Mutations in the serine-threonine kinase with-no-lysine 4 (WNK4) cause pseudohypoaldosteronism type 2 (PHAII), a Mendelian form of human hypertension. WNK4 regulates diverse ion transporters in the kidney, and dysregulation of renal transporters is considered the main cause of the WNK4 mutation-associated hypertension. Another determinant of hypertension is vascular tone that is regulated by Ca 2+ -dependent blood vessel constriction. However, the role of WNK4 in vasoconstriction as part of its function to regulate blood pressure is not known. Here, we report that WNK4 is a unique modulator of blood pressure by restricting Ca 2+ influx via the transient receptor potential canonical 3 (TRPC3) channel in the vasculature. Loss of WNK4 markedly augmented TRPC3-mediated Ca 2+ influx in vascular smooth muscle cells (VSMCs) in response to α-adrenoreceptor stimulation, which is the pathological hallmark of hypertension in resistance arteries. Notably, WNK4 depletion induced hypertrophic cell growth in VSMCs and increased vasoconstriction in small mesenteric arteries via TRPC3-mediated Ca 2+ influx. In addition, WNK4 mutants harboring the Q562E PHAII-causing or the D318A kinase-inactive mutation failed to mediate TRPC3 inhibition. These results define a previously undescribed function of WNK4 and reveal a unique therapeutic target to control blood pressure in WNK4-related hypertension.H ypertension, or elevated arterial blood pressure, is one of the most common diseases in industrialized countries, increasing the risk of a wide spectrum of cardiovascular illnesses including stroke, congestive heart failure, and myocardial infarction (1). More than 90% of hypertensive patients are classified as essential hypertension because of the lack of knowledge regarding the gene identity involved in blood pressure regulation (2, 3). In the last few years, most attention has been focused on the with-no-lysine (WNK) kinases, including WNK4, that were found mutated in patients with pseudohypoaldosteronism type 2 (PHAII; Online Mendelian Inheritance in Man no. 145260), which is a rare autosomal dominant disorder featuring hypertension associated with hyperkalemia, hyperchloremia, and metabolic acidosis (4).Mice harboring the PHAII-causing WNK4 mutations Q562E (5) and D561A (6) reconstituted the phenotypes observed in PHAII patients. Deletion of the Na + Cl − cotransporter (NCC) reversed most of the phenotypes seen in the transgenic mice harboring the PHAII-causing WNK4 mutants (5), which indicated that aberrant regulation of NCC by the mutant WNK4 is critically involved in the pathogenesis of PHAII. This finding led to the suggestion that increased Na + in systemic fluids by the altered NCC activity is associated with elevated blood pressure (7-10). Another important aspect of hypertension is vascular tone. However, despite the diverse extrarenal tissue distribution of WNK4 (11), the expression and function of WNK4 in the resistance artery and the role in vasoconstriction as part of its function to regulate blood pressure has not been c...