Cannabinoids evoke profound hypothermia in rats by activating central CB 1 receptors. Nitric oxide (NO), a prominent second messenger in central and peripheral neurons, also plays a crucial role in thermoregulation, with previous studies suggesting pyretic and antipyretic functions. Dense nitric-oxide synthase (NOS) staining and CB 1 receptor immunoreactivity have been detected in regions of the hypothalamus that regulate body temperature, suggesting that intimate NO-cannabinoid associations may exist in the central nervous system. The present study investigated the effect of N -nitro-L-arginine methyl ester (L-NAME), a NO synthase inhibitor, on the hypothermic response to WIN 55212-2 [4,5-dihydro-2-methyl-4(4-morpholinylmethyl)-1-(1-naphthalenylcarbonyl)-6H-pyrrolo[3,2,1ij]quinolin-6-one], a selective cannabinoid agonist, in rats. WIN 55212-2 (1-5 mg/kg, i.m.) produced dose-dependent hypothermia that peaked 45 to 90 min postinjection. L-NAME (10 -100 mg/kg, i.m.) by itself did not significantly alter body temperature. However, a nonhypothermic dose of L-NAME (50 mg/kg) potentiated the hypothermia caused by WIN 55212-2 (0.5-5 mg/kg). The augmentation was strongly synergistic, indicated by a 2.5-fold increase in the relative potency of WIN 55212-2. The inactive enantiomer of WIN 55212-2, WIN 55212, did not produce hypothermia in the absence or presence of L-NAME (50 mg/kg), confirming that cannabinoid receptors mediated the synergy. The present data are the first evidence that drug combinations of NOS blockers and cannabinoid agonists produce synergistic hypothermia. Thus, NO and cannabinoid systems may interact to induce superadditive hypothermia.Cannabis and its derivative compounds, collectively called cannabinoids, evoke an array of pharmacological symptoms in rodents, including hypothermia, analgesia, catalepsy, and hypolocomotion. The discovery of endogenous ligands, such as anandamide and 2-arachidonyl glycerol, which act at cannabinoid receptors, has intensified the interest in the therapeutic potential of cannabinoids (Bisogno et al., 1997). CB 1 receptors are located primarily in the central nervous system (Howlett, 1995), whereas CB 2 receptors are expressed by peripheral immune cells (Dragic et al., 1996).The development of cannabinoid agonists and antagonists has facilitated the characterization of cannabinoid receptor subtypes and their pharmacological profiles. One such agonist is the aminoalkylindole, WIN 55212-2, which exhibits high selectivity for cannabinoid receptors and interacts negligibly with other neurotransmitter systems and ion channels (Martin et al., 1991;Compton et al., 1992). Several reports indicate that WIN 55212-2 elicits hypothermia in rodents via a CB 1 receptor mechanism (Compton et al., 1992;Fan et al., 1994;Fox et al., 2001). Recently, our laboratory confirmed those results by demonstrating that the systemic injection of WIN 55212-2 produces hypothermia that is dependent on CB 1 , but not CB 2 , receptors (Rawls et al., 2002a). Moreover, the injection of WIN 55212-2 ...