To ascertain whether small shifts in plasma atrial natriuretic factor (ANF) exerted biological effects in hypertension, we studied the renal, hemodynamic, and hormonal effects of ANF ] infused at a dose (0.75 pmol/kg/min for 3 hours) that would induce changes in plasma ANF confined to the normal, resting range, in a group of six young men with uncomplicated, mild essential hypertension. During ANF infusions, the patients excreted 11.8±2.0 mmol (mean±SEM) sodium more than during the time-matched placebo phase natriuresis (/><0.001, mean increase of 53% above placebo values). Urinary excretion of cyclic guanosine monophosphate rose to more than double (212%, p< 0.001) placebo values. Plasma renin activity (0.4±0.05 vs. 0.9±0.12 nmol/l/hr, /?<0.0001) and aldosterone concentrations (102±4 vs. 184±47 pmol/l, p<0.05) were clearly suppressed during administration of ANF. Plasma norepinephrine also fell significantly below placebo values (268±17 vs. 439±35 pg/ml, p<0.05). Urine volume, the excretion of electrolytes other than sodium, hematocrit, effective renal plasma flow, glomerular filtration rate, and filtration fraction were unaffected by ANF. Similarly, plasma concentrations of epinephrine, arginine vasopressin, adrenocorticotropic hormone, and cortisol were unchanged. Blood pressure and heart rate were unchanged. Minor perturbations in plasma ANF concentrations exert clear biological effects in patients with mild essential hypertension. These data suggest that such minor shifts in plasma ANF are of physiological relevance in mild hypertension and probably contribute to volume homeostasis in this condition. {Hypertension 1989;14:261-268) A trial natriuretic factor (ANF) continues to / \ attract intense interest as a potentially major .Z \ . regulator of body fluid volumes and arterial pressure. Studies in humans have clearly demonstrated that this peptide may induce natriuresis, suppress the renin-angiotensin-aldosterone system, and lower arterial pressure.1 -3 Recently, we demonstrated that such effects occur in normotensive subjects even with low doses of ANF, which induce perturbations in plasma peptide concentrations entirely within the resting normal range. 4 Far less is known concerning the effect of physiological doses of ANF in hypertensive patients. The response to high doses of ANF appears qualitatively similar in both normotensive and hypertensive subjects. 5 -6 However, data suggest the natriuretic effect of ANF is partially pressure dependent and thus is enhanced in hypertension.