. Nociceptin in rVLM mediates electroacupuncture inhibition of cardiovascular reflex excitatory response in rats. J Appl Physiol 98: 2056 -2063, 2005. First published January 13, 2005; doi:10.1152/japplphysiol.01282.2004 at Neiguan-Jianshi acupoints through an opioid mechanism inhibits the cardiovascular pressor response induced by mechanical stimulation of the stomach. Because nociceptin also may regulate cardiovascular activity through its action in the brain stem, we hypothesized that this neuromodulator serves a role in the EA-related inhibitory effect. Blood pressure in ventilated male Sprague-Dawley rats (400 -600 g) anesthetized by ketamine and ␣-chloralose was measured during balloon inflation of the stomach. Gastric distension with 6 -8 ml of air induced consistent pressor reflexes of 26 Ϯ 1 mmHg that could be repeated every 10 min for 100 min. When nociceptin (10 nM) was microinjected into the rostral ventrolateral medulla (rVLM), the pressor response induced by gastric distension was inhibited by 68 Ϯ 6%. Thirty minutes of EA also decreased the reflex response by 75 Ϯ 11%; microinjection of saline into the rVLM did not alter the inhibitory effect of EA. In contrast, microinjection of a nociceptin receptor antagonist into the rVLM promptly reversed the EA response. Pretreatment with the opioid receptor antagonist naloxone did not influence the EA-like inhibitory effect of nociceptin on the distension-induced pressor reflex (22 Ϯ 1 to 8 Ϯ 2 mmHg). Furthermore, a -opioid receptor agonist microinjected into the rVLM after microinjection of a nociceptin receptor antagonist during EA promptly reversed the nociceptin receptor antagonist-related inhibition of the EA effect. Thus, in addition to the classical opioid system, nociceptin, through opioid receptor-like-1 receptor stimulation in the rVLM, participates in the modulatory influence of EA on reflexinduced increases in blood pressure. opioids; gastric distension; somatic afferent RECENTLY, A NOVEL OPIATE-LIKE heptadecapeptide was identified in rat brain extracts (41,46). The peptide, called nociceptin (41) or Orphanin FQ (46), has a high amino acid sequence homology to classical endogenous opioid peptides (i.e., endorphins, enkephalins, endomorphins, and dynorphins) and especially to dynorphin A. Furthermore, amino acid sequencing of the receptor believed to be specific for nociceptin, or opioid receptor-like-1 (ORL-1), was found to be 47-50% identical to that of the coding sequences of -, ␦-, and -opioid receptors (10,