SUMMARY Factors that lead to supersensitivity of vascular smooth muscle to norepinephrine during aldosterone-salt-induced hypertension in rats appear to reside beyond ligand-a-adrenergic receptor binding, which we have shown previously to be normal. The objective of this study was to determine whether significant shifts occur in the coupling between receptors and the production of putative second messengers. Measures of [ 3 H]mjo-inositol phosphates in aorta (endothelium removed) exhibited a concentration-dependent increase to norepinephrine, with the 50% response shifted significantly to the left in the hypertensive group (7.0 ± 0.9 x 10~7 M in 8 control rats vs 1.1 ± 0.2 x 10" 7 M in 8 hypertensive rats; p<0.001). The production of [ 32 P]phosphatidic acid was also shifted (6.5 ± 2.5 x 10" 7 M in 16 control vs 1.9 ± 0.8 x 10" 7 M in 12 hypertensive rats; p<0.05). The functional responses of 42 K efflux and contraction to norepinephrine were also significantly shifted threefold to 15-fold in the hypertensive group (p<0.001), but the 50% response typically occurred at a 10 to 100 times lower concentration than that for the production of mvo-inositol phosphates and phosphatidic acid. The amplification between receptor occupancy and functional responses apparently occurs beyond the production of phosphoinositide metabolites. The fivefold shift in the 50% response of biochemical end points for the hypertensive group accounted for most of the shift (sixfold) in the functional end points. It is concluded that the increased efficacy in the hypertensive group resulted more from shifts in the relation between receptor occupancy and production of phosphoinositide metabolites than from shifts in the action of these metabolites on functions that control to catecholamines has been associated with several models of hypertension. 1 * 3 Moreover, it precedes the elevation of blood pressure in the mineralocorticoid-salt hypertensive rat, thus implicating supersensitivity as a pathogenic factor. '• 4 -5 A systematic characterization of a-adrenergic receptors revealed no significant alteration in receptor type (a,), equilibrium dissociation constants, or maximum binding (receptor concentration) of aortic smooth muscle from the aldosterone-salt hypertensive rat (AHR).6 7 Analyses of the ligand binding and dose-response curves revealed that the agonist dissociation constant (A" A ) for norepinephrine (NE) was not changed in AHR, while the efficacy was 4.4 times higher. These findings support the conclusion that postreceptor events underlie the supersensitivity in AHR.There has been an explosion of information relating phosphoinositide metabolites to cellular regulation in many tissues, including smooth muscle.8 "' 2 The regulation of phospholipase C (PLC) by a-adrenergic receptor occupancy is a potential site for the development of supersensitivity. PLC acts on phosphatidylinositol 4,5-bisphosphate to form mjo-inositol 1,4,5-trisphosphate (IP 3 ) and diacylglycerol (DAG), which are thought to be important regulators of calcium rele...