nle10]NKA(4–10), NK1 and NK2 receptors, neprilysin, neurokinin A, neurokinin B, substance P, tachykinins, uterine contractions, SR48968 Introduction Tachykinins are members of a family of neuropeptides that includes substance P (SP), neurokinin A (NKA) and neurokinin B (NKB). Their biological actions are mediated through three receptors belonging to the family of G protein-coupled receptors (GPCR), denoted NK1, NK2 and NK3, that have highest affinity for SP, NKA and NKB, respectively (Henry, 1986; Regoli et al., 1994a,1994b; Lecci et al., 2000). SP and NKA, but not NKB, are present within capsaicin-sensitive sensory nerves in the periphery and are locally released by a number of physical and chemical stimuli (Holzer, 1988; Maggi & Meli, 1988). SP and a new member of the tachykinin family, hemokinin-1 (HK-1), that has recently been cloned in the mouse (Zhang et al., 2000), rat and human (Kurtz et al., 2002) are also produced in non-neuronal cells (Joos & Pauwels, 2000; Zhang et al., 2000). This distribution suggests an important role for tachykinins in intercellular communication. Previous studies from other laboratories and from ours indicate a role of tachykinins in the regulation of uterine function. Early immunohistochemical studies showed the presence of tachykinin-immunoreactive nerves supplying the uteri of several species including the mouse, rat, guinea-pig and human (Alm et al., 1978; Huang et al., 1984; Traurig et al., 1984; Papka et al., 1985; Samuelson et al., 1985; Heinrich et al., 1986; Alm & Lundberg, 1988; Reinecke et al., 1989; Traurig et al., 1991; Papka & Shew, 1994). The association of these nerves with smooth muscle indicates that tachykinins released from their peripheral terminals may influence uterine contractility. Preprotachykinin-A (PPT-A), the precursor of SP and NKA, is also expressed in non-neuronal cells such as monocytes and macrophages (Ho et al., 1997); these can be associated with the mammalian uterus (Cocchiara et al., 1997). SP has also recently been reported to participate in stress-induced abortion in the mouse and possibly in the human (Arck et al., 1995; Markert et al., 1997; Marx et al., 1999; Joachim et al., 2001). NKB has recently been reported to be expressed in the human placenta (Page et al., 2000) and the gene that encodes it, preprotachykinin-B, is expressed in the uterus of the rat and the human (Pinto et al., 2001;2002). NKB has been implicated in the symptoms associated with pre-eclampsia (Page et al., 2000). The major tachykinin-degrading enzyme neprilysin (NEP) (Matsas et al., 1983;1984; Hooper et al., 1985; Hooper & Turner, 1985) is also present in the uterus (Ottlecz et al., 1991; Head et al., 1993; Riley et al., 1995). This intrauterine distribution supports the view that tachykinins may be important intercellular signalling molecules within the female reproductive tract (Pinto et al., 2001; 2002). To date, the majority of molecular (Pinto et al., 1999; Candenas et al., 2001), immunohistochemical (Traurig et al., 1984;1991; Papka et al., 1985) and functional (Fisher et al., 1993; Pennefather et al., 1993b; Fisher & Pennefather, 1997; Magraner et al., 1998; Patak et al., 2000a) studies of the uterine distribution of tachykinins, tachykinin receptors and/or degradation of tachykinins have been conducted using the rat. It is now emerging, however, that there are species (Patak et al., 2000a,2000b;2002a) as well as hormonal- and pregnancy-related differences in tachykinin expression and actions in the mammalian myometrium (Pinto et al., 1999;2001;2002; Candenas et al., 2001). We have previously described the uterotonic effects of tachykinins on myometrium of late-pregnant women (Patak et al., 2000b). However, no systematic molecular studies of the expression of tachykinin precursor genes, neither of tachykinin receptors nor of NEP in either pregnant or nonpregnant human uterus, have been undertaken to date. Moreover, despite early reports that SP and eledoisin elicit contractions of the nonpregnant human uterus (Molina & Zappia, 1976; Ottesen et al., 1983), there have been no systematic functional studies of the actions of tachykinin peptides on myometrium from nonpregnant women. For these reasons, the aim of the present study was to examine further the tachykinins, their receptors and NEP on the human myometrium. We have therefore performed molecular studies using myometrium from both nonpregnant and pregnant women, and functional studies to characterize the effects of tachykinins on uterine contraction of tissue from nonpregnant women. A preliminary account of some of the results of this study has been presented previously (Patak et al., 2002b; Pinto et al., 2002).