Ford RJ, Rush JW. Endothelium-dependent vasorelaxation to the AMPK activator AICAR is enhanced in aorta from hypertensive rats and is NO and EDCF dependent. Am J Physiol Heart Circ Physiol 300: H64 -H75, 2011. First published October 22, 2010 doi:10.1152/ajpheart.00597.2010.-Activation of AMP-activated protein kinase (AMPK) induces vasorelaxation in arteries from healthy animals, but the mechanisms coordinating this effect are unclear and the integrity of this response has not been investigated in dysfunctional arteries of hypertensive animals. Here we investigate the mechanisms of relaxation to the AMPK activator 5-aminoimidazole-4-carboxamide 1--D-ribofuranoside (AICAR) in isolated thoracic aorta rings from spontaneously hypertensive rats (SHR) and normotensive Wistar-Kyoto rats (WKY). Although AICAR generated dose-dependent (10 Ϫ6 -10 Ϫ2 M) relaxation in precontracted WKY and SHR aortic rings with (E ϩ ) or without (E Ϫ ) endothelium, relaxation was enhanced in E ϩ rings. Relaxation in SHR E ϩ rings was also enhanced at low [AICAR] (10 Ϫ6 M) compared with that of WKY (57 Ϯ 8% vs. 3 Ϯ 2% relaxation in SHR vs. WKY E ϩ ), but was similar and near 100% in both groups at high [AICAR]. Pharmacological dissection showed that the mechanisms responsible for the endothelium-dependent component of relaxation across the dose range of AICAR are exclusively nitric oxide (NO) mediated in WKY rings, but partly NO dependent and partly cyclooxygenase (COX) dependent in SHR vessels. Further investigation revealed that AChstimulated COX-endothelium-derived contracting factors (EDCF)-mediated contractions were suppressed by AICAR, and this effect was reversed in the presence of the AMPK inhibitor Compound C in quiescent E ϩ SHR aortic rings. Western blots demonstrated that P(Thr 172 )-AMPK and P(Ser 79 )-acetyl-CoA carboxylase (indexes of AMPK activation) were elevated in SHR versus WKY E ϩ rings at low AICAR (ϳ2-fold). Together these findings suggest that AMPKmediated inhibition of EDCF-dependent contraction and elevated AMPK activation may contribute to the enhanced sensitivity of SHR E ϩ rings to AICAR. These results demonstrate AMPK-mediated vasorelaxation is present and enhanced in arteries of SHR and suggest that activation of AMPK may be a potential strategy to improve vasomotor dysfunction by suppressing enhanced endoperoxidemediated contraction and enhancing NO-mediated relaxation.spontaneously hypertensive rats; Wistar-Kyoto rats; nitric oxide; adenosine 5=-monophosphate-activated protein kinase; 5-aminoimidazole-4-carboxamide 1--D-ribofuranoside; endothelium-derived contracting factors AMP-ACTIVATED PROTEIN KINASE (AMPK) is emerging as a potential regulator of vascular function. Although recognized primarily as a modulator of cellular energy status and metabolism (28, 57), the identification of its existence in vascular cells and of its ability to be stimulated by numerous physical (8,20,59), energetic (17), hormonal (5, 8, 43), and chemical (8, 9, 11, 12, 29, 35, 40, 53) mediators of vasomotor function suggest a p...