Male spontaneously hypertensive rats (SHR) have higher blood pressure than females. We compared renal ct 2 -adrenergic receptor density among intact SHR and Wistar-Kyoto (WKY) rats of both sexes, male and female SHR gonadectomized at 4 weeks of age, and gonadectomized SHR supplemented with testosterone. Additional groups of SHR were treated with enalapril (30 mg/kg per day), an angiotensinconverting enzyme inhibitor, from 5 to 14 weeks of age. Renal a 2 -adrenergic receptor density was higher in males than females in both SHR and WKY rats. Female SHR and WKY rats had identical low renal a 2 -adrenergic receptor density. Castration of male SHR reduced the male-female differences in blood pressure and renal a 2 -adrenergic receptor density by 60%. 5 Thus, altered density of renal a 2 -adrenergic receptors might be expected to affect salt and water balance and blood pressure.Renal a 2 -adrenergic receptors are overexpressed in several animal models of genetic hypertension, including the spontaneously hypertensive rat (SHR), 68 Dahl salt-sensitive hypertensive rat, 9 Sabra hypertensive rat, 10 and New Zealand genetically hypertensive rat, 11 when compared with their respective normotensive control strains. The overexpression of renal a 2 -adrenergic receptors occurs as early as 3 weeks of age in SHR compared with Wistar-Kyoto (WKY) rats, an age when blood pressure is not yet different.6 High dietary salt further elevates blood pressure, which parallels an increase in the density of these receptors in SHR. 78 This overexpression of renal a 2 -adrenergic receptors in genetically hypertensive rats probably represents a genetic abnormality because renal a 2 -adrenergic receptor density is not increased in nongenetic forms of hypertension, such as two-kidney, one clip hypertension; one-kidney, one clip hypertension; and deoxycorticosterone acetate-salt hypertension.12 However, it remainsReceived June 23, 1993; accepted in revised form January 4, 1994.From the Department of Medicine, Creighton University School of Medicine, Omaha, Neb.Correspondence to William A. Pettinger, MD, Creighton University School of Medicine, 601 N 30th St, Suite 6730, Omaha NE 68131.with testosterone raised blood pressure and renal a r adrenergic receptor density to the intact male levels in both gonadectomized males and females. Treatment with enalapril decreased blood pressure but not renal <* 2 -adrenergic receptor density in both male and female SHR. We conclude that (1) both renal o 2 -adrenergic receptor density and blood pressure are influenced by sex in SHR and WKY, (2) renal a 2 -adrenergic receptor density like blood pressure is regulated by androgens, and (3) increased renal a 2 -adrenergic receptor density is not a consequence of high unresolved whether the increased renal a r adrenergic receptor density is a cause or a consequence of high blood pressure in genetically hypertensive rats.Interestingly, not one of the aforementioned studies has investigated the role of a potential difference in renal a 2 -adrenergic recept...