Abstract-After menopause, blood pressure increases in women. However, the underlying mechanisms responsible for postmenopausal hypertension are not completely understood. This study was conducted to determine the role that the renin-angiotensin system (RAS) plays in post-menopausal hypertension. Post-estrous cycling (postmenopausal) spontaneously hypertensive rats or young female controls were treated with losartan, an angiotensin (Ang) II type 1 receptor blocker, for 25 days. Mean arterial pressure was recorded continuously by radiotelemetry. Losartan significantly decreased blood pressure in postmenopausal rats and young female controls but failed to normalize blood pressure in postmenopausal rats to levels found in young controls. Plasma renin activity and plasma angiotensinogen were significantly elevated, and intrarenal Ang II type 1 receptor and renin mRNA expression were significantly downregulated in postmenopausal rats. Therefore, RAS only partially contributes to hypertension in postcycling spontaneously hypertensive rats, whereas hypertension in young females is mediated mainly by the RAS. The data suggest that other mechanisms besides activation of the RAS are likely involved in postmenopausal hypertension. (Hypertension. 2010;56:359-363.)Key Words: postmenopausal hypertension Ⅲ aging Ⅲ kidney Ⅲ blood pressure M en are at greater risk for cardiovascular and renal disease than are women of similar age. Men also have higher blood pressure (BP) than women. 1,2 However, these sex differences change following menopause, when the risk for cardiovascular disease and prevalence of hypertension increases in women. 3 There are few clinical data regarding effectiveness of different antihypertensive therapy in controlling BP in postmenopausal hypertensive women. The Women's Health Initiative report was based on nearly 100 000 women, ages 50 to 79 years, and was the largest and best-characterized cohort of postmenopausal women in the United States. This report showed that although older hypertensive women (aged 70 to 79 years) were as likely to be on treatment for hypertension (63.2%) as the younger women (64.2%), a substantially smaller percentage of them had their BPs under control (29.3 versus 41.3% for the older versus younger women, respectively). 4 Similar findings were observed when the results from the National Health and Nutrition Estimation Survey (NHANES) III dataset (ending 1994) were compared with the NHANES IV dataset (ending 2004). 5 Thus, the best therapeutic options for treatment of postmenopausal hypertension are unclear.A key system for modulating BP and body fluid volume is the renin-angiotensin system (RAS). 6 Angiotensin (Ang) II causes vasoconstriction though activation of Ang II type 1 receptor (AT 1 R). Increases in Ang II and dysregulation (upregulation or activation) of the vasoconstrictor arm of the RAS have been implicated as adverse factors in cardiovascular pathophysiology.Postmenopausal women exhibit an increase in plasma renin activity (PRA), 7,8 but the use of RAS blockers, Angco...