SUMMARY The possible role of Na + in the development of hypertension in rats was explored in measurements of intracellular Na + , 22 Na efflux, and 3 H-ouabain binding sites in resistance vessels and skeletal muscles. In resistance vessels obtained from 13-week-old spontaneously hypertensive rats (SHR) or age-matched Wistar-Kyoto rats (WKY), (Na),, total or ouabain-resistant "Na efflux, and the concentration of 3 H-ouabain binding sites showed no significant differences. Soleus muscles obtained from 6-week-old and 13-week-old SHR contained 5 to 11% more 3 H-ouabain binding sites than those of WKY. The small difference in ouabain binding probably was related more to variations in growth rate and strain than to the hypertension. In SHR and WKY the Na + and K + contents of gastrocnemius muscles were almost identical at 6 and 13 weeks of age. By contrast, in Wistar rats in which the (Na), of skeletal muscle was increased sixfold by K + depletion, the systolic blood pressure was decreased by 10%. The K + depletion was associated with a 35 to 55% decrease in the concentration of 3 H-ouabain binding sites in both resistance vessels and skeletal muscles. The results provide no support for any simple cause-effect relationships between either elevated (Na), or altered concentration of 3 H-ouabain binding sites and hypertension in SHR. (Hypertension 7: 277-286, 1985) KEY WORDS • ouabain binding muscle • potassium deficiency Na + -K + pump SHR sodium content resistance vessels I T has been repeatedly proposed that hypertension is associated with and possibly caused by increased Na + content, Na + permeability, and altered Na + transport in vascular smooth muscle cells.