Although both nitric oxide (NO) and glutamate within the rostral ventrolateral medulla (RVLM) are important mediators of the central cardiovascular regulation, little is known about the functional interactions between these two mediators. Herein, we investigated the possible role of NO on the glutamatergic transmission of RVLM neurons. Whole-cell patch-clamp recordings were performed on visualized RVLM neurons in the brainstem slice preparation of rats. We found that bath application of Larginine, the substrate for NO production, significantly increased the amplitude of excitatory postsynaptic currents (EPSCs). This enhancement was completely abolished by coadministration of the NO synthase inhibitor 7-nitroindazole and mimicked by the NO donors 3-morpholinylsydnoneimine and spermine NONOate. Bath application of a NO-sensitive guanylyl cyclase inhibitor, 1H-[1,2,4]oxadiazolo[4,3-a]quinoxalin-1-one, or a protein kinase G (PKG) inhibitor, Rp-8-bromo-guanosine 3Ј,5Ј-cyclic monophosphorothioate, fully prevented the L-arginine-, 3-morpholinylsydnoneimine-, and N-[4-[1-(3-(spermine NONOate)-induced synaptic potentiation. Direct activation of PKG with 8-(4-chlorophenylthio)-cGMP mimicked the action of NO donors. Furthermore, the augmentation by spermine NONOate of EPSC was accompanied by a reduction of the paired-pulse facilitation and synaptic failure rate of EPSCs. Spermine NONOate also significantly increased the frequency of both spontaneous and miniature EPSCs without altering their amplitude distribution. Pretreatment with the N-type Ca 2ϩ channel blocker -conotoxin GVIA selectively blocked the spermine NONOate-induced synaptic potentiation. These results suggest that NO acts presynaptically to elicit a synaptic potentiation on the RVLM neurons through an enhancement of presynaptic N-type Ca 2ϩ channel activity leading to facilitating glutamate release. The presynaptic action of NO is mediated by a cGMP/PKG-coupled signaling pathway.It is well known that rostral ventrolateral medulla (RVLM) neurons play an important role in cardiovascular, respiratory, and nociceptive functions (Dampney, 1994). Both electrophysiological and anatomical studies showed that a subset of RVLM neurons directly innervates preganglionic vasomotor neurons in the intermediolateral cell columns of the spinal cord, which are involved in the regulation of vasomotor and cardiac tone (Morrison et al., 1991;Deuchars et al., 1995). In addition, the RVLM neurons are tonically active in vivo and receive convergent excitatory and inhibitory inputs from multiple sources (Mtui et al., 1995;Guyenet et al., 1996). However, little is known regarding the physiological regulation of the tonic excitation of these neurons.Nitric oxide (NO), an unstable diatomic radical synthesized from L-arginine by nitric-oxide synthase (NOS), is recognized as an important signaling molecule mediating a variety of physiological processes, including synaptic transmission and synaptic plasticity (Garthwaite, 1991). In addition, considerable evidence suggests that NO i...