To investigate the role of prostaglandins 12 and E2 in modulating the vasoconstrictor response to sympathetic stimulation, repeated and proximate cold pressor tests were performed in 23 healthy young volunteers. Limb vascular resistance (blood flow measured by venous occlusion plethysmography), prostaglandin 12 (as 6-ketoprostaglandin FJa) and prostaglandin E2 plasma levels (detected by radioimmunoassay), and plasma catecholamines (detected by highperformance liquid chromatography and electrochemical detection) were measured. A progressive increase in the duration of the vasoconstrictor response was observed with repetition of cold applications (p<0.001, by analysis of variance for trends). This increase was associated with a progressive decrease in cold-induced elevation of 6-ketoprostaglandin F,a and prostaglandin E2 plasma levels until, after five stimulations, neither prostaglandin was detectable.The maximum detected concentration of norepinephrine did not significantly change, but its area under the curve in time showed a trend toward an increase. Epinephrine levels did not significantly change. The increase of vascular resistance was significantly correlated with the decrease of both prostaglandins (r= 0.93, p<0.05 for prostaglandin E2 and r= 0.89,p<0.05 for 6-ketoprostaglandin F1j), whereas no significant correlations were found between variations of vascular resistance and catecholamines. Prostaglandin blockade induced by diclofenac sodium administration caused, from the first cold application, a pattern of the vasoconstrictor response and plasma prostaglandin and norepinephrine changes similar to that observed at the fifth cold application in untreated subjects, when prostaglandins are no longer detectable in plasma. We conclude that an increased vasoconstrictor response to sympathetic stimulation in humans may result from a diminished inhibitory influence of prostaglandins on adrenergic transmission. (Circulation Research 1990;67:580-588) In animal experiments, both exogenous catecholamines and nerve stimulation have been reported to induce prostaglandin release from different organs such as the spleen' and the kidneys2 as well as from isolated blood vessels.3-6 In tissue fragments and isolated perfused organs, prostaglandin 12 (PGI2) and prostaglandin E2 (PGE2) have been found to modulate the effects of sympathetic stim-