Damon DH. Vascular-dependent effects of elevated glucose on postganglionic sympathetic neurons. Am J Physiol Heart Circ Physiol 300: H1386 -H1392, 2011. First published January 7, 2011; doi:10.1152/ajpheart.00300.2010.-Perivascular sympathetic nerves are important determinants of vascular function that are likely to contribute to vascular complications associated with hyperglycemia and diabetes. The present study tested the hypothesis that glucose modulates perivascular sympathetic nerves by studying the effects of 7 days of hyperglycemia on norepinephrine (NE) synthesis [tyrosine hydroxylase (TH)], release, and uptake. Direct and vasculardependent effects were studied in vitro in neuronal and neurovascular cultures. Effects were also studied in vivo in rats made hyperglycemic (blood glucose Ͼ296 mg/dl) with streptozotocin (50 mg/kg). In neuronal cultures, TH and NE uptake measured in neurons grown in high glucose (HG; 25 mM) were less than that in neurons grown in low glucose (LG; 5 mM) (P Ͻ 0.05; n ϭ 4 and 6, respectively). In neurovascular cultures, elevated glucose did not affect TH or NE uptake, but it increased NE release. Release from neurovascular cultures grown in HG (1.8 Ϯ 0.2%; n ϭ 5) was greater than that from cultures grown in LG (0.37 Ϯ 0.28%; n ϭ 5; P Ͻ 0.05; unpaired t-test). In vivo, elevated glucose did not affect TH or NE uptake, but it increased NE release. Release in hyperglycemic animals (9.4 ϩ 1.1%; n ϭ 6) was greater than that in control animals (5.39 ϩ 1.1%; n ϭ 6; P Ͻ 0.05; unpaired t-test). These data identify a novel vascular-dependent effect of elevated glucose on postganglionic sympathetic neurons that is likely to affect the function of perivascular sympathetic nerves and thereby affect vascular function. sympathetic nervous system; vascular smooth muscle; norepinephrine THE SYMPATHETIC NERVOUS SYSTEM is a major determinant of cardiovascular function. The sympathetic nervous system acts in part via release of neurotransmitters from postganglionic sympathetic neurons innervating blood vessels. These neurons are critical for maintenance of blood pressure and distribution of blood flow (19,21). Cardiovascular complications are a leading cause of morbidity and mortality in patients with diabetes (1), and evidence suggests that vascular sympathetic neurons contribute to these complications (8,17). Despite the importance of vascular sympathetic neurons for cardiovascular function and the clinical relevance of cardiovascular complications associated with diabetes, little is known about how diabetes affects the function of these neurons.Elevated glucose causes many of the complications associated with diabetes (3, 36). The effects of elevated glucose on vascular sympathetic neurons are not well understood. Glucose may act directly on the neurons. In addition, elevated glucose affects vascular cells (3), and vascular cells modulate the function of postganglionic sympathetic neurons (10 -12, 23, 24). Thus elevated glucose may also affect vascular sympathetic neurons indirectly via vascular...