Abstract-High blood pressure induces a mechanical stress on vascular walls and evokes oxidative stress and vascular dysfunction. The aim of this study was to characterize the intracellular signaling causing vascular oxidative stress in response to pressure. In carotid arteries subjected to high pressure levels, we observed not only an impaired vasorelaxation, increased superoxide production, and NADPH oxidase activity, but also a concomitant activation of Rac-1, a small G protein. Key Words: high pressure Ⅲ oxidative stress Ⅲ mechanotransduction Ⅲ integrin signaling Ⅲ endothelial dysfunction H ypertension is strictly associated with changes in cardiovascular structure and function that affect morbidity and mortality. 1,2 In particular, at the vascular level hypertension induces an impaired endothelial vasorelaxation, one of the main determinants of cardiovascular risk. 3,4 The increase in pressure within the vasculature generates a biomechanical stress, which is perceived and transmitted to the intracellular compartment through various mechanosensors, and it has been associated with increased production of reactive oxygen species (ROS), which is responsible for vascular dysfunction in hypertension. [5][6][7][8][9] Thus, it could be noteworthy to characterize the intracellular signaling conditioning the cellular machinery toward an increased ROS production in response to biomechanical stress induced by high blood pressure levels. Among the main sources of ROS in the vascular wall, NADPH oxidase seems the most relevant for the vascular dysfunction in hypertension. 7,10 NADPH oxidase is a multisubunit enzyme made up of a membraneassociated catalytic moiety and cytosolic regulatory components that must assemble to form the active oxidase. Activation of NADPH oxidase requires Rac-1, a small G protein, which migrates from cytosol to the plasma membrane, where it favors the assembly of NADPH oxidase subunits. 11,12 Interestingly, an intracellular signaling converging on Rac-1 can be activated not only by agonists binding to G-protein and tyrosine-kinase receptors but also by integrins, 13-15 a class of membrane receptors that link the extracellular matrix to intracellular space. So far, the activation of these latter molecules has been involved in actin polymerization and the rearrangement of the cytoskeleton induced by mechanical forces. 16 -19 Thus, integrins could sense the mechanical force induced by blood pressure on the cell surface and generate an intracellular signaling contributing to the enhanced vascular oxidative stress. 20,21 The aim of this study was to clarify the mechanical stress-induced intracellular signaling toward vascular oxida-