Background Previously, we showed that 6 beta-hydroxytestosterone (6 beta-OHT), a cytochrome P450 1B1 (CYP1B1)-derived metabolite of testosterone, contributes to angiotensin II (Ang II)-induced hypertension in male mice. This study was conducted to test the hypothesis that 6 beta-OHT contributes to increased vascular reactivity, endothelial dysfunction, vascular hypertrophy, and reactive oxygen species production associated with Ang II-induced hypertension. Methods Eight- to 10-week-old intact or castrated C57BL/6 J (Cyp1b1(+/+) and Cyp1b1(-/-)) mice were anesthetized for implantation of a micro-osmotic pump which delivered Ang II (700 ng/kg/day) or saline for 14 days. Mice were injected with 6 beta-OHT (15 mu g/g b.w every third day), flutamide (8 mg/kg every day), or its vehicle. Blood pressure was measured via tail-cuff. Vascular reactivity, endothelial-dependent and endothelial-independent vasodilation, media to lumen ratio, fibrosis by collagen deposition, and reactive oxygen species production by dihydroethidium staining were determined in the isolated thoracic aorta. Results The response of thoracic aorta to phenylephrine and endothelin-1 was increased in Ang II-infused Cyp1b1(+/+) mice compared to intact Cyp1b1(-/-) or castrated Cyp1b1(+/+) and Cyp1b1(-/-) mice; these effects of Ang II were restored by treatment with 6 beta-OHT. Ang II infusion caused endothelial dysfunction, as indicated by decreased relaxation of the aorta to acetylcholine in Cyp1b1(+/+) but not Cyp1b1(-/-) or castrated Cyp1b1(+/+) and Cyp1b1(-/-) mice. 6 beta-OHT did not alter Ang II-induced endothelial dysfunction in Cyp1b1(+/+) mice but restored it in Cyp1b1(-/-) or castrated Cyp1b1(+/+) and Cyp1b1(-/-) mice. Ang II infusion increased media to lumen ratio and caused fibrosis and reactive oxygen species production in the aorta of Cyp1b1(+/+) mice. These effects were minimized in the aorta of Cyp1b1(-/-) or castrated Cyp1b1(+/+) and Cyp1b1(-/-) mice and restored by treatment with 6 beta-OHT. Treatment with the androgen receptor antagonist flutamide reduced blood pressure and vascular hypertrophy in castrated Ang II-infused mice injected with 6 beta-OHT. Conclusions 6 beta-OHT is required for the action of Ang II to increase vascular reactivity and cause endothelial dysfunction, hypertrophy, and increase in oxygen radical production. The effect of 6 beta-OHT in mediating Ang II-induced hypertension and associated hypertrophy is dependent on the androgen receptor. Therefore, CYP1B1 could serve as a novel target for the development of therapeutics to treat vascular changes in hypertensive males.