Abstract-In the Sabra rat, oxidative stress (OS) and inflammation precede the development of hypertension. Inhibition of the phagocytic NADPH oxidase attenuates the rise in blood pressure. The present study was set to identify possible priming agents for this enzyme and to test the hypothesis that the phagocytic NADPH oxidase contributes to OS and inflammation. Sabra salt-sensitive and Sabra salt-resistant rats were salt loaded or provided regular chow for 60 days with or without apocynin to inhibit NADPH oxidase. Levels of interleukin 6, tumor necrosis factor-␣, and interferon-␥ served as indices of inflammation. Extracellular and intracellular levels of the polymorphonuclear leukocyte tumor necrosis factor-␣ receptors (p55 and p75) were assessed by flow cytometry in young and adult rats. NADPH oxidase activity and expression of p47phox were measured in polymorphonuclear leukocytes and aortic rings. Malondialdehyde and carbonylated fibrinogen served as indices of OS. Inflammatory and OS indices excluding interferon-␥ were higher in the hypertensive state and reduced by apocynin. Levels of malondialdehyde and tumor necrosis factor-␣ were elevated already in the prehypertensive state. No differences were found in the levels of p75. The extracellular expression of p55 was higher in adult Sabra salt-resistant compared with Sabra salt-sensitive rats (7.46Ϯ2.2% versus 2.1Ϯ0.5%; PϽ0.05), whereas levels of the intracellular p55 were higher in adult Sabra salt-sensitive rats (3.2Ϯ2% versus 1.1Ϯ0.5%; PϽ0.05). In young normotensive rats, the extracellular levels of p55 were higher in Sabra salt-sensitive compared with Sabra salt-resistant rats (10.6Ϯ5.2% versus 2.9Ϯ1.5%; PϽ0.01). Tumor necrosis factor-␣ plays a role in activation of the polymorphonuclear leukocyte NADPH oxidase, thereby contributing to systemic OS, inflammation, and the development of hypertension in this model. We have shown that the polymorphonuclear leukocyte (PMNL) is a significant contributor to OS and inflammation in hypertensive humans and in animal models of hypertension. In pathological disorders associated with atherosclerosis and cardiovascular diseases, such as hypertension, diabetes mellitus, and end-stage renal disease, PMNLs are primed. [7][8][9] In the primed state, PMNLs are more sensitive to local or systemic stimuli because of a previous exposure to a priming agent. Hence, on encountering an additional stimulus, full cell activation occurs, resulting in a robust release of reactive oxygen species and tertiary granule contents into the bloodstream. 10 The primary source for reactive oxygen species in PMNL is the NADPH oxidase, an enzymatic complex, is composed of 3 cytosolic subunits (p40phox, p47phox, and p67phox) and 2 membrane subunits (p22phox and gp91). On cell activation, the cytosolic subunits translocate to the membrane, and the activated enzyme produces superoxide in a process known as the "respiratory burst." 11 We have reported previously that, in the Sabra rat model of hypertension, priming of PMNLs precedes the development o...