Elevated circulating sPRR has been associated with essential hypertension, obesity-related hypertension, heart failure and chronic kidney disease in humans. However, the exact contribution of tissue-specific human sPRR in blood pressure control remains to be investigated. Therefore, we evaluated the effect of human sPRR on circulating sPRR and blood pressure control when expressed in mouse kidney, adipose tissue or liver from both male and female mice.Human sPRR-Myc-tag transgenic mice were bred with mice expressing either Hoxb7/Cre, Adiponectin/Cre or Albumin/Cre to selectively express human sPRR (HsPRR) in the collecting duct of the kidney (Kid-HsPRR), adipose tissue (Adi-HsPRR) or liver (Liv-HsPRR), respectively. The presence of human sPRR-Myc-tag (28 KDa) was validated in each mouse model by detecting the presence of C-myc. HsPRR and control (WT) male and female mice were fed a control diet throughout the study (n=8-12/group). At 6 months, baseline and acute blood pressure responses were assessed by radio-telemetry.Tissue expression of sPRR increased in kidney-derived HsPRR (M: 1.0±0.2 vs. 1.6±0.3 AU, F: 1.0±0.1 vs. 1.7±0.2 AU p<0.05), adipose-derived HsPRR (M: 1.0±0.3 vs. 4.7±1.5 AU, F: 1.0±0.2 vs. 3.2±1.4 AU p<0.05) and liver-derived HsPRR mice (M: 1.0±0.2 vs. 9.7±0.8 AU, F: 1.0±0.1 vs. 8.7±0.9 AU p<0.05) but only liver-derived HsPRR mice elevated circulating sPRR (M: 7.0±2.4 vs. 125.0±7.9 ng/ml, F: 2.2±0.4 vs. 93.9±13.4 ng/ml p<0.05). Human sPRR increased blood pressure only in female mice expressing HsPRR in kidney (F: 111±2 vs. 121±4 mmHg p<0.05). Also, only female mice expressing HsPRR in kidney displayed a blunted acute response to losartan injection (M: -30.1±3.3 vs. -22.1±3.7, F: -16.3±2.4 vs. 14.1±5.8 Δ mmHg p<0.05) and Ang II-induced pressor response in acute (M: 28.9±5.1 vs. 47.6±4.4 mmHg p<0.05, F: 35.2±7.2 vs. 26.9±7.5 mmHg) and chronic fashion (M: 33.9±3.6 vs. 30.7±5.0, F: 35.1±6.8 vs.17.6±3.2 Δ mmHg, p<0.05).Overall, our data show that increased intrarenal human sPRR expression contributes to increase blood pressure in a sex-specific manner. Taken together, increased HsPRR in kidney is associated with hypertension and impaired response to AT1R blockade and AngII-induced pressor response suggesting a dysfunctional AT1R-mediated signaling that could be due to ligand competition. These studies were supported by grants from the American Heart Association (13SDG17230008), the National Institute of General Medical Sciences (P30 GM127211), the Center for Clinical and Translational Sciences (UL1TR000117) and the National Heart Lung and Blood Institute (R01HL142969-01) This is the full abstract presented at the American Physiology Summit 2023 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.