Introduction Matrix metalloproteinases (MMP) contributes to hypertensive vascular remodeling. Angiotensin II and tumoral necrose factor (TNF)-α are involved in reactive oxygen species (ROS) formation, which is responsible for in vitro MMP-2 activation. Pentoxifylline (PTX), a non-selective inhibitor of phosphodiesterases, has been reported to possess antioxidants and anti-inflammatory effects. Thus, we hypothesized that PTX decreases vascular hypertrophy in 2-kidney and 1-Clip (2K1C) rats through reduction of TNF-α, oxidative stress and MMP-2 activity. Etanercept (ETN), an TNF-α inhibitor, was used as the positive control in this study. Methods Male 2K1C and Sham rats were treated with Vehicle, PTX (100mg/Kg/day) or ETN 0.3 mg/Kg (three times/week). Systolic blood pressure (SBP) was measured weekly by tail cuff plethysmography. Vascular hypertrohy were examined in aortas sections stained with hematoxylin/eosin. Aortic MMP-2 levels and gelatinolytic activity were determined using gelatin and in situ zymography assays, respectively. Vascular oxidative stress was evaluated using dihydroethidium (DHE). TNF-α levels were analyzed using the enzyme-linked immunosorbent assay (ELISA). ResuIts 2K1C rats exhibited high SBP (191±4 mmHg vs Sham) and significant vascular hypertrophy when compared to Sham group (p 0.05). MMP-2 levels and activity were augmented in 2K1C rats when compared to sham group (p Conclusion PTX but not Etanercept treatment, ameliorates high blood pressure, vascular remodeling, oxidative stress and elevated MMP-2 activity in 2K1C rats. Financial support: FAPESP.