Pathophysiological states, including cardiovascular and renal diseases, are characterized by oxidative stress but what is less clear is whether physiological challenges incur a degree of altered oxidative metabolism. To this end, this study examined whether exposure to a high dietary sodium intake could cause an oxidative stress at the kidney. Animals, placed on either 0.3% or 3% sodium diets for 2 wk, were given a lethal dose of anesthetic, and kidneys were removed to analyze both NAD(P)H oxidase (NOX) and superoxide dismutase (SOD) expression and activities in the cortex and medulla. Placing animals on the highsodium diet raised sodium and water excretion and caused an Ïł14-fold increase in urinary excretion of 8-isoprostane, a marker of oxidative stress, which was attenuated by chronic treatment with apocynin to prevent NAD(P)H oxidase activity. The protein expression of the NAD(P)H oxidase subunits NOX2 and p47 phox and overall NAD(P)H oxidase activity were approximately doubled in the cortex of the rats on the high-sodium diet compared with those on the normal sodium intake while both SOD activity and expression were unchanged. By contrast, neither NOX nor SOD protein expression or activity were altered in the medulla when the rats were placed on the high-sodium intake. These data suggest that an elevation in dietary sodium intake can lead to increased generation of reactive oxygen species and a state of oxidative stress in the cortex but not to such a degree that it extends to the medulla. renal cortex; renal medulla; oxidative stress; nicotinamide adenine dinucleotide phosphate oxidase; superoxide dismutase THERE IS NOW A CLEAR consensus that, in many cardiovascular diseases, such as hypertension, heart failure, diabetes, and obesity, a state of oxidative stress exists where there is a raised production of reactive oxygen species that has potentially damaging effects on proteins, lipids, and DNA or react with nitric oxide (NO), thereby removing its functional role in physiological control mechanisms (17,20). Oxidative stress results from an imbalance between the generation of reactive oxygen species, such as superoxide anion (O 2 ÏȘ ), hydrogen peroxide, and hydroxyl radical, and the antioxidant defense systems, such as superoxide dismutase (SOD) (18). NAD(P)H oxidases are responsible for the generation of reactive oxygen species, and in unstimulated phagocytes, where it was originally identified, the NAD(P)H oxidase enzyme is composed of gp91 phox , a membrane-integrated catalytic subunit associated with p22 phox , an accessory subunit. The activator (p67 phox ) and the organizer/adaptor subunits (p47 phox and p40 phox ) exist in the cytoplasm and, upon activation, translocate to the membrane to assemble the active oxidase that transfers electrons from the substrate to O 2 , forming O 2 ÏȘ . Phagocytic gp91 phox [NAD(P)H oxidase (NOX) 2] has also been detected in vascular, cardiac, renal, and neural cells while its homolog NOX4 is abundant in the kidney and in vascular smooth muscle cells (6, 13). The activ...