([Ca 2ϩ ]CYT) signaling. In this study, we examined the expression of the ouabain-sensitive Na-K-ATPase ␣2 subunit in the rat renal vasculature and tested effects of acute ouabain exposure and chronic ouabain treatment on DVR. Immunostaining with antibodies directed against the ␣2 subunit verified its expression in both DVR pericytes and endothelium. Acute application of ouabain (100 or 500 nM) augmented the DVR nitric oxide generation stimulated by acetylcholine (ACh; 10 M). At a concentration of 1 mM, ouabain constricted microperfused DVR, whereas at 100 nM, it was without effect. Acute ouabain (100 nM) did not augment constriction by angiotensin II (0.5 or 10 nM), whereas L-nitroarginine methyl esterinduced contraction of DVR was slightly enhanced. Ouabain-hypertensive (OH) rats were generated by chronic ouabain treatment (30 g ⅐ kg Ϫ1 ⅐ day Ϫ1 , 5 wk). The acute endothelial [Ca 2ϩ ]CYT elevation by ouabain (100 nM) was absent in DVR endothelia of OH rats. The [Ca 2ϩ ]CYT response to 10 nM ACh was also eliminated, whereas the response to 10 M ACh was not. The endothelial [Ca 2ϩ ]CYT response to bradykinin (100 nM) was significantly attenuated. We conclude that endothelial responses may offset the ability of acute ouabain exposure to enhance DVR vasoconstriction. Chronic exposure to ouabain, in vivo, leads to hypertension and DVR endothelial dysfunction, manifested as reduced [Ca 2ϩ ]CYT responses to both ouabain-and endothelium-dependent vasodilators. kidney; medulla; microcirculation; nitric oxide; blood flow "OUABAIN-LIKE FACTORS" (OLF), synthesized by the adrenal gland and hypothalamus, inhibit Na ϩ /K ϩ exchange (19, 46) and activate signaling cascades (6, 7, 44) by binding to Na-KATPase ␣-subunits. In rodents, the ␣1 isoform of Na-KATPase that maintains Na ϩ and K ϩ gradients across cell membranes has very low affinity (K d Ͼ 10 M) for ouabain. In contrast, the ␣2 and ␣3 isoforms have high affinity for ouabain (K d Ͻ 50 nM), but are less abundantly expressed (3, 48). It has been proposed that targeting of the ␣2 isoform to cellular microdomains where ER/SR protrusions abut the plasma membrane (4, 7) may modulate intracellular Na ϩ and reduce Ca 2ϩ extrusion via Na ϩ /Ca 2ϩ exchange to enhance Ca 2ϩ sequestration into ER/SR stores. Evidence favoring that hypothesis has been accumulating. Low-dose (10 -100 nM) ouabain enhances Ca 2ϩ release in smooth muscle and endothelium (2, 35) and increases resting cytoplasmic Ca 2ϩ ([Ca 2ϩ ] CYT ) and myogenic tone (35,48).A role for OLF in hypertension is also well supported. Chronic administration of ouabain into rodents induces hypertension (26, 28), and many patients with essential hypertension have high plasma ouabain levels (43). Transgenic mice in which the ␣2 Na-K-ATPase binding site for ouabain has been mutated are resistant to both ouabain-and ACTH-induced hypertension, supporting a causal role in hypertension for both ouabain and the ␣2 ouabain receptor (12, 13).Detailed mechanisms by which ouabain induces hypertension remain to be elucidated. ...