Abstract-Although the role of sodium in hypertension has been documented extensively, its effect on large arteries has not been well documented. We examined the effect of high-sodium (8%) diet and the diuretic indapamide (IND) on systemic hemodynamics and aortic wall structure and composition in collagen, elastin, and hyaluronan. Four groups of spontaneously hypertensive rats (SHR) were studied after 8 weeks: those on a normal diet (SHR), a high-sodium diet (SHRϩNaCl), a normal diet with IND (SHRϩIND), and a high-sodium diet with IND (SHRϩNaClϩIND). Mean BP, which was not normalized with IND, was comparable for all groups. Systemic arterial compliance averaged 3.8, 2.5, 4.9, and 3.3 mL/mm Hg · 10 Ϫ3 , respectively, for the SHR, SHRϩNaCl, SHRϩIND, and SHRϩNaClϩIND groups (PϽ0.003 and Ͻ0.05 for NaCl and IND effects). Wall thickness increased only in the SHRϩNaCl group (PϽ0.01). Aortic wall COL decreased from 16 116 in the SHR to 12 382 m 2 /mm in the SHRϩNaClϩIND (PϽ0.005) group. IND alone had no effect on elastin, but the elastin/collagen ratio was increased significantly. Aortic hyaluronan averaged 2343, 266, 3243, and 1052 m 2 /mm, respectively, for the SHR, SHRϩNaCl, SHRϩIND, and SHRϩNaClϩIND groups (PϽ0.0001 for NaCl and IND effects). Changes in systemic arterial compliance were significantly and positively correlated with aortic hyaluronan contents. Thus, high-sodium diet affects the structural and functional characteristics of large arteries independently of BP. A high-sodium diet, in addition to a diuretic regimen with IND, affects simultaneously aortic hyaluronan contents and large artery mechanical properties through pressure-independent mechanisms that remain to be defined. Key Words: arteries Ⅲ diet Ⅲ diuresis Ⅲ proteoglycans Ⅲ rats, spontaneously hypertensive E pidemiological studies indicate that in populations of normotensive and hypertensive subjects, a strong association is observed between high sodium intake and increased aortic rigidity, independent of both age and BP level. 1 Conversely, reduced sodium intake is associated with enhanced arterial elasticity. 2 In hypertensive rats, high sodium intake leads not only to cardiac hypertrophy and fibrosis but also to hypertrophy of large arteries and enhanced extracellular matrix, again independently of BP level. 3 However, the potential link between such structural alterations and the mechanical properties of the arteries has not been investigated extensively.During high sodium intake in experimental animals, concentration of this cation in the vascular smooth muscle cell rises, but most of it remains extracellularly bound to the interstitial matrix, probably to polyanionic mucopolysaccharides. 4 To our knowledge, whether such macromolecules contribute to mechanical properties of the arteries during high sodium intake has never been reported under in vivo conditions, at least for large conduit arteries. In sodium-dependent hypertensive animal models, diuretics reduce hypertrophy of the arterial wall even if BP remains unchanged. 2 Interestingly, a c...