SUMMARY Segments of carotid, femoral, saphenous, and left circumflex coronary arteries were obtained from control, renal hypertensive, and nephrectomized hypertensive dogs for in vitro study of mechanical properties. Hypertension was produced in two-kidney dogs by unilateral renal artery constriction. After 3 months, the compromised kidney was removed in half of the dogs. Mean arterial pressure was significantly elevated in the hypertensive dogs after 3 months (127 ± 2 vs 94 ± 1 mm Hg for controls) and partially returned toward normal 3 months after nephrectomy (105 ± 2 mm Hg). Pressure-diameter relations were determined under conditions of rmnrimnm active and passive smooth muscle activation. Contiguous segments were used for the determination of water and connective tissue content. Hypertension was associated with increased passive arterial wall stiffness at most sites, with a partial return toward normal after nephrectomy. Maximum responses to smooth muscle activation (active stress and constriction response) were augmented in arteries from hypertensive dogs and partially returned toward normal in the nephrectomized hypertensive group. The elastin content of these arteries was unchanged, while collagen content was nonuniformly decreased in renal hypertensive dogs. Small decreases were found in the radius-wall thickness ratio of some arteries. No significant mechanical changes occurred in the saphenous artery. The largest hypertension-related changes were found in the coronary arteries, which also exhibited the smallest recovery toward normal properties after nephrectomy. 1 -2 These include changes in arterial smooth muscle mechanics, wall composition, responsiveness to vasoactive agents, and functional properties of smooth muscle cell membranes.3 -6 Some of these changes in arterial wall properties are thought to be responsible for the pathogenesis of hypertension, 3 -6 while some have been shown to be the direct result of the elevated blood pressure per se.7 -9 Elevated blood pressure is presumed to exert some influence on the synthetic machinery in vascular smooth muscle cells, causing them to alter the balance between synthesis and degradation of wall components. The exact nature of these signals has not been clearly defined, but they are thought to be due at least in part to increased arterial wall stress or strain. 10 These altered arterial wall properties have profound effects on circulatory function in the hypertensive subject, including changes in peripheral resistance, neural control of the circulation, and the mechanical work of the heart. Elevated arterial pressure also produces increased wear and tear on blood vessels, ultimately leading to pathological changes in the coronary, cerebral, and renal circulations and hence to the increased morbidity and mortality 1 '-14 associated with hypertension.The goal of antihypertensive therapy is to lower or normalize arterial blood pressure, thereby removing at least those components of the signal(s) producing arterial wall degenerative changes in hypertensi...