Synthesis of 6(R)-5,6,7,8-tetrahydrobiopterin (BH 4 ), a required cofactor for inducible nitric-oxide synthase (iNOS) activity, is usually coordinately regulated with iNOS expression. In C6 glioma cells, tumor necrosis factor-␣ (TNF-␣) concomitantly potentiated the stimulation of nitric oxide (NO) and BH 4 production induced by IFN-␥ and interleukin-1. Expression of both iNOS and GTP cyclohydrolase I (GTPCH), the rate-limiting enzyme in the BH 4 biosynthetic pathway, was also markedly increased, as were their activities and protein levels. Ceramide, a sphingolipid metabolite, may mediate some of the actions of TNF-␣. Indeed, we found that bacterial sphingomyelinase, which hydrolyzes sphingomyelin and increases endogenous ceramide, or the cell permeable ceramide analogue, C 2 -ceramide, but not C 2 -dihydroceramide (N-acetylsphinganine), significantly mimicked the effects of TNF-␣ on NO production and iNOS expression and activity in C6 cells. Surprisingly, although TNF-␣ increased BH 4 synthesis and GTPCH activity, neither BH 4 nor GTPCH expression was affected by C 2 -ceramide or sphingomyelinase in IFN-␥-and interleukin-1-stimulated cells. It is likely that increased BH 4 levels results from increased GTPCH protein and activity in vivo rather than from reduced turnover of BH 4 , because the GTPCH inhibitor, 2,4-diamino-6-hydroxypyrimidine, blocked cytokine-stimulated BH 4 accumulation. Moreover, expression of the GTPCH feedback regulatory protein, which if decreased might increase GTPCH activity, was not affected by TNF-␣ or ceramide. Treatment with the antioxidant pyrrolidine dithiocarbamate, which is known to inhibit NF-B and sphingomyelinase in C6 cells, or with the peptide SN-50, which blocks translocation of NF-B to the nucleus, inhibited TNF-␣-dependent iNOS mRNA expression without affecting GTPCH mRNA levels. This is the first demonstration that cytokine-stimulated iNOS and GTPCH expression, and therefore NO and BH 4 biosynthesis, may be regulated by discrete pathways. As BH 4 is also a cofactor for the aromatic amino acid hydroxylases, discovery of distinct mechanisms for regulation of BH 4 and NO has important implications for its specific functions.