Staehr M, Hansen PB, Madsen K, Vanhoutte PM, Nüsing RM, Jensen BL. Deletion of cyclooxygenase-2 in the mouse increases arterial blood pressure with no impairment in renal NO production in response to chronic high salt intake. Am J Physiol Regul Integr Comp Physiol 304: R899 -R907, 2013. First published March 27, 2013 doi:10.1152/ajpregu.00103.2012.-Experiments were designed to test the hypothesis that cyclooxygenase-2 (COX-2) activity attenuates the blood pressure increase during high NaCl intake by stimulation of endothelial nitric oxide synthase (eNOS)-mediated NO synthesis in the kidney medulla. COX-2 Ϫ/Ϫ (C57BL6) an COX-2 ϩ/ϩ mice were fed a diet with 0.004% (low salt, LS) or 4% (high salt, HS) NaCl for 18 days. Arterial blood pressure was recorded continuously using indwelling catheters. Food and water intake and diuresis were measured in metabolic cages. Urine osmolality and excretion of electrolytes, cGMP, cAMP, and NOx were determined, as well as plasma NOx and cGMP. There was a significant dependence of blood pressure on salt intake and genotype: COX-2 Ϫ/Ϫ exhibited higher blood pressure than COX-2 ϩ/ϩ both on HS and LS intake. COX-2 ϩ/ϩ littermates displayed an increase in blood pressure on HS versus LS (102.3 Ϯ 1.1 mmHg vs. 91.9 Ϯ 0.9 mmHg) day and night. The mice exhibited significant blood pressure increases during the awake phase (night) that were larger in COX-2 Ϫ/Ϫ on HS diet compared with COX-2 ϩ/ϩ . Water intake, diuresis, Na ϩ , and osmolyte excretions and NOx and cGMP excretions were significantly and similarly elevated with HS in COX-2 Ϫ/Ϫ and COX-2 ϩ/ϩ . In summary, C57BL6 mice exhibit a salt intake-dependent increase in arterial blood pressure with increased renal NO production. COX-2 activity has a general lowering effect on arterial blood pressure. COX-2 dampens NaCl-induced increases in arterial blood pressure in the awake phase. In conclusion, COX-2 activity attenuates the changes in nocturnal blood pressure during high salt intake, and COX-2 activity is not necessary for increased renal nitric oxide formation during elevated NaCl intake. kidney; eNOS; NaCl; hypertension; PGE2; prostacyclin PROSTAGLANDINS contribute to the regulation of blood pressure partly because they promote renal sodium excretion by their effects on the tubular epithelium and on medullary blood flow (9). A critical step in the production is the transformation of arachidonic acid to short-lived PGG 2 /PGH 2 , catalyzed by cyclooxygenase (COX). Two isoforms of this enzyme have been identified: COX-1 and COX-2 (3, 36), initially thought to be constitutive and inducible, respectively. But in the wake of the severe side effects (hypertension, thrombosis, and stroke) associated with the clinical use of specific COX-2 inhibitors, a more constitutive role for COX-2 in vascular homeostasis and kidney function has become apparent (4, 10). COX-2, microsomal PGE synthase (mPGES-1), and tissue/urine PGE 2 levels are increased by high salt intake in the medulla (12,13,16,39,40). Local inhibition of COX-2 only in the medulla l...