Objective-Endothelial cell apoptosis caused by oxidative stress may lead to the loss of microvessels (rarefaction) in hypertension. We examine here the effects of antioxidants on cell apoptosis and rarefaction. Methods and Results-The juvenile spontaneously hypertensive rats (SHR) and normotensive Wistar-Kyoto (WKY) rats were treated with superoxide scavengers, Tempol or Tiron, during growth. After the treatment, oxidative stress status, endothelial cell apoptosis rate, and microvessel length density in skeletal muscle and mesentery were evaluated in comparison with age-matched controls. Untreated 16-week-old SHR had higher oxidative stress (PϽ0.01) and cell apoptosis rate (PϽ0.05) and lower microvessel length density (371Ϯ17 mm/mm 3 [PϽ0.01]) compared with age-matched WKY rats (435Ϯ15 mm/mm 3 ). In the SHR, but not in WKY rats, systemically applied antioxidants attenuated oxidative stress and cell apoptosis rate (PϽ0.05 versus untreated controls) and prevented the loss of microvessels (411Ϯ15 Key Words: arterial hypertension Ⅲ capillary Ⅲ endothelial cell apoptosis Ⅲ microvessels Ⅲ oxidative stress Ⅲ rarefaction Ⅲ superoxide A number of hypertensive animal models 1-3 and patients with essential hypertension 4 exhibit a reduction in microvessel length density in tissues such as skeletal muscle, skin, conjunctiva, and myocardium. This phenomenon, designated as structural or anatomic rarefaction, leads to an increase in peripheral vascular resistance and localized reduction in oxygen delivery to the tissue. 5 Substantial evidence indicates that microvascular rarefaction is associated with the pathogenesis of hypertension and may be accompanied by parenchymal cell death. 6,7 The disappearance of microvessels in hypertensive subjects may be a secondary event after blood pressure elevation. 8 However, recent research in man demonstrates microvascular rarefaction in pre-established stage of hypertensive subjects who still maintain near normal blood pressure. 9 In addition, the loss of microvessels is implicated in development of nonhypertensive pathologic conditions including diabetic organ failure. 10 These findings seem to suggest that factors other than elevated arterial pressure may promote the disappearance of microvessels. Accumulating evidence indicates that the increase in endothelial cell apoptosis in microvessels may cause rarefaction in hypertensive subjects, although the mechanism of enhanced cell apoptosis is still undergoing investigation. 11,12 We hypothesize that oxidative stress promotes endothelial cell apoptosis in microvessels and induces rarefaction in the spontaneously hypertensive rats (SHR). In the SHR, microvascular endothelium is exposed to enhanced oxidative stress due to an increase in xanthine-oxidase 13 and NADPH-oxidase activity 14 and/or a reduction in superoxide-dismutase activity. 15 Reactive oxygen species (ROS) modulate diverse functions and exert secondary effects on microvessels, eg, an inhibition of endothelium-dependent vasodilation 16 and a promotion of leukocyte adhesion to e...