A total of 45 male Sprague-Dawley rats were employed to determine whether cocaine or cocaine methiodide (CM) administration can induce a significant increase in mean arterial blood pressure (MABP) in rats, and whether such an increase in MABP can produce a global increase in blood oxygenation level-dependent (BOLD) contrast in the rat brain detectable by functional magnetic resonance imaging (fMRI). Cocaine methiodide is a quaternary derivative of cocaine that shares the same cardiovascular effects of cocaine, but does not penetrate the blood-brain barrier ( Since the development of functional MRI (fMRI) in the early 1990s, this noninvasive neuroimaging modality has rapidly gained a prominent position in systems-level neuroscience research to map cognitive brain functions. Recent studies have applied fMRI methodologies to localize acute pharmacological effects and detect changes in regional brain activity of abused substances in humans (1-3) and animals (4 -6). However, there is concern as to whether fMRI methods used to map cognitive function can be simply and directly extended to neuropharmacological studies.There are several issues to be addressed. First, it is not clear how peripheral and cardiovascular changes induced by drug administration affect blood oxygenation level-dependent (BOLD) contrast in the brain. Since the most commonly used fMRI method relies on BOLD contrast, which is a result of oversupply of local cerebral blood oxygen during increased neuronal activity, it is conceivable that acute drug-induced respiratory changes, as well as mean arterial blood pressure (MABP) and heart rate (HR) increases, could cause global cerebral blood flow changes and result in BOLD signal changes. For example, we demonstrated previously (6) that heroin administration affects respiratory inhibition and causes a global decrease in the BOLD signal, although such a global decrease in BOLD contrast can be eliminated using the proper artificial respiratory rate with normal pressures of blood gases. It is not clear how MABP and HR changes affect detection of the BOLD signal in the brain.Second, the pharmacological administration of drugs such as cocaine can induce not only neuronal activity but also cerebral vascular constriction. In a pioneering pharmacological fMRI study, Breiter et al. (1) detected changes in the nucleus accumbens after acute cocaine administration, implicating changes in the brain networks associated with induced euphoria and craving. Data from Kaufman et al. (7), using MR angiography (MRA), suggest that cocaine administration can cause cerebral vasoconstriction in the human brain. These studies indicate that cocaine administration induces not only neuronal activity, but also a cerebrovascular response and a decrease in blood flow. It is necessary to characterize such confounding factors when interpreting BOLD signal changes in pharmacological fMRI research.Third, when applying pharmacological fMRI methods to the study of neuronal activity, the question of how druginduced peripheral and cerebral vasc...