Abstract-Osteopontin (OPN), a proinflammatory cytokine, plays an important role in renal fibrosis. We reported that plasma OPN levels were higher in patients with primary aldosteronism than with essential hypertension. However, the regulatory mechanism of OPN by aldosterone remains unclear. Here, we report the transcriptional regulation of OPN expression by aldosterone and the functional effects of aldosterone-mediated OPN transcription in renal fibroblasts. Aldosterone induced OPN expression in a dose-dependent manner with significant responses at 10 nmol/L (1.6Ϯ0. OPN expression is induced by many growth factors and cytokines such as angiotensin II, basic fibroblast growth factor, 3 and aldosterone. Aldosterone binds to the mineralocorticoid receptor (MR) and plays an important role in the pathophysiology of renal disease. An animal model of hypertension caused by aldosterone and salt overload exhibits renal injury with increasing proinflammatory cytokines including OPN. 4 Aldosterone directly acts on the MR of endothelial cells to induce OPN gene expression 5 and it is therefore of interest that we have recently reported the independent association of plasma OPN levels with serum aldosterone levels in patients with essential hypertension. 6 In addition, plasma OPN levels were higher in patients with primary aldosteronism than with essential hypertension. 7 One of the direct actions of aldosterone may be the induction of systemic fibrosis by increasing proinflammatory cytokines including OPN.Previous studies have shown that various inducers regulate OPN expression at the transcriptional level with transcription factors such as Sp-1, 8 activator protein 1 (AP-1), 9,10 and nuclear factor kappa B (NFB). 10 However, the transcriptional regulatory mechanism of OPN by aldosterone remains unclear. In the present study, we demonstrated that aldosterone induces the transcription of the OPN gene through AP-1 and NFB via MR and plays an important role in renal fibrosis via OPN induction.