Abstract-Proximal tubule reabsorption is regulated by systemic and intrinsic mechanisms, including locally produced autocoids. Superoxide, produced by NADPH oxidase enhances NaCl transport in the loop of Henle and the collecting duct, but its role in the proximal tubule is unclear. We measured proximal tubule fluid reabsorption (Jv) in WKY rats and compared that with Jv in the spontaneously hypertensive rat (SHR), a model of enhanced renal superoxide generation. Rats were treated with the NADPH oxidase inhibitor apocynin (Apo) or with small interfering RNA for p22 phox , which is the critical subunit of NADPH oxidase. Jv was lower in SHR compared with Wistar-Kyoto rats (WKY; WKY: 2.3Ϯ0.3 vs SHR: 1.1Ϯ0.2 nL/min per millimeter; nϭ9 to 11; PϽ0.001). Apo and small interfering RNA to p22 phox normalized Jv in SHRs but had no effect in WKY rats. Jv was reduced in proximal tubules perfused with S-1611, a highly selective inhibitor of the Na ϩ /H ϩ exchanger 3, the major Na ϩ uptake pathway in the proximal tubule, in WKY rats but not in SHRs. Pretreatment with Apo restored an effect of S-1611 to reduce Jv in the SHRs (SHRϩApo: 2.9Ϯ0.4 vs SHRϩApoϩS-1611: 1.0Ϯ0.3 nL/min per millimeter; PϽ0.001). However, because expression of the Na ϩ /H ϩ exchanger 3 was similar between SHR and WKY rats, this suggests that superoxide affects Na ϩ /H ϩ exchanger 3 activity. Direct microperfusion of Tempol or Apo into the proximal tubule also restored Jv in SHRs. In conclusion, superoxide generated by NADPH oxidase inhibits proximal tubule fluid reabsorption in SHRs. This finding implies that proximal tubule fluid reabsorption is regulated by redox balance, which may have profound effects on ion and fluid homeostasis in the hypertensive kidney. Key Words: proximal reabsorption Ⅲ superoxide Ⅲ Tempol Ⅲ apocynin Ⅲ hypertension I n the kidney, the proximal tubule (PT) reabsorbs 60% to 70% of filtered NaCl and fluid. Therefore, changes in PT reabsorption can have profound effects on renal and body fluid balance and may contribute to the development of hypertension. The normal kidney protects against acute increases in blood pressure by excreting NaCl rapidly. The PT is thought to mediate much of this pressure-natriuresis response. In young spontaneously hypertensive rats (SHRs), before the onset of hypertension, expression of the major Na ϩ transport systems in the PTs was higher 1 and Na ϩ excretion was lower compared with normotensive rats (Wistar-Kyoto [WKY]). 2 This was accompanied by an increase in fluid reabsorption in the PT in young (5-week-old) prehypertensive SHRs compared with WKY. These observations suggest that an exaggerated NaCl and fluid reabsorption in the PT may contribute to the development of hypertension in young SHRs, which persists in the adult animal. However, the increased reabsorption seen in young animals is not consistently observed in adult SHRs. For example, in 7-and 12-week-old SHRs, at a time when hypertension was established, baseline proximal tubule fluid reabsorption (Jv) in the PT was lower compared with that...