The objective of this study was to determine if males with a deficient androgen receptor would develop hypertension when crossed with a hypertensive parent Female King-Holtzman rats (n=15), heterozygous for the testicular feminization (Tfm) gene, were crossed with male spontaneously hypertensive rats (SHR), and blood pressure was measured weekly from 5-14 weeks in the F, hybrid males. Approximately 50% of the F, hybrid males were Tfm males and androgen receptor-deficient, and 50% were normal. Blood pressure in the parent KingHoltzman males, Tfms, and female rats was also followed for the same time period. The F, normal male hybrids had a significantly higher (p<0.05) systolic blood pressure than the Tfm hybrid males after 12 weeks (195±8 versus 170±8 mm Hg, respectively). Blood pressure in the male and Tfm Holtzman rats was 120±5 mm Hg and 110±6 mm Hg, respectively. Castration lowered blood pressure by 38 mm Hg in the hybrid males and 27 mm Hg in the Tfm hybrids. Female F, hybrids also showed a pressure rise above that of female Holtzman controls (155±6 mm Hg versus 110±6 mm Hg, /><0.01) but lower than the F, males and Tfm hybrids. Ovariectomized females with testosterone implants did not show an elevation in blood pressure. Plasma electrolytes, norepinephrine, and cholesterol were not significantly different between normal and Tfm hybrid males. The results suggest that the presence of an androgen receptor and a testis-derived factor mediate the blood pressure rise in the hybrid males. A Y chromosome effect or sex-influenced locus may be involved since both the normal and Tfm males had significantly higher blood pressures than their female siblings. (Hypertension S ex differences in systolic and diastolic blood pressure by age have been reported in most studies of developed societies. The US Public Health Service National Health Survey, 1 The Tecumseh Study, 2 and similar epidemiological longitudinal studies in Norway, 3 Poland, 4 and Japan 5 have reported that men have higher blood pressure than women at younger ages (second through third decade) with a crossover in women to higher pressures in the fourth to sixth decade. The crossover phenomenon appears to be characteristic of nearly all developed societies and is seen most clearly with systolic pressure. Similar conclusions are reached whether the results are expressed as the mean pressure by age and sex or as prevalence of hypertension. There are only a few blood pressure studies in children, but available data suggest that there are no significant sex differences. 6 These studies and experimental studies suggest that the male sex hormones, specifically testosterone, play a role in the sexual differentiation of hypertension.