Stimulation of the splanchnic (efferent, preganglionic sympathetic) nerves innervating the adrenal medulla and sympathetic postganglionic axons releases multiple neurotransmitters, including acetylcholine (acting on neuronal nicotinic cholinergic receptors), ATP, and chromogranin A, precursor of the catecholamine release inhibitory peptide "catestatin" (bovine chromogranin A 344 -364 ) (1).Chromogranin A, the major soluble protein in the core of amine and peptide hormone and neurotransmitter secretory vesicles (2, 3), plays both intracellular and extracellular roles. Within the catecholamine storage vesicle, chromogranin A plays a necessary role in vesiculogenesis and the ability to conduct regulated catecholamine secretion (4). Its extracellular roles derive from its biologically active proteolytic cleavage fragments (3): the catecholamine release-inhibitory fragment catestatin (bovine chromogranin A 344 -364 ) (1), the vasodilator vasostatin (bovine chromogranin A 1-76 ) (5), and the dysglycemic peptide pancreastatin (porcine chromogranin A 240 -288 ) (6).When secretory stimuli (such as acetylcholine interacting with nicotinic cholinergic receptors) trigger transmitter release from chromaffin cells or sympathetic axons, is the resynthesis of just released transmitters also initiated by the secretory stimulus? We have characterized this process (sometimes called "stimulus-secretion-synthesis coupling" or "stimulustranscription coupling") in chromaffin cells in vitro (7-9) and established transcriptional activation of chromogranin A by nicotinic cholinergic (physiologic pathway) stimulation. The process occurs at the level of transcript initiation (7), requires particular elements in cis in the proximal promoter (7), and has well defined signal transduction pathways in trans (8, 9). However, whether this nicotinic cholinergic stimulation of chromogranin A occurs in vivo is uncertain.We therefore set out to explore whether chromaffin cell stimulus-transcription coupling (specifically nicotinic cholinergic transcriptional stimulation of chromogranin A) occurs in vivo. To test this possibility, we employed a transgenic strain in which a mouse chromogranin A 4.8-kbp proximal promoter drives the expression of firefly luciferase, an extraordinarily sensitive reporter of gene expression (10 -12). In the in vivo experiments reported here, we used nicotine (mimicking the autonomic ganglionic transmitter acetylcholine) and reserpine (indirect stimulation by vesicular depletion) to evoke cate-