Transgenic technologies and homologous recombination approaches have b
een useful for studying the roles of specific genes in systemic hypert
ension. Recently, me and others have introduced the use of in vivo gen
e transfer to study the effects of local gene overexpression or inacti
vation in hypertension. Using in vivo gene transfer for the blood vess
el, we have documented the direct hypertrophic action of local angiote
nsin and the growth-inhibitory effect of nitric oxide. In vivo gene tr
ansfer is also an effective method for discovering the unknown functio
ns of a newly cloned gene. Using this approach, we identified the in v
ivo growth-inhibitory action of the angiotensin II type 2 receptor. In
addition, we have developed a novel strategy using transcriptional fa
ctor ''decoy'' oligonucleotides to regulate the interaction of cis- an
d trans-acting factors involved in the modulation of gene expression i
n vivo. Thus, the decoy approach can ''switch'' on or off specific gen
es in selective tissues in vivo, thereby influencing local gene expres
sion and tissue function. For example, using decoy oligonucleotides, w
e have ''turned on'' renin gene expression in the rat liver, in which
it is usually not expressed, resulting in increased hepatic and plasma
renin levels. Thus, in vivo gene transfer technology provides us with
a new tool for in vivo characterization of genes involved in hyperten
sion that has potential application in human therapy.