More than 30% of the US population has high blood pressure (BP), and less than a third of people treated for hypertension have it controlled. In addition, the etiology of most high BP is not known. Having a better understanding of the mechanisms underlying hypertension could potentially increase the effectiveness of treatment. Because G q signaling mediates vasoconstriction and vascular function can cause BP abnormalities, we were interested in determining the role of vascular smooth muscle (VSM) G q signaling in two divergent models of hypertension: a renovascular model of hypertension through renal artery stenosis and a genetic model of hypertension using mice with VSM-derived high BP. Inhibition of VSM G q signaling attenuated BP increases induced by renal artery stenosis to a similar extent as losartan, an ANG II receptor blocker and current antihypertensive therapy. Inhibition of G q signaling also attenuated high BP in our genetic VSM-derived hypertensive model. In contrast, BP remained elevated 25% following treatment with losartan, and prazosin, an α 1 -adrenergic receptor antagonist, only decreased BP by 35%. Inhibition of G q signaling attenuated VSM reactivity to ANG II and resulted in a 2.4-fold rightward shift in EC 50 . We also determined that inhibition of G q signaling was able to reverse VSM hypertrophy in the genetic VSM-derived hypertensive model. These results suggest that G q signaling is an important signaling pathway in two divergent models of hypertension and, perhaps, optimization of antihypertensive therapy could occur with the identification of particular G q -coupled receptors involved. two-kidney, one-clip renovascular hypertension; G protein-coupled receptor kinase 2; seven transmembrane-spanning receptor Address for reprint requests and other correspondence: A. D. Eckhart, Thomas Jefferson Univ., Rm. 309 College Bldg., 1025 Walnut St., Philadelphia PA 19107 (e-mail: Andrea.Eckhart@jefferson.edu )
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