Abstract-Nitric oxide (NO) deficiency in the rostral ventrolateral medulla (RVLM) has been implicated in impaired baroreflex control in hypertensive and heart failure animals. However, the role of local NO in normal baroreflex regulation remains unclear. This study aimed to examine the role of NO in tonic and baroreflex control of blood pressure (BP) in the RVLM of conscious rabbits. Microinjections of NO donors, S-nitroso-N-acetylpenicillamine and sodium nitroprusside (5 to 20 nmol), or NO itself (20 to 200 pmol) into the RVLM dose-dependently increased BP. Bilateral microinjections of an NO synthase (NOS) inhibitor N G -nitro-L-arginine methyl ester (L-NAME; 10 nmol), its inactive enantiomer D-NAME, or soluble guanylate cyclase (sGC) inhibitors, 1-H-[1,2,4]oxadiaolo[4,3-a]quinoxalin-1-one (ODQ, 250 pmol) and methylene blue (10 nmol), into the RVLM did not affect resting BP, heart rate, or renal sympathetic nerve activity (RSNA). However, L-NAME, methylene blue, and ODQ decreased RSNA baroreflex gain by 42% to 55%, whereas D-NAME did not affect this reflex. Co-microinjections of L-NAME and superoxide scavenger tempol (20 nmol) decreased RSNA baroreflex gain by 37Ϯ8%. Microinjections of a neuronal NOS (nNOS) inhibitor, 7-nitroindazole (500 pmol), into the RVLM decreased RSNA baroreflex gain by 42Ϯ12%, without altering resting BP, heart rate, or RSNA. Local administration of inducible NOS (iNOS) inhibitors, S-methylisothiourea (0.25 nmol) and aminoguanidine (0.25 and 2.5 nmol), affected neither resting nor baroreflex parameters. These results suggest that nNOS-derived NO facilitates sympathetic baroreflex transmission in the RVLM at least in part via a sGC-dependent, superoxide-independent mechanism. However, local nNOS and iNOS play little role in the tonic support of BP in conscious rabbits. One brain region where NO may be of primary importance in cardiovascular control is the rostral ventrolateral medulla (RVLM), which is thought to be a final common pathway for regulating sympathetic activity. 4 Microinjections of NO donors into this region, unless given in high doses, 5 increase blood pressure in a sGC-dependent manner in conscious 6,7 and anesthetized animals. 5,8,9 By contrast, local administration of NOS and sGC inhibitors decrease or block the hypertensive responses to EAAs 5,6,10 and also attenuate various cardiovascular reflexes. 11,12 Importantly, NO may also play a role in the tonic support of blood pressure in the RVLM. 9,13 In particular, it has been shown that NO derived from the neuronal (nNOS) and inducible (iNOS) isoforms of NOS exerts, respectively, excitatory and inhibitory actions in the RVLM, 9 and the balance between these actions is shifted toward excitation in hypertensive animals. 14 Recent evidence suggests that NO deficiency in the RVLM may underlie impaired baroreflex regulation in such disease states as hypertension and heart failure. 15,16 However, the role of NO in normal baroreflex regulation in the RVLM remains elusive, because this messenger has been found to have little effec...