1 This study examined the potential role of impaired nitric oxide production and response in the development of endoneurial ischaemia in experimental diabetes. Rats were anaesthetized (Na pentobarbitone 45 mg kg-', diazepam 2 mg kg-') for measurement of sciatic nerve laser Doppler flux and systemic arterial pressure. Drugs were administered into the sciatic endoneurium via a microinjector attached to a glass micropipette. 2 In two separate studies comparing diabetic rats (streptozotocin-induced; 8-10 wk duration) with controls, nerve Doppler flux in diabetic rats (Study 1, 116.6+40.4 and Study 2, 90.1+34.7 (s.d.) in arbitrary units) was about half that measured in controls (219.6+52.4 and 212.8+95.5 respectively; P<0.005 for both). There were no significant differences between the two in systemic arterial pressure. 3 Inhibition of nitric oxide production by microinjection of 1 nmol L-NAME into the endoneurium halved flux in controls (to 126.3+41.3 in Study 1 and 102.1+38.9 in Study 2; both P<0.001), with no significant effect in diabetic rats, indicating markedly diminished tonic nitric oxide production in the latter. D-NAME was without effect on nerve Doppler flux. 4 L-Arginine (100 nmol), injected after L-NAME, markedly increased flux in controls (by 65.8% (P<0.03) and 97.8% (P<0.01) in the two studies) and by proportionally similar amounts in diabetic rats [75.8% (P<0.001) and 60.2% (P<0.02)]. The nitro-donor, sodium nitroprusside (SNP; 10 nmol) had similar effects to L-arginine in both groups (increases of 66.0% in controls and 77.5% in diabetics; both P<0.002). 5 A second diabetic group, treated with evening primrose oil performed exactly like control rats in respect of responses to L-NAME, L-arginine and SNP. At the end of all measurements blood was collected for plasma glucose measurement by a glucose oxidase assay kit, as defined elsewhere (Stevens & Tomlinson, 1993;Karasu et al., 1995).
Endoneurial drug administrationA glass micropipette (tip diameter 10-15 im) was advanced into the endoneurium of the sciatic nerve using a X-Y-Z micropositioner; this pipette was connected to a Drummond Microdispenser (Laser Labs, Southampton, U.K.). The sciatic nerve was impaled about 1-2 mm proximal to the site at which LDF was monitored. Resting cardiovascular parameters were then recorded in steady-state. In some rats, saline (1 ml) was injected to demonstrate that the physical effect of injection was insignificant and short-lasting (<5 min). Infusion of L-NAME (1 nmol in 1 Ml) was made over 5 min to inhibit the production of nitric oxide. Approximately 30 min later L-arginine (100 nmol in 1 Ml) was infused in some of the rats to reverse the effect of L-NAME. In the remaining animals, L-NAME was followed after about 30 min with sodium nitroprusside (10 nmol in 1 Ml) to examine the response of the guanyl cyclase system to a nitro-donor. Both of these infusions were also made over 5 min.
Statistical analysisAll data are presented as means + 1 standard deviation. Acute drug effects were evaluated by comparison withi...