Abstract-To test the hypothesis that increased osmolality contributes to hypertension in deoxycorticosterone acetate (DOCA)-salt-hypertensive rats by acting in the brain, DOCA-salt and Sham-salt rats were instrumented with bilateral, nonoccluding intracarotid and femoral catheters. Two weeks prior, rats were uninephrectomized and received subcutaneous implants with or without DOCA (65 mg) and began drinking salt water (1% NaCl and 0.2% KCl). DOCA-salt rats (nϭ28) exhibited elevated blood pressure (159Ϯ4 mm Hg; PϽ0.05) and heart rate (392Ϯ10 bpm; PϽ0.05) compared with Sham-salt animals (nϭ5; blood pressure: 107Ϯ5 mm Hg; heart rate: 355Ϯ10 bpm). Bilateral intracarotid infusion of hypotonic fluid (osmolality: Ϸ40 mOsm/L), which lowers osmolality of blood to the brain by Ϸ2%, rapidly decreased blood pressure in DOCA-salt rats (Ϫ22Ϯ4 mm Hg after 15 minutes; PϽ0.05; nϭ7) but not Sham-salt rats (2Ϯ2 mm Hg; nϭ5). Hypotonic fluid infused intravenously did not lower blood pressure (0Ϯ2 mm Hg) in DOCA-salt rats (nϭ7). In DOCA-salt rats pretreated with a V 1 vasopressin antagonist (Manning compound, 5 g, IV), intracarotid hypotonic infusion still decreased blood pressure (Ϫ10Ϯ3 mm Hg; PϽ0.05; nϭ9), but the response was smaller (PϽ0.05). Finally, in DOCA-salt rats (nϭ4) pretreated with the V 1 antagonist and the ganglionic blocker hexamethonium, decreasing osmolality of blood to the brain did not reduce blood pressure. These data indicate that, in DOCA-salt rats, hypertonicity acts in the brain to support blood pressure, in part by stimulating vasopressin secretion and in part by stimulating another rapidly reversible mechanism, likely the sympathetic nervous system. Key Words: hypertension, sodium-dependent Ⅲ central nervous system Ⅲ hypertension, mineralocorticoid Ⅲ sodium Ⅲ sympathetic nervous system Ⅲ vasopressin I ncreasing evidence supports a role for body fluid osmolality (OSM) in the regulation of blood pressure (BP) and sympathetic nerve activity (for reviews see References 1,2 ). Acute increases in OSM rapidly elevate BP and sympathetic nerve activity to specific beds, 3-5 and more chronic increases in plasma OSM, such as during water deprivation, seem to sustain this rapid sympathoexcitation. 6 Moreover, recent studies suggest that increased OSM contributes to sympathoexcitation in at least one model of salt-sensitive hypertension, the deoxycorticosterone-treated rat consuming excess salt (DOCA-salt) rat. More specifically, DOCA-salt rats exhibit hypertension and elevated OSM and/or NaCl levels, 7-10 and normalization of OSM results in profound decreases in BP and lumbar sympathetic nerve activity. 8 However, the site at which OSM is sensed to trigger sustained sympathoexcitation in DOCA-salt rats has not been identified.Osmoreceptors are present in numerous organs, including the liver, kidney, and brain, but significant indirect evidence implicates the brain in this action. First, forebrain circumventricular organs contain osmoreceptors that are exquisitely sensitive to minute changes in OSM. 11 Second, forebrain...