/ajpregu. 00713.2003.-This study examined the effects of chronic blockade of the renal formation of epoxyeicosatrienoic acids and 20-hydroxyeicosatetraenoic acid with 1-aminobenzotriazole (ABT; 50 mg ⅐ kg Ϫ1 ⅐ day Ϫ1 ip for 5 days) on pressure natriuresis and the inhibitory effects of elevations in renal perfusion pressure (RPP) on Na ϩ -K ϩ -ATPase activity and the distribution of the sodium/hydrogen exchanger (NHE)-3 in the proximal tubule of rats. In control rats (n ϭ 15), sodium excretion rose from 2.3 Ϯ 0.4 to 19.4 Ϯ 1.8 eq ⅐ min Ϫ1 ⅐ g kidney weight Ϫ1 when RPP was increased from 114 Ϯ 1 to 156 Ϯ 2 mmHg. Fractional excretion of lithium rose from 28 Ϯ 3 to 43 Ϯ 3% of the filtered load. Chronic treatment of the rats with ABT for 5 days (n ϭ 8) blunted the natriuretic response to elevations in RPP by 75% and attenuated the increase in fractional excretion of lithium by 45%. In vehicle-treated rats, renal Na ϩ -K ϩ -ATPase activity fell from 31 Ϯ 5 to 19 Ϯ 2 mol Pi ⅐ mg protein Ϫ1 ⅐ h Ϫ1 and NHE-3 protein was internalized from the brush border of the proximal tubule after an elevation in RPP. In contrast, Na ϩ -K ϩ -ATPase activity and the distribution of NHE-3 protein remained unaltered in rats treated with ABT. These results suggest that cytochrome P-450 metabolites of arachidonic acid contribute to pressure natriuresis by inhibiting Na ϩ -K ϩ -ATPase activity and promoting internalization of NHE-3 protein from the brush border of the proximal tubule. 20-hydroxyeicosatetraenoic acid; epoxyeicosatrienoic acids; sodium/ hydrogen exchanger-3; sodium-potassium-adenosinetriphosphatase; kidney; proximal tubule; renal hemodynamics THE CONCEPT THAT THE KIDNEY plays an important role in the long-term control of arterial pressure is based on the phenomenon of pressure natriuresis (19,21). Despite intensive investigation, many aspects of the mechanism of pressure natriuresis remain unknown. Previous studies have indicated that pressure natriuresis is associated with elevations in renal medullary blood flow (13, 59 -61) and renal interstitial hydrostatic pressure (RIHP) (15,19,31). Na ϩ transport in the proximal tubule (22,32,33,57,76) and the loop of Henle (34, 57) decreases after elevations in renal perfusion pressure (RPP). Increases in RPP have been proposed to inhibit Na ϩ transport in the proximal tubule by increasing backflux of Na ϩ through the paracellular pathway (14,19,36). However, this mechanism seems unlikely because of the lack of an electrochemical gradient for backdiffusion of Na ϩ in the proximal tubule, and the existing Cl Ϫ gradient favors reabsorption rather than backleak. The work of Magyar et al. (37,38) and others (72,74,75,76,78,79), indicating that elevations in RPP are associated with a fall in Na ϩ -K ϩ -ATPase activity and internalization of the sodium/hydrogen exchanger (NHE)-3 from the brush border of the proximal tubule, has led to the suggestion that some signal-transduction pathway probably couples elevations in RPP to inhibition of the active transport of Na ϩ in the proximal tubule. H...