Abstract-Although NO derived from endothelial NO synthase (eNOS) is thought to be cardioprotective, the role of inducible NO synthase (iNOS) remains controversial. Using mice lacking iNOS (iNOSϪ/Ϫ), we studied (1) whether development of hypertension, cardiac hypertrophy, and dysfunction after deoxycorticosterone acetate (DOCA)-salt would be less severe compared with wild-type controls (WT; C57BL/6J), and (2) whether the cardioprotection attributable to lack of iNOS is mediated by reduced oxidative stress. Mice were uninephrectomized and received either DOCA-salt (30 mg/mouse SC and 1% NaClϩ0.2% KCl in drinking water) or vehicle (tap water) for 12 weeks. Systolic blood pressure (SBP) was measured weekly. Left ventricular (LV) ejection fraction (EF) by echocardiography and cardiac response to isoproterenol (50 ng/mouse IV) were studied at the end of the experiment. Expression of eNOS and iNOS as well as the oxidative stress markers 4-hydroxy-2-nonenal (4-HNE, a marker of lipid peroxidation) and nitrotyrosine (a marker for peroxynitrite) were determined by Western blot and immunohistochemical staining, respectively. DOCA-salt increased SBP and LV weight similarly in both strains and decreased EF in WT but not in iNOSϪ/Ϫ. Cardiac contractile and relaxation responses to isoproterenol were greater, 4-HNE and nitrotyrosine levels were lower, and eNOS expression tended to be higher in iNOSϪ/Ϫ. We conclude that lack of iNOS leads to better preservation of cardiac function, which may be mediated by reduced oxidative stress and increased eNOS; however, it does not seem to play a significant role in preventing DOCA-salt-induced hypertension and hypertrophy. Key Words: nitric oxide synthase Ⅲ cardiac function Ⅲ oxidative stress N itric oxide is synthesized from L-arginine by 3 isoforms of NO synthase (NOS), described as neuronal (nNOS), inducible (iNOS), and endothelial (eNOS). In the heart, eNOS and nNOS are constitutively expressed in the endocardium, vascular endothelium, and cardiomyocytes, and help regulate vascular tone and cardiac contraction. [1][2][3] In contrast, iNOS is induced in the myocardium in response to various stimuli such as inflammatory mediators, cytokines, and growth factors as well as hypoxia and ischemia, 4,5 and its expression correlates positively with the severity of cardiac dysfunction and cytokine expression. 6,7 Induction and/or activation of iNOS will produce larger amounts of NO, which reacts with superoxide (O 2 Ϫ ) to form the highly cytotoxic oxidant peroxynitrite (ONOO Ϫ ). Recently, it has been demonstrated that iNOS is also capable of producing O 2 Ϫ , which is transformed to hydrogen peroxide (H 2 O 2 ) either spontaneously or via an enzymatic reaction with superoxide dismutase. 8,9 Both ONOO Ϫ and H 2 O 2 have been implicated in tissue injury and organ dysfunction, including the heart. 10 -12 The role of iNOS in the pathophysiology of hypertension and cardiac hypertrophy remains controversial. A number of studies have shown that iNOS expression and activity are altered in hypertens...