The present study tested the hypothesis that vessel remodeling secondary to hypertension was characterized by nestin upregulation in vascular smooth muscle cells. Two weeks after suprarenal abdominal aorta constriction of adult male Sprague-Dawley rats, elevated mean arterial pressure increased the media area and thickness of the carotid artery and aorta and concomitantly upregulated nestin protein levels. In the normal adult rat carotid artery, nestin immunoreactivity was observed in a subpopulation of vascular smooth muscle cells, and the density significantly increased following suprarenal abdominal aorta constriction. Filamentous nestin was detected in cultured rat carotid arteryand aorta-derived vascular smooth muscle cells and an analogous paradigm observed in human aorta-derived vascular smooth muscle cells. ANG II and EGF treatment of vascular smooth muscle cells stimulated DNA and protein synthesis and increased nestin protein levels. Lentiviral short-hairpin RNA-mediated nestin depletion of carotid artery-derived vascular smooth muscle cells inhibited peptide growth factor-stimulated DNA synthesis, whereas protein synthesis remained intact. These data have demonstrated that vessel remodeling secondary to hypertension was characterized in part by nestin upregulation in vascular smooth muscle cells. The selective role of nestin in peptide growth factor-stimulated DNA synthesis has revealed that the proliferative and hypertrophic responses of vascular smooth muscle cells were mediated by divergent signaling events. nestin; carotid artery; aorta; hypertension; vascular remodeling DURING THE DEVELOPMENT of the central nervous system (CNS), a population of neuroepithelial stem cells was initially identified via expression of the intermediate filament protein nestin (8,18). Nestin is a 240-kDa protein and a member of the class VI family of intermediate filament proteins, and, in contrast to other classes, it is unable to self-assemble and form homodimers because of a short NH 2 terminus (37, 39). Therefore, nestin will form heterodimers with other intermediate filament proteins, including vimentin and desmin (37). The promoter region upstream of exon 1 of the nestin gene does not contain any identifiable elements regulating expression. However, the nestin gene does contain regulatory elements in the various intron regions that drive expression in a cell-specific manner (37). In neural progenitor/stem cells, nestin expression is independently regulated by restricted enhancer elements identified in the second intron (43). In humans, a highly conserved region that directed expression was also identified in the second intron of the nestin gene (21). However, nestin expression driven by the second intron was not limited to CNSresident stem cells, since a transgenic mouse containing the 5.8-kb fragment of the promoter region and the 1.8-kb fragment of the second intron of the rat nestin gene linked to the reporter green fluorescent protein (GFP) identified progenitor/ stem cell populations in the skin, skeletal mus...