Recent findings have enhanced our understanding of the roles played by the L-DOPA system in the baroreceptor reflex and in blood pressure regulation in the lower brainstem. L-DOPA is probably a neurotransmitter of primary baroreceptor afferents terminating in depressor sites of the nucleus tractus solitarii (NTS). It also seems to be a neurotransmitter in depressor sites of the caudal ventrolateral medulla (CVLM) and in pressor sites of the rostral ventrolateral medulla (RVLM) of normotensive Wistar rats. We have explored whether or not presynaptic and postsynaptic functions of the L-DOPA system in these areas are altered to maintain hypertension in adult spontaneously hypertensive rats, as compared with age-matched Wistar Kyoto rats. In this review article, we survey the roles of the L-DOPA system in the baroreceptor reflex and in blood pressure regulation in the rat lower brainstem. (Hypertens Res 1995; 18: 267-277) Key Words: L-DOPA as a neurotransmitter candidate of primary baroreceptor afferents, "L-DOPAergic" and monosynaptic neurons?, nucleus tractus solitarii and rostral and caudal ventrolateral medulla, involvement in maintenance of hypertension in SHR Is L-DOPA a Neurotransmitter?Since the 1950s, L-3,4-dihydroxyphenylalanine (L-DOPA) has been believed to be an endogenous inert amino acid that acts in Parkinson's disease via its conversion to dopamine by L-aromatic amino acid decarboxylase (AADC) (1, 2). However, since 1986 we have purported that L-DOPA is a neurotransmitter in the central nervous system (CNS) based on findings of neurotransmitter-like endogenous L-DOPA release and presynaptic responses to exogenously applied L-DOPA itself, seen mainly in the striatum early in our studies (3-5). In the classical sense, several criteria must be satisfied before a new substance can be designated a neurotransmitter. Evidence must be provided for physiological release, physiological response, existence, storage, synthesis, metabolism, and active transport of the candidate substance. Increasing evidence, provided by previous investigations and our own (6, 7), suggests that L-DOPA is indeed a neurotransmitter. In general, the formation of L-DOPA from tyrosine by tyrosine hydroxylase (TH), the first-step, rate-limiting enzyme involved in catecholamine synthesis, and conversion of L-DOPA to dopamine by AADC, the second-step enzyme, have been established. 3-0-Methyl DOPA is a metabolite formed from L-DOPA by catechol-0-methyl transferase (COMT). However, the presynaptic action of L-DOPA itself is neither mimicked by this metabolite (8) nor blocked by a COMT inhibitor (9). The presynaptic action is also not mimicked by 3,4-dihydroxyphenylacetic acid (8), one of the acid catabolites of dopamine. The transport system for L-DOPA across the neuronal plasma membrane is cocaine-insensitive, differs from the cocaine-sensitive uptake process for catecholamines, and is common for large neutral amino acids. However, the transport site differs from the recognition site by which L-DOPA elicits its presynaptic action (8)....