Summary:The nitric oxide synthase (NOS) inhibitors, ni tro-L-arginine, its methyl ester, and N-monomethyl-L arginine, have been shown to attenuate resting CBP and hypercapnia-induced cerebrovasodilation. Those agents nonspecific ally inhibit the endothelial and neuronal NOS (eNOS and nNOS). In the present study, we used a novel nNOS inhibitor, 7-nitroindazole (7-NI) to examine the role of nNOS in CBP during normocapnia and hypercap nia in fentanyUN20-anesthetized rats. CBP was moni tored using laser-Doppler flowmetry. Administration of 7-NI (80 mg kg-I i.p.) reduced cortical brain NOS activ ity by 57%, the resting CBP by 19-27%, and the CBP response to hypercapnia by 60%. The 60% reduction was similar in magnitude to the CBP reductions observed in previous studies in which nonspecific NOS inhibitors Nitric oxide (NO) has emerged as an important endogenous modulator of brain function, and has been shown to play a role in the cerebral vasodila tory responses (CVDRs) to a wide variety of stim uli, including, muscarinic agonists, neuronal activa tion, volatile anesthetics, hypoxia, and hypercapnia (Iadecola et aI., 1994). NO is produced by the action of NO synthase (NOS) (Luscher and Vanhoutte, 1990). In the brain, NOS is not only located in the Received June 2, 1994; final revision received December 16, 1994; accepted December 20, 1994. Address correspondence and reprint requests to Dr. Q. Wang at Department of Anesthesiology, Michael Reese Hospital, 2929 S. Ellis Ave., Chicago, IL 60616, U. S.A.Abbreviations used: AMB, atropine methyl bromide; CVDRs, cerebral vasodilatory responses; EDT A, ethylenediamine tetraacetic acid; HEPES, N-2-hydroxyethylpiperazine-N' -2-ethanesulfonic acid; L-NA, nitro-L-arginine; L-NAME, methyl ester of L-NA; L-NMMA, N-monomethyl-L-arginine; 7-NI, 7-nitroindazole; NO, nitric oxide; NOS, NO synthase; eNOS, constitutive NOS; eNOS, endothelial NOS; iNOS, inducible NOS; nNOS, neuronal NOS; OXO, oxotremorine.
774were used. In the pre�ent study, 7-NI did not increase the MABP. ,Furthermore, the CBP response to oxotremo rine, a blood-brain barrier permeant muscarinic agonist that induces cerebrovasodilation via endothelium-derived NO, was unaffected by 7-NI. These results confirmed that 7-NI does not influence eNOS; they also indicated that the effects of 7-NI on the resting CBP and on the CBP response to hypercapnia in this study were solely related to its inhibitory action on nNOS. The results fur ther suggest that the NO synthesized by the action of nNOS participates in regulation of basal CBP and is the major, if not the only, category of NO contributing to the hypercapnic CBP response. Key Words: Hypercapnia-7 -NI-N itric oxide-eN OS-nN OS-Oxotremorine.endothelium, but also in neurons, perivascular nerves, and astrocytes (Bredt et aI., 1990; Murphy et aI., 1993). There are at least two constitutive NOS (cNOS) isoforms in the brain (i.e., the endo thelial [eNOS] and neuronal [nNOS] forms) that generate NO phasically (Moncada et aI., 1991). Ow ing to the rapidity of the CVDRs to the abo...