Summary: Stimulation of cerebrovascular parasympa thetic nerves markedly increases cortical blood flow. Ni tric oxide (NO) or a NO-containing compound is present in these nerves and may therefore, upon release, be partly responsible for the flow increase. In addition, transmit ters released from the nerves may cause synthesis and release of this compound from the endothelium. The contribution of NO synthesis to the cortical blood flow (CoBF) increase during parasympathetic stimulation was elucidated in rat by laser-Doppler flowmetry.Thirty-minute exposure to circulating N w -nitro-L-arginine methyl ester (L-NAME) 50 mg kg-1 eliminated most of the response (from 104 to 8% increase), whereas lO-min The pial arterial tree is innervated by a network of parasympathetic fibers (for review see U ddman and Edvinsson, 1989;Suzuki and Hardebo, 1993). Some of these fibers may extend along branches into the brain parenchyma. Stimulation of the para sympathetic fibers markedly increases the cortical blood flow (CoB F) (see Suzuki and Hardebo, 1993). Upon activation, these fibers may modulate cere bral autoregulation (Koketsu et aI. , 1992; Morita Tsuzuki et aI. , 1993) and suppress infarction volume following cerebral artery occlusion (Kano et aI., 1991; Koketsu et aI., 1992).Acetylcholine, present as transmitter in parasym pathetic nerves (Suzuki et aI. , 1990a), exerts its whole vasodilator action through a release of endoReceived December 16, 1992; final revision received April 12, 1993; accepted May 3, 1993 Address correspondence and reprint requests to Dr. Y. Morita-Tsuzuki at Department of Neurology, Second Tokyo Na tional Hospital, 2-5-Higashigaoka, Meguro-ku, Tokyo 152, Ja pan.Abbreviations used: CoBF, cortical blood flow; MCA, middle cerebral artery; L-NAME, Nw-nitro-L-arginine methyl ester.
993exposure to this dose or 30-min exposure to 5 mg kg -1 caused a less marked reduction. The reducing effect was particularly evident after elimination of the systemic blood pressure increase caused by L-NAME (only 3% increase after the high dose). Infusion of L-arginine re stored the flow response. Resting CoBF was not substan tially affected by blockade of NO formation. Thus, re lease of an NO-containing compound constitutes a major component of the increase in CoBF caused by parasym pathetic nerve stimulation but does not seem to contrib ute to cortical flow regulation during resting conditions.