cGMP-dependent protein kinase I (PKG-I) has been suggested to contribute to the facilitation of nociceptive transmission in the spinal cord presumably by acting as a downstream target of nitric oxide. However, PKG-I activators caused conflicting effects on nociceptive behavior. In the present study we used PKG-I ؊/؊ mice to further assess the role of PKG-I in nociception. PKG-I deficiency was associated with reduced nociceptive behavior in the formalin assay and zymosan-induced paw inflammation. However, acute thermal nociception in the hot-plate test was unaltered. After spinal delivery of the PKG inhibitor, Rp-8-Br-cGMPS, nociceptive behavior of PKG-I ؉/؉ mice was indistinguishable from that of PKG-I ؊/؊ mice. On the other hand, the PKG activator, 8-Br-cGMP (250 nmol intrathecally) caused mechanical allodynia only in PKG-I ؉/؉ mice, indicating that the presence of PKG-I was essential for this effect. Immunofluorescence studies of the spinal cord revealed additional morphological differences. In the dorsal horn of 3-to 4-week-old PKG-I ؊/؊ mice laminae I-III were smaller and contained fewer neurons than controls. Furthermore, the density of substance P-positive neurons and fibers was significantly reduced. The paucity of substance P in laminae I-III may contribute to the reduction of nociception in PKG-I ؊/؊ mice and suggests a role of PKG-I in substance P synthesis.spinal cord ͉ substance P ͉ nitric oxide ͉ pain T he second messenger cGMP is formed by activation of soluble and particulate guanylyl cyclases and has several targets, including cGMP-dependent protein kinase I (PKG-I) and PKG-II, of which PKG-I is expressed in the spinal cord (1, 2). Spinally delivered PKG inhibitors reduce formalin-induced nociceptive behavior in rats (3, 4), suggesting that PKG-I plays an important role in spinal nociceptive processing. It has been speculated that PKG-I mediates hyperalgesic effects of nitric oxide (NO) (5). This idea is supported by the observation that PKG-I inhibition causes a reduction of thermal hyperalgesia induced by injection of the NO donor, NOC-12 (6). Endogenous NO is produced by NO synthases, of which neuronal nitric oxide synthase (nNOS) is activated and up-regulated after N-methyl-D-aspartate receptor stimulation (7-10). NO probably acts as a retrograde messenger (11, 12) at nociceptive synapses, i.e., it is released from the postsynaptic neuron, diffuses back to the presynaptic neuron, and stimulates guanylyl cyclases. The latter step links NO to cGMP production and PKG-I activation. Because inhibition of NOS activity reduces nociception (13,14), the release of NO is thought to contribute to the development of hyperexcitability of nociceptive neurons under certain circumstances. Under the premise that PKG-I is a mediator of NO at nociceptive synapses, one would expect that PKG-I activation also causes hyperalgesia. However, effects of the spinally delivered PKG activator 8-Br-cGMP have been conflicting (15,16). (See Supporting Text, which is published as supporting information on the PNAS web site....