ABSTRACT-To estimate the participation of a Na+,K±ATPase-inhibiting plasma foctor in pregnancy induced hypertension (PIH), the inhibitory activity and the char acteristics of plasma extract eluted with ethanol through a C8 column were examined in normotensive non-pregnant women (N) and women with normal pregnancy (NP) and PIH. There were no differences among the 3 groups in the Na+,K+-ATPase activ ity of erythrocyte ghosts. The heat and acid-stable plasma extract dose-dependently inhibited Na+,K+-ATPase activity with a pattern similar to that of ouabain, but differ ent from that of vanadate. The inhibitory activity of plasma extract was not influenced by polyclonal digoxin antibody which almost completely prevented digoxin-induced in hibition and slightly but significantly reduced the ouabain-induced one. The results in dicate that the plasma extract has ouabain-like inhibitory activity on Na+,K+-ATPase and that it is not endogenously synthesized digoxin itself, but a substance differing in structure from digoxin. Furthermore, the ouabain-like Na+,K+-ATPase inhibitory activity in NP plasma was significantly lower than that in PIH plasma, which was simi lar to that in N plasma. There were significant relationships between the ouabain-like Na+,K±ATPase inhibitory activities in plasma and the diastolic and systolic blood pressures in NP and PIH groups. The results suggest that the lower ouabain-like Na+,K+-ATPase inhibitory activity in plasma probably participates in maintaining the blood pressure within the normal range during pregnancy and its failure may be in volved in the genesis of PIH.A hypothesis that plasma-volume expansion associated with salt retention leads to the re lease of a circulating Na+,K+-ATPase inhibi tor and that the inhibitor causes not only natri uresis but also vascular contraction resulting in hypertension has been proposed (1, 2). A canine plasma extract that inhibits Na+,K+ ATPase released by volume expansion has been observed to have digoxin-like immuno reactivity (3), and the endogenous digitalis like substance increases sensitivity to the vaso constrictive effects of norepinephrine and angiotensin (4). Hamlyn et al. (5) showed that the Na+,K±ATPase inhibitory activity of a plasma substance was related to the high blood pressure in subjects with essential