Abstract-In Dahl salt-sensitive rats on a high salt diet or normotensive rats with chronic central infusion of sodium, increased brain "ouabain" results in sympathetic hyperactivity and hypertension, possibly by activating the brain renin-angiotensin system. In the present study, we tested whether the hypertension caused by exogenous ouabain also depends on activation of brain renin-angiotensin system. In Wistar rats, ouabain (50 g/d) was infused subcutaneously for 14 days with the use of osmotic minipumps. Concomitantly, in one group, the angiotensin II type 1 receptor blocker losartan (1 mg/kg per day) was infused intracerebroventricularly. On day 15, mean arterial pressure, heart rate, central venous pressure, and renal sympathetic nerve activity were recorded in conscious rats at rest and in response to air-jet stress, intracerebroventricular injection of the ␣ 2 -agonist guanabenz (25 and 75 g) or angiotensin II (30 ng), acute volume expansion, and ramp changes of blood pressure by Ϯ50 mm Hg with phenylephrine and nitroprusside. Compared with control rats, in rats treated with ouabain, resting mean arterial pressure was significantly increased (111Ϯ4 versus 93Ϯ3 mm Hg; PϽ0.05), and increases or decreases in mean arterial pressure, heart rate, and renal sympathetic nerve activity in response to air stress or guanabenz were enhanced significantly. These effects of ouabain were prevented when losartan was given concomitantly. Maximal slopes of arterial baroreflex control of renal sympathetic nerve activity and heart rate tended to be decreased in ouabain-treated versus control rats and were significantly increased in ouabain-treated rats with versus without losartan. No differences in cardiopulmonary baroreflex function were detected. It seems that by day 14 to 15, the central effect of ouabain on baroreflex control prevails over its peripheral sensitizing effect on baroreceptors, leading to a tendency of desensitization. These results indicate that chronic administration of ouabain activates the brain renin-angiotensin system, resulting in decreased sympathoinhibition and increased sympathoexcitation, impairment of baroreflex function, and hypertension. Key Words: baroreflex Ⅲ renal nerves Ⅲ stress, air-jet Ⅲ guanabenz Ⅲ renin-angiotensin system I ncreased sympathetic activity mediates salt-sensitive hypertension in spontaneously hypertensive rats (SHR) and Dahl salt-sensitive rats. 1,2 The sympathoexcitatory and pressor effects of high salt are prevented by either chronic intracerebroventricular administration of an angiotensin II type 1 (AT 1 ) receptor antagonist 3,4 or antibody Fab fragments, 3,4 binding ouabain and endogenous ouabainlike activity ("ouabain"). 5,6 Therefore, in Dahl salt-sensitive rats and SHR on high salt, both brain angiotensin II (Ang II) and brain "ouabain" contribute to sympathetic hyperactivity and hypertension. 3,4 We postulated that brain "ouabain" exerts its effects possibly by activation of the brain renin angiotensin system (RAS), 3,4,7 since blockade of brain AT 1 receptors bl...