Abstract-Our studies have established that a single intracardiac administration of the retroviral vector containing angiotensin II type I receptor antisense gene causes prolonged antihypertensive actions in the spontaneously hypertensive rat. These results suggest that antisense gene therapy is a conceptually valid strategy for the control of hypertension at the genetic level. To evaluate whether attenuation of the pathophysiological aspects of hypertension are dependent on the blood pressure lowering actions of antisense gene therapy, we chose the renin transgenic rat as a hypertensive animal model and cardiac hypertrophy as the hypertension-associated pathophysiology. A single intracardiac administration of the retroviral vector containing angiotensin II type I receptor antisense in the neonatal rat resulted in long-term expression of the antisense transgene in various cardiovascular-relevant tissues, including the heart. This expression was associated with a significant attenuation of cardiac hypertrophy despite its failure to normalize high blood pressure. Developmental studies indicated that cardiac hypertrophy was evident as early as 16 days of age in viral vector-treated control transgenic rats, despite these animals exhibiting normal blood pressure. These observations demonstrate that, in the renin-transgenic rat, the onset of cardiac hypertrophy occurs during development and is prevented without normalization of high blood pressure. Collectively, these results provide further proof of the concept and indicate that antisense gene therapy could successfully target the local tissues' renin-angiotensin system to produce beneficial cardiovascular outcomes. Key Words: antisense elements Ⅲ rat, transgenic Ⅲ renin-angiotensin system Ⅲ hypertension, essential Ⅲ genes L eft ventricular hypertrophy (LVH) is a risk factor for cardiovascular-related mortality. Besides high blood pressure (BP), other hemodynamic factors that affect LVH include increased arterial stiffness, blood viscosity, and volume overload. However, increasing evidence has demonstrated a role for nonhemodynamic factors such as the sympathetic nervous system, the local renin-angiotensin system, aldosterone, and genetic factors in the modulation of BP-independent LVH. [1][2][3][4][5][6][7] Recent clinical and experimental studies have demonstrated that pharmacological agents, such as angiotensin converting enzyme (ACE) inhibitors can reduce LVH independently of a reduction in BP. 8,9 This evidence implicates the role of the tissue-based renin-angiotensin system (RAS) in the development of end-organ damage and demonstrates that the pathophysiology may be independent of high BP. However, it has not been established whether the end-organ damage observed in hypertension is a result of high BP or due to an inherently hyperactive RAS.The renin-transgenic rat (TGR mRen2) has been developed as an animal model of hypertension that exhibits fulminant hypertension and displays cardiac and vascular hypertrophy because of an overexertion of renin in various tiss...