We aimed to test the hypothesis that the inducible form of nitric oxide synthase (iNOS) contributes to the development of an early subnormal retinal oxygenation response in preclinical models of diabetic retinopathy. In urethane anesthetized Sprague Dawley rats or C57BL/6 mice, functional magnetic resonance imaging was used to noninvasively measure the change in retinal oxygen tension (⌬PO 2 ) during a carbogen-inhalation challenge. In the rat experiments, the retinal ⌬PO 2 of the following groups were compared: control rats (n ؍ 9), 3-month diabetic rats (n ؍ 5), and 3-month diabetic rats treated orally with L-N(6)-(1-iminoethyl)lysine 5-tetrazole amide, a prodrug of an inhibitor of iNOS (n ؍ 6). In addition, the retinal ⌬PO 2 of the following mouse groups were compared: C57BL/6 mice (n ؍ 20), C57BL/6-Nos2 tm1Lau mice (n ؍ 10), 4-month diabetic mice (n ؍ 13), and 4-month diabetic knockout mice (n ؍ 6). Only the ⌬PO 2 of the superior hemiretina of the diabetic rat and mice groups were significantly subnormal (P < 0.05). The superior ⌬PO 2 of the diabetic rats treated with the prodrug was not significantly (P > 0.05) different from their respective normal controls. In the mice experiments, the superior retinal ⌬PO 2 of the iNOS null mice was not statistically different (P > 0.05) from that of normal control mice. iNOS is required for the development of an early subnormal ⌬PO 2 in experimental diabetic retinopathy. Diabetes 53: [173][174][175][176][177][178] 2004 N itric oxide (NO), a potent regulator of retinal vascular function, is elevated in the vitreous humor of patients with proliferative diabetic retinopathy and with tractional retinal detachment, as well as in the retina of rodents, 2-4 months after the induction of diabetes (1-4). NO synthase (NOS) converts L-arginine to NO and L-citrulline. Excessive NO production by the inducible isoform of NOS (iNOS) in particular has been implicated in the pathogenesis of various ocular diseases (5,6). iNOS is induced in the retina in diabetes, but it is not yet known if iNOS regulates aspects of retinal circulatory pathophysiology associated with diabetes (4).Previously, we developed a novel functional magnetic resonance imaging (MRI) method for measuring the retinal oxygenation response to a hyperoxic inhalation challenge in the newborn and adult rat, rabbit, cat, and human (7-10). In this technique, hyperoxia increases vitreous partial oxygen pressure over room-air values (⌬PO 2 ). Because oxygen is paramagnetic, this ⌬PO 2 will produce an increase in the vitreous signal intensity on a T 1 -weighted image. Furthermore, good agreement is found between the MRI-measured response and that determined by other investigators (11) using an oxygen electrode in normal rat retina under similar conditions. In normal adult and newborn rats, carbogen breathing oxygenated the retina significantly better than pure oxygen breathing (11). Carbogen is a gas mixture of carbon dioxide (5%) and oxygen (95%) that has been used clinically, instead of 100% oxygen, to minim...