Abstract-The present study characterized the biochemical pathways responsible for superoxide (O 2 Ϫ· ) production in different regions of the rat kidney and determined the role of O 2 Ϫ· in the control of renal medullary blood flow (MBF) and renal function. By use of dihydroethidium/DNA fluorescence spectrometry with microtiter plates, the production of O 2 Ϫ· was monitored when tissue homogenate from different kidney regions was incubated with substrates for the major O 2 Ϫ· -producing enzymes, such as NADH/NADPH oxidase, xanthine oxidase, and mitochondrial respiratory chain enzymes. The production of O 2 Ϫ· via NADH oxidase was greater (PϽ0.05) in the renal cortex and outer medulla (OM) than in the papilla. The mitochondrial enzyme activity for O 2 Ϫ· production was higher (PϽ0.05) in the OM than in the cortex and papilla. Compared with NADH oxidase and mitochondrial enzymes, xanthine oxidase and NADPH oxidase produced much less O 2 Ϫ· in the kidney under this condition. Overall, the renal OM exhibited the greatest enzyme activities for O 2 Ϫ· production. In anesthetized rats, renal medullary interstitial infusion of a superoxide dismutase inhibitor, diethyldithiocarbamate, markedly decreased renal MBF and sodium excretion. Diethyldithiocarbamate (5 mg/kg per minute by renal medullary interstitial infusion [RI]) reduced the renal medullary laser-Doppler flow signal from 0.6Ϯ0.04 to 0.4Ϯ0.03 V, a reduction of 33%, and both urine flow and sodium excretion decreased by 49%. In contrast, a membrane-permeable superoxide dismutase mimetic, 4-hydroxytetramethyl-piperidine-1-oxyl (TEMPOL, 30 mol/kg per minute RI) increased MBF and sodium excretion by 34% and 69%, respectively. These effects of TEMPOL on renal MBF and sodium excretion were not altered by pretreatment with N G -nitro-L-arginine methyl ester (10 g/kg per minute RI). We conclude that (1) Key Words: free radicals Ⅲ oxygen Ⅲ hemodynamics, renal Ⅲ kidney I n contrast to the conventional idea that reactive oxygen species (ROS) are of only pathological consequence, recent studies have indicated that under physiological conditions, low concentrations of ROS play an important role in the normal regulation of cell and organ function. 1-4 Redoxmediated signaling is emerging as a fundamental regulatory mechanism in cell biology and physiology. 2,4 In this regard, ROS have been reported to participate in the control of vascular tone, and the interaction of superoxide (O 2 Ϫ· ) and NO has been considered as one of the important mechanisms regulating cardiovascular function. 1,2,4,5 It has been demonstrated that O 2 Ϫ· inactivates the endothelium-dependent relaxing factor, thereby reducing the arteriolar dilation to acetylcholine or other endothelium-dependent vasodilators 6 and that endothelial superoxide dismutase (SOD) activity significantly increased the half-life of the endothelium-dependent relaxing factor produced by acetylcholine. 5 Recent studies have provided direct evidence that inactivation of SOD activity with diethyldithiocarbamate (DETC) selectively in...