Wood, Charles E., Gin-Fu Chen, and Maureen Keller-Wood. Expression of nitric oxide synthase isoforms is reduced in late-gestation ovine fetal brainstem. Am J Physiol Regul Integr Comp Physiol 289: R613-R619, 2005; doi:10.1152/ajpregu.00722.2004.-Fetal baroreflex responsiveness increases in late gestation. An important modulator of baroreflex activity is the generation of nitric oxide in the brainstem nuclei that integrate afferent and efferent reflex activity. The present study was designed to test the hypothesis that nitric oxide synthase (NOS) isoforms are expressed in the fetal brainstem and that the expression of one or more of these enzymes is reduced in late gestation. Brainstem tissue was rapidly collected from fetal sheep of known gestational ages (80, 100, 120, 130, 145 days gestation and 1 day and 1 wk postnatal). Neuronal (nNOS), inducible (iNOS), and endothelial (eNOS) mRNA was measured using real-time PCR methodology specific for ovine NOS isoforms. The three enzymes were measured at the protein level using Western blot methodology. In tissue prepared for histology separately, the cellular pattern of immunostaining was identified in medullae from late-gestation fetal sheep. Fetal brainstem contained mRNA and protein of all three NOS isoforms, with nNOS the most abundant, followed by iNOS and eNOS, respectively. nNOS and iNOS mRNA abundances were highest at 80 days' gestation, with statistically significant decreases in abundance in more mature fetuses and postnatal animals. nNOS and eNOS protein abundance also decreased as a function of developmental age. nNOS and eNOS were expressed in neurons, iNOS was expressed in glia, and eNOS was expressed in vascular endothelial cells. We conclude that all three isoforms of NOS are constitutively expressed within the fetal brainstem, and the expression of all three forms is reduced with advancing gestation. We speculate that the reduced expression of NOS in this brain region plays a role in the increased fetal baroreflex activity in late gestation. medulla; messenger ribonucleic acid; immunohistochemistry; realtime reverse transcriptase-polymerase chain reaction IN ADDITION TO ITS ROLE as an endothelial cell-derived vascular smooth muscle relaxant, the role of nitric oxide as a neurotransmitter is well established (11). In the medullary nuclei of the adult animal, nitric oxide is synthesized by neurons that express the neuronal form of nitric oxide synthase (nNOS or NOSIII) (3, 23). One of the physiological roles of nNOS in medullary neurons is the local generation of NO that, in turn, acts as an inhibitory neurotransmitter with regard to baroreflex responsiveness (13). Numerous studies in this laboratory have helped to establish the importance of baroreceptor and chemoreceptor reflexes in the minute-to-minute control of blood pressure and umbilical-placental blood flow in the fetus in utero (24,27). Various studies have demonstrated that the reflex mechanisms governing cardiovascular function in the fetus mature as a function of fetal gestational age (18,19...