Despite treatment with multiple drugs, a third of hypertensive patients remain hypertensive, therefore, new treatments may improve treatment of hypertension. Hypertension is a multifactorial disorder associated with inflammation, mitochondrial oxidative stress and vascular dysfunction. We have previously reported that depletion or inhibition of Cyclophilin D (CypD), a regulatory subunit of mitochondrial permeability transition pore, improves vascular function and attenuates hypertension. Analysis of human arterioles showed 3-fold increase in CypD acetylation in hypertensive subjects. We hypothesized that hyperacetylation of CypD promotes vascular oxidative stress and hypertension, and deacetylation mimetic CypD-K166R mutation prevents vascular oxidative stress and attenuates hypertension. To test this hypothesis, we used CypD-K166R mutant mice developed in our lab, angiotensin II model of hypertension and ex vivo treatment of aortic tissue with inflammatory cytokines. It was found that angiotensin II-induced hypertension was substantially attenuated in CypD-K166R mice (144 mmHg) compared with wild-type C57B/6J mice (161 mmHg). Furthermore, MitoSOX/HPLC analysis of mitochondrial superoxide in aortas isolated from angiotensin II-infused mice showed 2-fold increase in wild-type mice which was abrogated in CypD-K166R mice. Angiotensin II infusion in wild-type mice significantly impaired endothelial dependent relaxation and reduced the level of endothelial nitric oxide measured by electron spin resonance and NO spin trap. Meanwhile, endothelial dependent relaxation and vascular nitric oxide production were preserved in angiotensin II-infused CypD-K166R mice. Hypertension is linked to inflammation, increased levels of TNFα and IL-17A which promote vascular oxidative stress and end-organ damage. We have tested if CypD-K166R mice are protected from cytokine-induced oxidative stress. Indeed, ex vivo incubation of aorta with the mixture of angiotensin II, TNFα and IL-17A (24 hours) increased mitochondrial superoxide by 2-fold in wild-type tissue which was abolished in CypD-K166R mice. To define molecular mechanisms of mitochondrial protection in CypD-K166R mice we have investigated respiration and calcium-induced swelling in isolated kidney mitochondria. It was found that mitochondria isolated from deacetylation mimetic CypD-K166R mice have improved respiration and diminished swelling with pyruvate and palmitoyl-carnitine as a substrates which promote CypD acetylation in wild-type animals. These data support the pathophysiological role of CypD acetylation in inflammation, oxidative stress and hypertensive end-organ damage. We conclude that targeting CypD acetylation may have therapeutic potential in treatment of vascular dysfunction and hypertension.