Ϫ production, we exposed the O 2 Ϫ cells to a nonselective PKC inhibitor chelerythrine chloride, a specific PKC␣ inhibitor Go6976, or a PKC␣ siRNA, and the aldosterone-induced increase in O 2 Ϫ production was blocked. These data indicate that aldosterone-stimulated O 2 Ϫ production in the MD buffers the effect of NO in control of TGF response, an effect that was mediated by PKC␣. tubuloglomerular feedback; renal hemodynamics; nitric oxide; kidney KIDNEYS PLAY A CENTRAL ROLE in control of salt-water balance and blood pressure. Tubuloglomerular feedback (TGF) is an important mechanism in regulation of renal microcirculation and hemodynamics (9, 44). TGF regulates distal tubular sodium load by adjusting tone of the afferent arteriole and glomerular filtration rate in response to changes in NaCl concentration at the macula densa (MD) (5, 9, 44). Responsiveness of TGF can be regulated by a number of factors, including ANG II (44), adenosine (40), arachidonic acid metabolites (24), ATP (22, 36), atrial natriuretic factor (21), NO (30), and O 2 Ϫ (31). Recently, we found that aldosterone plays an important role in control of TGF response (12).Aldosterone is a mineralocorticoid primarily produced in the zona glomerulosa of the adrenal gland. The best known physiological role of aldosterone is to increase sodium reabsorption in the distal nephron to maintain sodium balance. In recent years, aldosterone has been associated with obesity and metabolic syndrome in selected populations, and these associations may further contribute to the higher cardiovascular risk of subjects with elevated aldosterone levels. The role of aldosterone in renal and cardiovascular injury, including inflammation, tissue remodeling, and fibrosis, has been demonstrated in various animal models of hypertension and kidney failure (18, 35), independent of its salt-water retention and hypertensive effects (8, 15).We found recently that mineralocorticoid receptors (MR) are expressed in the MD cells. Activating MR in the macula densa blunted TGF response both in vivo and in vitro by enhancing NO generation (12). These findings provide a novel mechanism for regulation of renal hemodynamics and salt-water balance by aldosterone, especially the hyperfiltration in primary aldosteronism and obesity patients. We also found that aldosterone stimulated superoxide (O 2 Ϫ ) generation by activating NOX2 and NOX4 isoforms of NAD(P)H oxidase in cultured MD cells (46). O 2 Ϫ in the MD enhances TGF response by scavenging NO (31). However, their interactions and the net effect on TGF are not clarified. In the present study we further investigated the interaction between NO and O 2 Ϫ in the MD in response to aldosterone and their effect on aldosterone-induced TGF alterations. In addition, the previous study (46) was performed in cultured cells. The goal was to determine if aldosterone has the same effect on O 2 Ϫ generation in native MD cells using isolated perfused rabbit macula densa.The present study was designed to test the hypothesis that aldosterone stimulates O 2...