Abstract-Human essential hypertension is characterized by eutrophic remodeling of small arteries, with little evidence of hypertrophy. Likewise, vessels of young hypertensive TGR(mRen2)27 animals have undergone similar structural alterations. The role of integrins in resistance arteries of TGR(mRen2)27 during the eutrophic-remodeling process was examined as blood pressure rose. Initially, 8 ␣ and 3  integrins were identified and levels of expression investigated using RT-PCR. As pressure increased and remodeling advanced, integrin expression profiles revealed that only ␣V was significantly raised. In conjunction, we confirmed elevated integrin ␣V protein levels in TGR(mRen2)27 rat arteries and localization to the media using immunofluorescence. 1 and 3, but not 5 integrin subunits were coprecipitated with integrin ␣V and are implicated in the eutrophic remodeling process. Administration of a peptide antagonist of ␣V3 abolished remodeling but enhanced growth, indicating that hypertrophy supervened as a response to hypertensioninduced increases in wall stress. We have established that the only upregulated integrin, the ␣V subunit of integrin ␣V3, has a crucial role in the hypertensive remodeling process of TGR(mRen2)27 rat resistance arteries. During hypertensive remodeling, functions of specific ␣V3-extracellular matrix interactions are likely to allow vascular smooth muscle cell-length autoregulation, which includes a migratory process, to maintain a narrowed lumen after a prolonged constricted state. A lthough the causes of high blood pressure may vary, sustained hypertension is associated with changes in cardiovascular structure. 1 These can be seen from the left ventricle down to the resistance vessels, and there is a strong relationship between left ventricular mass and small artery structure. 2,3 Resistance to blood flow is provided by arteries with an internal diameter (ID) of Յ300 m, 4 and in subcutaneous vessels, there is clear evidence for an increased media thickness:lumen diameter ratio in essential hypertension, which is proportional to the severity of the blood pressure. 1,5,6 Such findings appear to be representative of other vascular beds, with similar results being reported in the small intestine and the heart. 7,8 The nature of the structural change that is effected by hypertension is a rearrangement of the preexisting material in the vascular wall without a major hypertrophic response. 9 This has been termed eutrophic inward remodeling, which is initiated by vascular smooth muscle cell (VSMC)-length autoregulation. 10 Constriction causes shortening of VSMCs and a return to normal length after dissipation of the stimulus; however, prolonged constriction causes cells to increase in overlap. This functional adaptation to prolonged vasoconstriction is thought to occur because it is an energetically favored mechanism to preserve a reduced lumen diameter for long periods. 10 All models of hypertension appear to demonstrate eutrophic remodeling in small arteries, although to differing extents. ...