Because endothelial nitric-oxide synthase (eNOS) is generally considered protective against renal injury , we examined eNOS knockout mice for kidney pathology. In 80% of the adults examined , the renal surface was marked by distinct indented scars containing crowded small glomeruli but lacking attached tubules. Although vasculature was intact in the scars , Bowman's space was dilated and glomerular tufts were degenerated. The atubular glomeruli were embedded in a dense interstitial matrix composed of cells positive for fibroblast (FSP-1) or macrophage (F4/80) markers , degenerated proximal tubules and collecting ducts , and diffuse fibrotic deposits. Surrounding regions of kidney contained mostly normal-appearing tubules , but enlarged or sclerotic glomeruli were also present. In neonatal animals , apoptosis and necrosis were concentrated in tubules within focal parenchymal zones , with narrowing of the glomerulotubular "neck." In summary , targeted deletion of eNOS in mice leads to progressive focal renal abnormalities , including glomerular hypoplasia , and tubular cell death , leading to separation of glomeruli from tubules and tubular disruption. These abnormalities begin developing during the normal up-regulation of eNOS in the maturing kidney and are similar to those of a variety of chronic renal disorders. Endogenous renal eNOS production therefore seems critical for the maintenance of nephron maturation and integrity. Endothelial nitric-oxide synthase (eNOS) is implicated in numerous aspects of renal vascular control and function. It is thought to exert a vasculoprotective effect by modulation of kidney blood flow through counterbalancing the effects of the renin-angiotensin system.1 Following NOS inhibition, the activity of the renin-angiotensin system is increased, with increased expression of fibronectin and ␣-smooth muscle actin. 2 Either angiotensin-converting enzyme inhibitors or angiotensin receptor antagonists ameliorate the consequent renal injury.2 In contrast, ischemic preconditioning increases renal eNOS protein expression and suppresses ischemic injury.3 As its name implies, eNOS is located within the renal vascular endothelium in the adult. However, recent findings indicate that, in neonatal rats, this enzyme is also transiently present in proximal tubules, 4 whereas eNOS mRNA is present in the inner medullary collecting duct in the adult.