Although sweat gland activity is directly controlled by the central nervous system (CNS), which detects changes in core body temperature, sweat glands can also be influenced by local conditions. For example, an increase in local skin temperature (T skin ) results in increased sweating. However, the mechanism by which this occurs remains unclear. Little research has been performed to answer this question, but two main possibilities have been suggested. First, an increase in local T skin results in a greater release of sudomotor neurotransmitter, causing a greater sweat response [1,2]. Second, sweat glands may exhibit an enhanced sensitivity to a given neurotransmitter following a rise in local T skin [3,4]. Qualitative observations on two subjects tested by Ogawa [3] suggested that increasing T skin from approximately 23 to 36°C resulted in a decreased amount of pilocarpine or acetylcholine needed to induce a noticeable sweating response. Similar results were found in the same study when T skin was increased from 26 to 29.5 and then to 32°C on one subject. Follow-up work on four subjects by Ogawa and Asayama [4] indicated that an increase in T skin from approximately 37 to 42°C increased the rate of pilocarpine-induced sweat production. Although the small sample sizes prevented statistical analysis, these collective results suggested that local heating fa- Japanese Journal of Physiology, 53, 427-430, 2003 Key words: skin temperature, sweat glands, neurotransmitter, cholinergic sensitivity, pilocarpine iontophoresis.Abstract: Although sweat gland activity is directly controlled by the central nervous system, which detects changes in core body temperature, sweat glands can also be influenced by local cutaneous thermal conditions. Objective: The present study sought to determine the effect of local skin temperature on pilocarpine-induced sweating within a range of typical skin temperatures. Methods: Thirteen subjects (30Ϯ6 years; 172Ϯ 11 cm; 72.8Ϯ11.0 kg) had forearm sweat rates measured at rest following pilocarpine iontophoresis at each of three skin temperatures in randomized order: warm (T warm ϭ37.1Ϯ0.9°C), control (T con ϭ32.3Ϯ1.4°C), and cool (T cool ϭ 26.6Ϯ1.3°C). T skin was raised and lowered with an electric heating pad and gel ice pack, respectively. Forearm T skin was measured with a skin temperature probe. Pilocarpine iontophoresis was used on an approximately 7 cm 2 area of the anterior forearm to stimulate localized sweating. Following stimulation, sweat was collected from the area for 15 min with a Macroduct Sweat Collection System. Results: There was a higher sweat rate at T warm (pϭ0.001) and T con (pϭ0.006) compared to that at T cool . However, there was no difference between the sweat rate at T warm and that at T con (pϭ0.127). Conclusion: These results indicated that skin temperatures below approximately 32°C affect local sweat production primarily by altering glandular sensitivity to the neurotransmitter, whereas skin temperatures above approximately 32°C predominantly affect neurotransmitte...