Fitzgerald, Sharyn M., and Michael W. Brands. Hypertension in L-NAME-treated diabetic rats depends on an intact sympathetic nervous system. Am J Physiol Regulatory Integrative Comp Physiol 282: R1070-R1076, 2002. First published November 23, 2001 10.1152/ajpregu.00468. 2001.-We demonstrated previously that induction of diabetes in rats that were treated chronically with the nitric oxide synthase inhibitor N G -nitro-L-arginine methyl ester (L-NAME) causes a severe, progressive increase in mean arterial pressure. This study tested the role of the sympathetic nervous system in that response. Rats were instrumented with chronic artery and vein catheters and assigned randomly to four diabetic groups pretreated with vehicle (D), L-NAME (DϩL), the ␣1-and -adrenergic receptor antagonists terazosin and propranolol (DϩB), or L-NAME, terazosin, and propranolol (DϩLB). After baseline measurements were taken, rats were pretreated; 6 days later, streptozotocin was administered and 3 wk of diabetes ensued. DϩL rats had a marked, progressive increase in arterial pressure that by day 20 was ϳ60 mmHg greater than in D rats. The pressor response to L-NAME was significantly attenuated in diabetic rats cotreated with adrenergic blockers. During week 1 of diabetes, plasma renin activity (PRA) increased and then returned to control levels in D rats. PRA increased progressively in DϩL rats, and chronic adrenergic receptor blockade restored the biphasic renin response in DϩLB rats. These results suggest that the sympathetic nervous system may be involved in the hypertensive response to onset of diabetes in L-NAME-treated rats, possibly through control of renin secretion. nitric oxide; mean arterial pressure; glucose; angiotensin II; glomerular filtration rate; N G -nitro-L-arginine methyl ester DIABETES GENERALLY IS ASSOCIATED with an impairment in endothelial function (10,34,35,37,43). The long-term consequences of this impairment have not been well established, but it may play an important role in the accelerated atherosclerosis and increased prevalence of cardiovascular disease that is observed in diabetic populations (45a). Also unclear is what role the endothelium and its vasoactive hormones play in circulatory homeostasis early in diabetes before significant impairment develops (4,20,34,44). We demonstrated recently (15) that the induction of diabetes in the absence of a functional nitric oxide (NO) system causes a severe, progressive increase in mean arterial pressure (MAP). This finding suggests that there may be increased dependence on NO in the early stages of diabetes such that NO is essential to prevent hypertension from developing. This is consistent with reports (10, 31) that NO production is increased during the early stages of diabetes.The mechanism for this potentiating interaction on blood pressure between induction of diabetes and chronic NO synthesis inhibition is not known, but a role for the renin-angiotensin system was implicated by the finding of increased plasma renin activity (PRA) in the rats in our study ...