Calcium/calmodulin protein kinase (CaMK)-dependent nitric oxide (NO) and the downstream intracellular messenger cGMP, which is activated by soluble guanylate cyclase (sGC), are believed to induce long-term changes in efficacy of synapses through the activation of protein kinase G (PKG). The aim of this study was to examine the involvement of the CaMKII-dependent NO/sGC/PKG pathway in a novel form of repetitive stimulation-induced spinal reflex potentiation (SRP). A single-pulse test stimulation (TS; 1/30 Hz) on the afferent nerve evoked a single action potential, while repetitive stimulation (RS; 1 Hz) induced a long-lasting SRP that was abolished by a selective Ca 2ϩ /CaMKII inhibitor, autocamtide 2-related inhibitory peptide (AIP). Such an inhibitory effect was reversed by a relative excess of nitric oxide synthase (NOS) substrate, L-arginine. In addition, the RS-induced SRP was abolished by pretreatment with the NOS inhibitor, N G -nitro-L-arginine-methyl ester (L-NAME). The sGC activator, protoporphyrin IX (PPIX), reversed the blocking effect caused by L-NAME. On the other hand, a sGC blocker, 1H-[1, 2, 4]oxadiazolo[4, 3-␣]quinoxalin-1-one (ODQ), abolished the RS-induced SRP. Intrathecal applications of the membrane-permeable cGMP analog, 8-bromoguanosine 3Ј,5Ј-cyclic monophosphate sodium salt monohydrate (8-Br-cGMP), reversed the blocking effect on the RS-induced SRP elicited by the ODQ. Our findings suggest that a CaMKII-dependent NO/sGC/PKG pathway is involved in the RSinduced SRP, which has pathological relevance to hyperalgesia and allodynia.spinal reflex potentiation; soluble guanylate cyclase; cyclic monophosphate sodium salt monohydrate; spinal cord; windup ACTIVITY-DEPENDENT REFLEX plasticity, the dynamic regulation of reflex strength by ongoing neural activities, is a fundamental component of normal CNS functions. Long-term potentiation (LTP), a form of well-known activity-dependent reflex potentiation in synaptic responses that occurs in the CA1 area of the hippocampus, is considered the base for some forms of learning and memory (45). In the hippocampal CA1 region, LTP is induced by brief tetanic stimulation of afferent glutamatergic fibers and is typically dependent on activation of postsynaptic N-methyl-D-aspartate (NMDA) receptors (3).A key-initiating event in LTP induction is the activation of Ca 2ϩ /calmodulin protein kinase II (CaMKII) (14, 44, 30; 54). An increase in the intracellular Ca 2ϩ concentration, partly by the influx through NMDA receptor channels, activates calmodulin, which in turn triggers the activation of CaMKII, causing it to bind to the postsynaptic density. It is a well-known fact that nitric oxide (NO) stimulates soluble guanylyl cyclase, and, in turn, produces intracellular cGMP and subsequently activates the protein kinase G (PKG) to induced activity-dependent reflex potentiation (53). Brenman and Bredt (6) reported that NO can be activated by CaMKII. Several investigators revealed that NO plays a role in LTP as indicated by experiments showing that LTP is eliminated or...