We have previously reported that lysophosphatidylcholine (LPC), which accumulates in oxidized LDL and atherosclerotic arteries, inhibits endothelium-dependent relaxation and modulates Ca2+ regulation in cultured bovine aortic endothelial cells. To test the effect of LPC on endothelium-dependent relaxation and endothelial Ca2+ regulation in intact vessels, we simultaneously measured both isometric tension and endothelial cytosolic free Ca2+ concentration ([Ca2+](i)), using fura 2, in intact endothelial cells of aortic strips isolated from rabbits. In the aortic strips precontracted with phenylephrine, cumulative addition of acetylcholine (ACh) dose dependently induced endothelium-dependent relaxation, with an increase in endothelial [Ca2+](i), and positive correlation was obtained between these two parameters. LPC (2 to 20 mu mol/L) inhibited both ACh (3 mu mol/L)-induced endothelium-dependent relaxation and an increase in endothelial [Ca2+](i) in a dose-dependent manner. On the other hand, phosphatidylcholine (20 mu mol/L) affected neither ACh-induced endothelium-dependent relaxation nor an increase in endothelial [Ca2+](i). LPC had no effect on endothelium-independent relaxation and a decrease in smooth muscle [Ca2+](i) induced by nitroglycerin. Thus, the inhibitory effect of LPC on endothelium-dependent relaxation is due to the inhibition of agonist-induced Ca2+ mobilization in vascular endothelial cells, which is an essential step in the synthesis of endothelium-derived relaxing factor.