Abstract-It is unclear why a subgroup of patients with essential hypertension develop salt-sensitive hypertension with progression of target organ damage over time. We evaluated the role of the renal endothelin (ET) system in the stroke-prone spontaneously hypertensive rat (SHRSP) model of salt-sensitive spontaneous hypertension (SS-SH) compared with the spontaneously hypertensive rat (SHR) model of salt-resistant spontaneous hypertension (SR-SH). Both strains were studied after either sham-operation on a normal diet (Sham) or after unilateral nephrectomy and high NaCl loading (NX-NaCl) with 4% NaCl in diet for 6 weeks (nϭ10, respectively). Systolic blood pressure (SBP) increased only in SHRSP-NX-NaCl compared with SHRSP-Sham (250Ϯ6 versus 172Ϯ5 mm Hg, PϽ0.0001). SBP remained unchanged in SHR-NX-NaCl compared with SHR-Sham. In SHRSP-NX-NaCl animals, urinary albumin and ET-1 excretion, renal ET-1 mRNA expression, glomerulosclerosis index, and tubulointerstitial damage index were elevated compared with SHRSP-Sham (PϽ0.05, respectively), whereas no significant changes were found in SHR after NX-NaCl. Urinary sodium excretion (U Na ϩ) was significantly reduced by 38% in SHRSP-NX-NaCl compared with SHR-NX-NaCl (PϽ0.005, respectively). SHR animals showed a similar increase in both renal ET A and ET B receptor densities after NX-NaCl (2. Key Words: sodium Ⅲ hypertension, sodium-dependent Ⅲ endothelin Ⅲ receptors, endothelin Ⅲ rats, spontaneously hypertensive Ⅲ rats, stroke-prone SHR T here are abundant experimental data indicating that the endothelin (ET) system plays an important role in the pathogenesis of salt-sensitive hypertension and the hypertensive target organ damage in this disease. 1,2 This evidence has been in large part derived from experimental rat models in either deoxycorticosterone acetate (DOCA)-salt hypertension 3 or the genetic Dahl 4 and Sabra salt-sensitive 5 hypertensive rat models. It is unclear, however, whether the activation of the renal ET system is also of significance during the progression from spontaneous hypertension to salt-sensitive spontaneous hypertension (SS-SH) with more severe target organ disease. In particular, the relative contributions of the renal ET receptor subtypes to the development and progression of spontaneous hypertension toward SS-SH are largely unknown. Most studies did not investigate the regulation of ET receptor subtypes in the kidney through the direct determination of receptor density and affinity but rather draw indirect conclusions from the application of selective or unselective ET receptor antagonists. Recently, Orth et al 6 reported on a striking salutary effect of chronic ET A receptor blockade with complete normalization of kidney damage in uninephrectomized stroke-prone spontaneously hypertensive rats (SHRSP) after high-salt diet. Interestingly, this finding was independent of an antihypertensive effect of the compound. However, this study lacks any further analysis of the renal ET system, including ET A and ET B receptor regulation in the SHRSP model ...