Graciano ML, Mouton CR, Patterson ME, Seth DM, Mullins JJ, Mitchell KD. Renal vascular and tubulointerstitial inflammation and proliferation in Cyp1a1-Ren2 transgenic rats with inducible ANG II-dependent malignant hypertension. Am J Physiol Renal Physiol 292: F1858 -F1866, 2007. First published March 6, 2007;doi:10.1152/ajprenal.00469.2006.-Transgenic rats with inducible ANG II-dependent malignant hypertension [TGR(Cyp1a1Ren2)] were generated by inserting the mouse Ren2 renin gene into the genome of the rat. The present study was performed to assess renal morphological changes occurring during the development of ANG IIdependent malignant hypertension in these rats. Male Cyp1a1-Ren2 rats (n ϭ 10) were fed normal rat food containing indole-3-carbinol (I3C; 0.3%) for 10 days to induce malignant hypertension. Rats induced with I3C had higher mean arterial pressures (173 Ϯ 9 vs. 112 Ϯ 11 mmHg, P Ͻ 0.01) than noninduced normotensive rats (n ϭ 9). Glomerular damage was evaluated by determination of the glomerulosclerosis index (GSI) in tissue sections stained with periodic acid-Schiff. Kidneys of hypertensive rats had a higher GSI than normotensive rats (21.3 Ϯ 5.6 vs. 3.5 Ϯ 1.31 units). Quantitative analysis of macrophage ED-1-positive cells and proliferating cell nuclear antigen using immunohistochemistry demonstrated increased macrophage numbers in the renal interstitium (106.4 Ϯ 11.4 vs. 58.7 Ϯ 5.0 cells/mm 2 ) and increased proliferating cell number in cortical tubules (37.8 Ϯ 5.7 vs. 24.2 Ϯ 2.1 cells/mm 2 ), renal cortical vessels (2.2 Ϯ 0.5 vs. 0.13 Ϯ 0.07 cells/vessel), and the cortical interstitium (33.6 Ϯ 5.7 vs. 4.2 Ϯ 1.4 cells/mm 2 ) of hypertensive rat kidneys. These findings demonstrate that the renal pathological changes that occur during the development of malignant hypertension in Cyp1a1-Ren2 rats are characterized by inflammation and cellular proliferation in cortical vessels and tubulointerstitium. kidney; glomerulosclerosis; renal injury; immunohistochemistry; renin-angiotensin system; renal pathology; peptide hormones TRANSGENIC RATS WITH INDUCIBLE activation of extrarenal renin gene expression [TGR(Cyp1a1Ren2)] were generated using a renin transgene under the transcriptional control of the cytochrome P-450 (Cyp1a1) promoter (23). This transgenic rat line was created by inserting a mouse Ren2 renin gene, fused to an 11.5-kb fragment of the Cyp1a1 promoter, into the genome of the Fischer 344 rat (23). Cyp1a1, which catalyzes the oxidation of a wide range of endogenous lipophilic compounds and xenobiotics (7, 10, 43), is not constitutively expressed but is highly inducible on exposure to various aryl hydrocarbons such as indole-3-carbinol (I3C) (7,10,14,21,26,33,43). Induction of Cyp1a1 is mediated by the aryl hydrocarbon receptor, which is a basic helix-loop-helix-transcription factor that binds to specific DNA elements in the Cyp1a1 promoter (7, 13, 43). Rats transgenic for the Cyp1a1-Ren2 construct do not constitutively express the Ren2 renin gene. Rather, the Ren2 gene is expressed, primarily i...