. Effect of in vivo gene transfer of nNOS in the PVN on renal nerve discharge in rats. Am J Physiol Heart Circ Physiol 282: H594-H601, 2002; 10.1152/ajpheart.00503.2001.-The paraventricular nucleus (PVN) of the hypothalamus is known to be involved in the control of sympathetic outflow. Nitric oxide (NO) has been shown to have a sympathoinhibitory effect in the PVN. The goal of the present study was to examine the influence of overexpression of neuronal NO synthase (nNOS) within the PVN on renal sympathetic nerve discharge (RSND). Adenovirus vectors encoding either nNOS (Ad.nNOS) or -galactosidase (Ad.-Gal) were transfected into the PVN in vivo. Initially, the dose of adenovirus needed for infection was determined from in vitro infection of cultured fibroblasts. In Ad.nNOS-treated rats, the local expression of nNOS within the PVN was confirmed by histochemistry for NADPH-diaphorase-positive neurons. There was a robust increase in staining of NADPH-diaphorase-positive cells in the PVN on the side injected with Ad.nNOS. The staining peaked at 3 days after injection of the virus. In ␣-chloralose-and urethaneanesthetized rats, microinjection of N G -monomethyl-L-arginine (L-NMMA), a NO antagonist, into the PVN produced a dose-dependent increase in RSND, blood pressure, and heart rate. There was a potentiation of the increase in RSND, blood pressure, and heart rate due to L-NMMA in Ad.nNOS-injected rats compared with Ad.-Gal-injected rats. These results suggest that the endogenous NO-mediated effect in the PVN of Ad.nNOS-treated rats is more effective in suppressing RSND compared with Ad.-Gal-treated rats. These observations support the contention that an overexpression of nNOS within the PVN may be responsible for increased suppression of sympathetic outflow. This technique may be useful in pathological conditions know to have increased sympathetic outflow, such as hypertension or heart failure. paraventricular nucleus; renal sympathetic nerve activity; neuronal nitric oxide synthase gene transfer THE GASEOUS MOLECULE NITRIC OXIDE (NO) plays an important role in cardiovascular homeostasis. It plays this role by its action on both the central and peripheral autonomic nervous systems as well as by having direct effects on vascular smooth muscle. NO synthase (NOS) activity has been demonstrated in central and peripheral sites throughout the autonomic nervous system, including the receptors and effectors of the baroreflex pathway. Localization of neuronal populations that possess neuronal NOS (nNOS) has been achieved by histochemical staining using NADPH-diaphorase and immunohistochemistry (1,5). This close proximity of the production of NO within central sites that are involved in cardiovascular regulation have led to the belief that NO may be involved in the regulation of autonomic outflow.There have been relatively few studies (8,19,20) that have examined specific sites within the forebrain involved in mediating the effect of NO on sympathetic nervous outflow. NOS is densely localized in the paraventricular nucle...