Chronic renal failure (CRF) is associated with multiple hypothalamic dysfunctions, including reduced secretion of gonadotropin-releasing hormone (GnRH). Because GnRH release is tightly controlled by sympathetic neuronal input, a possible alteration of local noradrenergic neurotransmission in experimental CRF was evaluated. Basal, stimulated, and autoinhibited norepinephrine (NE) release was assessed in hypothalamic and hippocampal tissue slices obtained from 5/6-nephrectomized and control rats. Autoinhibition-free NE release from brain slices, prelabeled with [ 3 H]NE and superfused with physiologic buffer, was stimulated by six electrical pulses, 100 Hz (pseudo-one-pulse stimulation). Autoinhibited NE release was induced by 90 pulses at 3 Hz. The release of tritiated NE was measured upon addition of increasing concentrations of unlabeled NE to exogenously activate the inhibitory ␣ 2 -autoreceptor. Although neither basal nor stimulated NE release differed between the groups, significantly lower pIC 50 and I max estimates of the concentration-response curves of exogenous NE on [ 3 H]NE release were observed in CRF rats, suggesting a diminished autoinhibition of hypothalamic noradrenergic terminals in CRF. Western blotting of tissue homogenates disclosed a significantly reduced abundance of ␣ 2 -autoreceptor protein in hypothalamic tissue from CRF rats. These abnormalities were selectively observed in the hypothalamus, whereas noradrenergic autoinhibition seemed unaltered in the hippocampus. The results suggest a diminished autoinhibition of hypothalamic NE release in CRF. Although impaired hypothalamic NE autoinhibition does not explain reduced GnRH secretion in CRF, it may be involved in the pathogenesis of sympathetic hyperactivity associated with this condition. D isorders of the reproductive system, clinically manifesting by impaired libido and fertility in adults and delayed or arrested puberty in adolescents, are common in chronic renal failure (CRF) (1). We and others previously demonstrated defective neuroendocrine activation of the gonadotropic hormone axis both in patients with CRF and in experimental uremia, with evidence for reduced pulsatile release of gonadotropin releasing hormone (GnRH) from the mediobasal hypothalamus (2-5). Experimental findings suggest that uremia may influence the function of hypothalamic neurons by various mechanisms. We observed abnormal extracellular amino acid neurotransmitter concentrations in the mediobasal hypothalamus of uremic rats, compatible with disturbed regulation of hypothalamic neurons by higher neuronal centers (6). The function of brain synaptosomes is altered in experimental uremia (7-10). However, we also demonstrated direct inhibition of GnRH secretion from cultured hypothalamic neurons by a factor circulating in uremic serum (11).Norepinephrinergic axon terminals are located in proximity of GnRH cells in the anterior hypothalamus (12). Norepinephrine (NE) is able to stimulate GnRH release from the hypothalamus in a concentration-dependent manner in vitro ...