T he stroke-prone spontaneously hypertensive rat (SHRSP) genetically has severe hypertension and cerebral stroke. 1 This strain has been thought to be a good model for cerebral hemorrhage and cerebral small vessel diseases, such as lacunar infarction and deep white matter hyperintensity, at least in some aspects of their pathology.2-5 Accordingly, information about the genetic mechanisms underlying cerebral stroke in SHRSP may provide important clues to understand the pathogenesis of cerebrovascular diseases based on severe hypertension. [3][4][5] Several studies on genetic susceptibility to stroke have been performed in SHRSP; Rubattu et al 6,7 identified quantitative trait loci (QTLs) for stroke latency on chromosomes (chr) 1, 4, and 5 using a F2 cross between SHRSP/Bbb and SHR/ Bbb, of which the QTL on chr 1 was confirmed in congenic rats. Jeffs et al 8 performed a QTL analysis on infarction volume after middle-cerebral artery occlusion using a F2 cross between SHRSP/Gcrc and WKY/Gcrc and found a QTL on chr 5. Despite these pioneering works, the genetic mechanisms behind the stroke susceptibility in SHRSP have not been clarified yet.Here, we therefore performed a QTL analysis on stroke susceptibility in SHRSP/Izm. As a quantitative trait to evaluate stroke susceptibility, we used stroke latency under salt loading as in a previous study with a slight modification 6 ; the incidence of stroke differs greatly between SHRSP and SHR under salt loading, 1,6 which implies that salt-sensitive mechanisms are the key to understand the susceptibility to stroke in this model.In addition, baseline blood pressure (BP) of SHRSP/Izm differs significantly from that of SHR/Izm, which was in contrast to comparisons between SHRSP/Bbb and SHR/Bbb. 1,6 This raises the possibility that another QTL for baseline BP would be identified when SHRSP and SHR of the Izm colony were used in the analysis.Consequently, we performed a QTL analysis on stroke latency under salt loading, as well as on BP before and after salt loading. In this study, we successfully identified 2 major QTLs for the stroke latency in SHRSP/Izm on chr 1 and 18 and confirmed their effects in reciprocal single and double congenic strains. Furthermore, a comprehensive genotype analysis in substrains of SHRSP and SHR in the target regions Abstract-To clarify the genetic mechanisms of stroke susceptibility in the stroke-prone spontaneously hypertensive rat (SHRSP), a quantitative trait locus (QTL) analysis was performed. Using 295 F2 rats of a cross between SHRSP/Izm and SHR/Izm, 2 major QTLs for stroke latency under salt loading were identified on chromosomes (chr) 1 and 18. Evaluation of 6 reciprocal single and double congenic rats for these QTLs showed that substitution of the SHRSP for the SHR fragment at the chr 1 and 18 QTLs increased the relative risk for stroke by 8.4 and 5.0, respectively. The combined effect of the 2 QTLs was 10× greater than that of the background genome (by Cox hazard model). Blood pressure monitoring by radio telemetry indicated that th...