Proadrenomedullin NH2-Terminal 20 peptide (PAMP) is synthesized from the same preproadrenomedullin gene of adrenomedullin (AM). Unlike AM, little is known about PAMP. We developed transgenic rats by constructing a PAMP transgene incorporating the potent chicken β-actin promoter and then microinjected into fertilized eggs from superovulated Wistar rats. Potential transgenic founders were screened by PCR of genomic DNA from rat tail tips. Significant increase of human PAMP levels was confirmed in both plasma and tissues by ELISA method. PAMP-transgenic (Tg) or wild (W) rats were fed a high salt diet (8% NaCl) but with free access to drinking water for 5 weeks after unilateral nephrectomy. Rats were sacrificed and plasma and tissue were sampled at the end of 5 week. Rat heart tissue was either evaluated by immunohistochemistry or by real-time quantitative PCR methods for gene quantification. Heart rate did not significantly differ in two groups. However, systolic blood pressure, weekly measured by tail-cuff method, was attenuated in Tg rats compared with wild ones (p<0.05). Meanwhile, the cardiac hypertrophy in wild rat was significantly ameliorated in the Tg rat with heart weight (mg) to body weight (g) ratio of 3.5±0.1 to 2.99±0.11 (p<0.05). The cardiac fibrosis observed in wild rat was significantly attenuated by 50% in Tg rat (p<0.05). Further evaluation of the local renin-angiotensin system (RAS) related genes in the left ventricle by real-time PCR method showed that ACE gene transcription in Tg rat was downregulated to 60% of wild rat (p<0.05). Renin gene expression, however, was about 2.5-fold upregulated in Tg rat (p<0.05), reflecting the subsequently reduced angiotensin II production in the heart. This is also consistent with previous report that renin gene transcription is negatively regulated by angiotensin II. In contrast to local renin changes in heart, plasma renin activity was not significantly different in the two groups, though both were inhibited by salt loading. In conclussion, PAMP possesses hypotensive and anti-hypertrophy effect in this model implicating its clinical application of hypertension and organ damage.