Imbalanced matrix metalloproteinase (MMP) activity is involved in hypertensive cardiac hypertrophy. Pharmacological inhibition of nuclear factor kappaB (NF-кB) with pyrrolidine dithiocarbamate (PDTC) can prevent MMP up-regulation. We suggested that treatment with PDTC could prevent 2-kidney, 1-clip (2K1C) hypertension-induced left ventricular remodelling. Sham-operated controls or 2K1C rats with hypertension received either vehicle or PDTC (100 mg/kg/day) by gavage for 8 weeks. Systolic blood pressure was monitored every week. Histological assessment of left ventricles was carried out with haematoxylin/eosin sections, and fibrosis was quantified in picrosirius red-stained sections. Oxidative stress was evaluated in heart samples with the dihydroethidium probe. Cardiac MMP activity was determined by in situ zymography, and cardiac MMP-2 was assessed by immunofluorescence. 2K1C surgery significantly increased systolic blood pressure in the 2K1C vehicle. PDTC exerted antihypertensive effects after 2 weeks of treatment. Histology revealed increased left ventricular and septum wall thickness associated with augmented myocyte diameter in hypertensive rats, which were reversed by treatment with PDTC. Hypertensive rats developed pronounced cardiac fibrosis with increased interstitial collagen area, increased cardiac reactive oxygen species levels, gelatinase activity and MMP-2 expression. PDTC treatment decreased these alterations. These findings show that PDTC modulates myocardial MMP-2 expression and ameliorates cardiac remodelling in renovascular hypertension. These results suggest that interfering with MMP expression at transcriptional level may be an interesting strategy in the therapy of organ damage associated with hypertension.It is well known that cardiac hypertrophy develops in response to many pathophysiological stimuli, particularly to pressure/volume overload and neurohormonal activation [1]. Although hypertension-associated cardiac remodelling is an initial adaptive process, sustained remodelling ultimately leads to progressive heart failure and death [1][2][3]. Common morphological features in hypertension-associated left ventricular remodelling include enlargement of cardiomyocytes and stimulated collagen turnover, resulting in net accumulation of interstitial collagen in cardiovascular tissues [3,4].Due to their fundamental role in extracellular matrix turnover and reorganization, matrix metalloproteinases (MMP), a so-called group of metalloenzymes, has been implicated as mediators of cardiac hypertrophy [5,6]. MMPs are proteases dependent on zinc and calcium and cleave several components of the extracellular matrix such as collagen, promoting the remodelling of tissue architecture and cell growth under both physiological and pathological conditions [7]. Additionally, MMP-2 degrades intracellular proteins such as troponin-I [8], myosin light chain [9], a-actinin [10] and titin [11], thus contributing to cardiac dysfunction. Transgenic mice with increased MMP-2 expression in cardiomyocytes deve...