. TNF-␣ enhances contraction and inhibits endothelial NO-cGMP relaxation in systemic vessels of pregnant rats. Am J Physiol Regulatory Integrative Comp Physiol 283: R130-R143, 2002. First published February 28, 2002 10.1152/ajpregu.00704. 2001.-Tumor necrosis factor-␣ (TNF-␣) is elevated in the plasma of preeclamptic women and may have a role in pregnancy-induced hypertension. However, whether the hemodynamic effects of TNF-␣ reflect the direct effects on vascular reactivity is unclear. We tested the hypothesis that TNF-␣ impairs endothelium-dependent relaxation and enhances vascular contraction in systemic vessels of pregnant rats. We measured isometric contraction in aortic strips isolated from virgin and pregnant Sprague-Dawley rats (nontreated vs. treated for 2 h with 10-1,000 pg/ml TNF-␣). In endotheliumintact vascular strips, TNF-␣ caused greater enhancement of phenylephrine (Phe) contraction in pregnant than virgin rats. TNF-␣ caused significant inhibition of ACh-and bradykinin-induced vascular relaxation and nitrite/nitrate production that were more prominent in pregnant than virgin rats. N G -nitro-L-arginine methyl ester [L-NAME, 100 M, an inhibitor of nitric oxide (NO) synthase] or 1H-[1,2,4]oxadiazolo[4,3]-quinoxalin-1-one (ODQ, 1 M, an inhibitor of cGMP production in smooth muscle) inhibited ACh relaxation and enhanced Phe contraction in nontreated but to a lesser extent in TNF-␣-treated vessels, particularly those of pregnant rats. Endothelium removal enhanced Phe contraction in nontreated but not TNF-␣-treated vessels, especially those of pregnant rats. Relaxation of Phe contraction with the NO donor sodium nitroprusside was not different between nontreated and TNF-␣-treated vessels. Thus TNF-␣ enhances vascular contraction and inhibits endothelium-dependent NO-cGMP-mediated vascular relaxation in systemic vessels, particularly those of pregnant rats. The results support a direct role for TNF-␣ as a possible mediator of increased vascular resistance associated with pregnancy-induced hypertension.cytokines; endothelium; nitric oxide; pregnancy; arterial pressure; tumor necrosis factor-␣ NORMAL PREGNANCY IS OFTEN associated with decreased systemic vascular resistance and arterial pressure and reduced vascular reactivity to circulating vasoconstrictors (20,35,46,51). The hemodynamic and vascular changes associated with normal pregnancy have been attributed in part to increased nitric oxide (NO) synthesis by various cells including the vascular endothelial cells (1,18,54,62,69). This is supported by studies showing that the tissue expression and activity of NO synthase (NOS) are enhanced during late gestation (4,13,61,68) and that the metabolic production and plasma level of guanosine 3Ј,5Ј-cyclic monophosphate (cGMP), a second messenger of NO and a cellular mediator of vascular smooth muscle relaxation (30,34), are increased during pregnancy (15).In 5-10% of pregnancies, women develop a condition called preeclampsia, which is characterized by proteinuria, increased intravascular coagulation and sy...