. Nitric oxide modulates elicitation of reflex swallowing from the pharynx in rats. Am J Physiol Regul Integr Comp Physiol 291: R651-R656, 2006. First published April 6, 2006 doi:10.1152/ajpregu.00646.2005.-The pharynx is very important for elicitation of reflex swallowing. The region of the pharynx is innervated by the pharyngeal branch of the glossopharyngeal nerve (GPNph). Nitric oxide (NO) plays an important role in various physiological functions. The purpose of this study is to investigate the contribution of NO to reflex swallowing evoked by electrical stimulation of the GPN-ph. Swallowing was evoked in urethane-anesthetized rats by application of repetitive electrical stimulation (10-to 20-A amplitude, 10-to 20-Hz frequency, 1.0-ms duration) to the central cut end of the GPN-ph or superior laryngeal nerve. Swallowing was identified by electromyographic activity of the mylohyoid muscle. Latency to the first swallow and the interval between swallows were measured. Intravenous administration of N G -nitro-L-arginine (L-NNA, 0.6 mg/ kg), a nonselective inhibitor of NO synthase (NOS), extremely prolonged latency to the first swallow and the interval between swallows evoked by the GPN-ph. Intraperitoneal administration of 7-nitroindazole (5.0 mg/kg), a selective inhibitor of neuronal NOS, significantly prolonged latency to the first swallow and the interval between swallows evoked by the GPN-ph. Administration of L-arginine (an NO donor, 500 mg/kg) and sodium nitroprusside (an NO releaser, 0.6 mg/kg) restored the suppression of swallowing induced by the NOS inhibitor. Superior laryngeal nerve-evoked swallowing was suppressed by administration of a higher dose of L-NNA (6.0 mg/kg). Swallowing evoked by water stimulation of the pharynx was also suppressed by L-NNA (0.6 mg/kg). These results suggest that NO plays an important role in signal processing for initiation of reflex swallowing from the pharynx. nitric oxide synthase; pharyngeal branch; glossopharyngeal nerve; superior laryngeal nerve; L-arginine THE PHARYNX IS VERY IMPORTANT for elicitation of reflex swallowing. The regions of the pharynx involved in initiation of reflex swallowing have been analyzed in many studies (5-7, 15, 17, 21, 24 -28). One study showed that, in the cat, the posterior pillars are the most reflexogenic to mechanical stimulation, and the posterior pharyngeal wall is slightly less sensitive (27). Recently, Kitagawa et al. (17) examined the receptive regions for swallowing in the rat and reported that the palatopharyngeal arches, the posterior pharyngeal wall, the edge of the soft palate, the epiglottis, and the aryepiglottic fold are the most sensitive areas for reflex swallowing. On the basis of a study by Pommerenke (24), the receptive regions for swallowing in humans are considered to be essentially similar to those in animals.The effective regions for elicitation of reflex swallowing are innervated by the glossopharyngeal nerve (GPN) and the superior laryngeal nerve (SLN) (6,14,20,21,26,28,30). The SLN has been well known as ...