Recent studies indicate that ammonia and hypoosmotic astrocyte swelling can induce protein tyrosine nitration (PTN) in astrocytes with potential pathogenetic relevance for hepatic encephalopathy (HE). Because HE episodes are known to be precipitated also by sedatives, the effects of benzodiazepines on PTN in cultured rat astrocytes and rat brain in vivo were studied. In cultured rat astrocytes, diazepam, PK11195, Ro5-4864, and the benzodiazepine binding inhibitor ( A strocytes are a major target of ammonia, with pathogenetic relevance for hepatic encephalopathy (HE) in acute and chronic liver failure. [1][2][3] Cerebral ammonia is eliminated by astrocytes, the predominant cellular compartment in the brain expressing glutamine synthetase. 4 Intracellular glutamine accumulation because of increased ammonia detoxification leads to astrocyte swelling, 5 which was recognized as an early pathogenic event already in subclinical HE in cirrhotic patients 6 and which may contribute to the severe rise in intracranial pressure in patients with fulminant hepatic failure. 7 Other lines of evidence point to a role of Nmethyl-D-aspartate (NMDA) receptors and nitric oxide (NO) in ammonia neurotoxicity. 7 As shown recently, ammonia increased protein tyrosine nitration (PTN) in cultured astrocytes, which depends on NMDA receptor activation, elevation of [Ca 2ϩ ] i , glutamine synthesis, and formation of NO and peroxynitrite. 8 PTN is also increased in brains from rats that underwent portocaval anastomosis or received an acute ammonia load, 8 suggesting a role of PTN in the pathogenesis of HE.Among the factors precipitating HE in cirrhotic patients, sedatives of the benzodiazepine type are well established. Two types of benzodiazepine receptors are known (reviewed in Zisterer and Williams 9 ). The peripheral-type benzodiazepine receptor (PBR) is in most cell types lo-