Background and Purpose-Angiotensin II (Ang II) produces oxidative stress in vascular cells in culture and in extracranial conduit arteries. The goal of this study was to examine the hypothesis that Ang II produces superoxide-mediated impairment of endothelial function in cerebral microvessels. Methods-Diameter of cerebral arterioles (baseline diameterϭ104Ϯ3 m) was measured with the use of a closed cranial window in anesthetized rabbits. Topical application of Ang II was used to avoid effects on arterial pressure. Results-Ang II (0.1 to 1 mol/L for 2 hours) had no effect on baseline diameter (change in diameter of Ϫ3Ϯ2% in response to 1 mol/L Ang II) but produced concentration-dependent inhibition of vasodilatation to the endotheliumdependent agonist bradykinin. For example, 1 mol/L Ang II inhibited responses to 1 nmol/L bradykinin by almost 80%. These inhibitory effects of Ang II were prevented by the superoxide scavenger 4,5-dihydroxy-1,3-benzenedisulfonic acid (Tiron; 10 mmol/L) or diphenylene iodonium (DPI; 3 mol/L), an inhibitor of NAD(P)H oxidase. Ang II did not inhibit vasodilatation in response to nitroprusside, an endothelium-independent vasodilator. Conclusions-These findings are the first evidence that local Ang II produces superoxide-mediated vascular dysfunction in cerebral microvessels. The results with DPI suggest that the source of superoxide may be an NAD(P)H oxidase. Key Words: bradykinin Ⅲ cerebral circulation Ⅲ endothelium Ⅲ reactive oxygen species Ⅲ rabbits I n recent years, there has been renewed interest in the role of angiotensin II (Ang II) in vascular disease. In studies of extracranial blood vessels and vascular cells in culture, Ang II has been implicated as a major cause of oxidative stress, inflammation, and endothelial dysfunction as well as vascular hypertrophy and remodeling. [1][2][3][4] For example, Ang II increases superoxide formation in cultured vascular muscle and endothelium and within the wall of intact vessels. [5][6][7][8] We have found that superoxide is increased within the vessel wall and that endothelial dysfunction is present in animals made hypertensive using osmotic mini-pumps and in transgenic mice made hypertensive by expression of human renin and human angiotensinogen. 9,10 Vasomotor effects of Ang II have been studied in the cerebral circulation, but the results of these studies have been quite divergent. For example, acute administration of Ang II has been reported to produce constriction, [11][12][13][14][15][16][17] to have no effect, 18 or to produce dilation 19 -21 on cerebral blood vessels. In contrast to these studies, nothing is known regarding the possibility that Ang II produces oxidative stress or impairment of endothelium-dependent relaxation in the cerebral circulation. Thus, the goals of the present study were to (1) examine the hypothesis that Ang II produces endothelial dysfunction in the cerebral circulation and (2) determine whether endothelial dysfunction in response to Ang II was mediated by superoxide. The approach used involved applicatio...