Abstract-The aim of this study was to clarify the differences between the angiotensin II type 1 (AT 1 ) receptor antagonist and the angiotensin-converting enzyme (ACE) inhibitor on smooth muscle and nonmuscle myosin heavy chain isoforms in aortic smooth muscle cells of Wistar-Kyoto rats and spontaneously hypertensive rats. All 4 myosin heavy chain isoforms are heterogeneously expressed in the smooth muscle cells of the aortic tunica media in 20-week-old rats, and the contractile-type myosin heavy chains are highly expressed in smooth muscle cells of the aortic tunica media compared with the synthetic-type myosin heavy chains. Both the AT 1 receptor antagonist and the ACE inhibitor had the same effects on hemodynamics, smooth muscle cell hypertrophy and proliferation, fibrosis, and vascular remodeling in spontaneously hypertensive rats. However, the AT 1 receptor antagonist had a more potent effect on the downregulation of the synthetic-type myosin heavy chains than the ACE inhibitor in spontaneously hypertensive rat aortic tunica media. In contrast, these effects of the AT 1 receptor antagonist and the ACE inhibitor on hemodynamics, morphology, fibrosis, and expression of myosin heavy chain isoforms in smooth muscle cells of the aortic tunica media were not observed in Wistar-Kyoto rats. Thus, within 6 weeks, the AT 1 receptor antagonist might modulate the cellular composition of myosin heavy chain isoforms in smooth muscle cells more efficiently than the ACE inhibitor, without morphological changes in the spontaneously hypertensive rat aorta. (Hypertension. 1999;33:975-980.)Key Words: angiotensin Ⅲ aorta Ⅲ hypertension, arterial Ⅲ muscle, smooth Ⅲ myosin A rterial hypertension is known to result in vascular remodeling. 1 The proliferation of smooth muscle cells (SMC) is also an important component of many vascular diseases. 2,3 Rat vascular SMC contain high levels of both smooth muscle (SM) myosin heavy chain (MHC) and ␣-SM actin and very low levels of nonmuscle myosin heavy chain (NMHC). 4 In addition, they contain at least 4 MHC isoforms: SM-1 (204 kDa), SM-2 (200 kDa), NMHC-A (196 kDa), and NMHC-B (198 kDa). 5 The relative ratios between SM-MHCs and NMHCs are not only determinants of the contractile properties of SM 6 but are also a useful molecular marker for phenotypic changes in SMC. 7 The dedifferentiation process of SMC, known as phenotypic modulation, contributes to the development and/or progression of atherosclerotic diseases. 2,3 SM-MHCs have been shown to be important in the identification of differentiated SMC. 7 On the other hand, it has been demonstrated that NMHCs are most abundantly expressed in embryonic SM and proliferating SMC of arteriosclerotic lesions. 7,8 Medial hypertrophy is associated with changes in the gene expression of vascular SMC, leading to a synthetic phenotype characterized by the accumulation of NMHC. 3 Angiotensin II (Ang II) plays a key role in regulating both the tone and growth of vascular SMC and is directly involved in vascular remodeling. 9 Although Ang II interacts ...