To identify novel gene targets of vasopressin regulation in the renal medulla, we performed a cDNA microarray study on the inner medullary tissue of mice following a 48-h water restriction protocol. In this study, 4,625 genes of the possible ϳ12,000 genes on the array were included in the analysis, and of these 157 transcripts were increased and 63 transcripts were decreased by 1.5-fold or more. Quantitative, real-time PCR measurements confirmed the increases seen for 12 selected transcripts, and the decreases were confirmed for 7 transcripts. In addition, we measured transcript abundance for many renal collecting duct proteins that were not represented on the array; aquaporin-2 (AQP2), AQP3, Pax-8, and ␣-and -Na-K-ATPase subunits were all significantly increased in abundance; the -and ␥-subunits of ENaC and the vasopressin type 1A receptor were significantly decreased. To correlate changes in mRNA expression with changes in protein expression, we carried out quantitative immunoblotting. For most of the genes examined, changes in mRNA abundances were not associated with concomitant protein abundance changes; however, AQP2 transcript abundance and protein abundance did correlate. Surprisingly, aldolase B transcript abundance was increased but protein abundance was decreased following 48 h of water restriction. Several transcripts identified by microarray were novel with respect to their expression in mouse renal medullary tissues. The steroid hormone enzyme 3-hydroxysteroid dehydrogenase 4 (3HSD4) was identified as a novel target of vasopressin regulation, and via dual labeling immunofluorescence we colocalized the expression of this protein to AQP2-expressing collecting ducts of the kidney. These studies have identified several transcripts whose abundances are regulated in mouse inner medulla in response to an increase in endogenous vasopressin levels and could play roles in the regulation of salt and water excretion.vasopressin; microarray VASOPRESSIN, THE PEPTIDE hormone, mediates its physiological effects by interactions with G protein-coupled receptors that are expressed along the nephron and in the microvasculature (vasa recta) of the renal medulla. Vasopressin (AVP) actions on the kidney are crucial for the maintenance of sodium and water balance and for the control of blood volume and consequently blood pressure. There are two main subtypes of vasopressin receptors: the vasopressin type 1A receptor (V1aR) which is linked to the phospholipase C (PLC) pathway and increases intracellular calcium via an IP3 dependent mechanism and the vasopressin type 2 receptors (V2R) which couple to G s proteins to stimulate intracellular cAMP formation and activate PKA. V1aRs are found in collecting duct (CD) cells and in the medullary vasa recta (2, 18). Stimulation of the V1aR causes vasoconstriction of the vasa recta, thus decreases medullary blood flow. During antidiuresis, this action minimizes the escape of solutes from the medullary interstitium via ascending vasa recta, thus favoring the maintenance of the high...