Abstract. Reduction of renal mass by unilateral nephrectomy results in an immediate increase in renal blood flow (RBF) to the remnant kidney, followed by compensatory renal hypertrophy. Whether the increase in RBF after unilateral nephrectomy is mediated by nitric oxide (NO) was tested. It was found that immediately after nephrectomy, blood flow to the remaining kidney increased by 8% (P Ͻ 0.01), and inhibition of NO synthesis with N-nitro-L-arginine methyl ester (L-NAME) blocked the increase in RBF. In addition, 2 d after nephrectomy, there was a 49% increase in RBF (corrected per gram of kidney weight), a 25% increase at 7 and 14 d, and a 16% increase after 28 d. Acute inhibition of NO synthesis with L-NAME in uninephrectomized rats caused a greater decrease in RBF on days 2 and 7 compared with controls, whereas by 14 and 28 d, the response to L-NAME was similar to controls. Urinary excretion of cyclic guanosine monophosphate, a marker for renal NO production, increased 2.5-fold by 2 d after uninephrectomy (P Ͻ 0.005) and remained at this level through 28 d. Pretreating rats chronically with a subpressor dose of L-NAME beginning 2 d before nephrectomy blocked the increase in RBF seen at 2 and 7 d and retarded the renal hypertrophy that should have developed by 7 d. It is concluded that after unilateral nephrectomy, immediate and sustained increases in RBF are mediated at least in part by NO. The hypertrophic response to unilateral nephrectomy may be partially initiated by the signal of hemodynamic changes.Nitric oxide (NO) is a vasodilator that contributes to the regulation of regional blood flow and BP by tonically lowering vascular resistance (1,2). This effect is mediated through activation of soluble guanylate cyclase, which increases cellular cyclic guanosine monophosphate (cGMP), resulting in vascular relaxation and decreased vascular resistance (3). In the kidney, continuous release of NO derived from the vascular endothelium is an important determinant of basal perfusion and resistance. Release of NO can be stimulated by changes in the hydromechanical forces associated with pulsatile blood flow (4 -6). Vascular shear stress is a primary stimulus for endogenous NO production from the endothelium (7-10). Miller et al. (7,8) demonstrated in vitro that chronic alterations in local blood flow, produced by opening an arteriovenous anastomosis, increased endothelium-dependent relaxation. Increasing coronary blood flow by chronic cardiac pacing or exercise also enhanced endothelium-dependent dilatation (9,10). Although the mechanism responsible for flow-induced dilatation is not completely understood, there is considerable evidence that it is mediated, in part, by [11][12][13][14][15]. Removing the endothelium or inhibiting NO synthesis blocks flow-induced dilation (13,15). Studies in dogs have demonstrated that chronic exercise enhances the release of nitrites from the coronary arteries and microvessels, accompanied by increased blood flow, and this is associated with increased expression of the endothelial i...