Background and Purpose-Excessive release of nitric oxide (NO) has been implicated in the pathophysiology of neurodegeneration in ischemic stroke. We compared intracerebral release of indicators of NO generation at the acute and subacute stages of transient focal cerebral ischemia. Methods-In vivo microdialysis in the rat striatum was performed at the acute (first hours) and subacute (after 24 or 48 hours) stages of cerebral ischemia or sham operation to monitor intracerebral release of the stable NO metabolites nitrite and nitrate. Results-Whereas only a nonsignificant trend toward increased release of these NO metabolites was evidenced in acute cerebral ischemia, a significant NO generation was observed subacutely, 48 hours after induction of cerebral ischemia. Aminoguanidine, a selective inhibitor of inducible NO synthase, suppressed this delayed release of nitrite and nitrate. Conclusions-Whereas these observations do not support a major NO generation in acute cerebral ischemia, they indicate an inducible NO synthase-dependent NO generation predominantly at the subacute phase of ischemic neurodegeneration. Therefore, NO generation may play a pathophysiological role in delayed ischemic neurodegeneration. (Stroke. 2000;31:2208-2211.)Key Words: cerebral ischemia, focal Ⅲ nitric oxide Ⅲ nitric oxide synthase Ⅲ rats W hereas in low concentrations (nanomolar range), nitric oxide (NO) plays a physiological role in neuronal signaling, in high concentrations (micromolar range) this molecule is enormously cytotoxic. 1 The production of NO, itself a free radical, promotes tissue injury, eg, by reaction with superoxide anion to produce the extremely toxic peroxynitrite or by interaction with proteins, transition metals, and iron-sulfur-containing or heme-containing compounds. 2,3 Excessive NO generation has been implicated in ischemic neurodegeneration 4,5 and is currently intensely studied as a therapeutic target in ischemic stroke. 5,6 The rapidly decaying gas NO cannot be detected directly. However, changes in concentrations of the stable NO oxidation products nitrite and nitrate allow estimation of NO generation. 7 Recently, extracellular release of NO metabolites in the central nervous system has been reported in acute global 8 -11 or focal 12,13 cerebral ischemia with the use of in vivo microdialysis. This technique allows repeated sampling of brain tissue perfusate in the same freely moving rat. 14 The results of these studies were conflicting since they showed decreased or increased concentrations of NO metabolites for minutes or hours. More importantly, whereas formation of NO metabolites has been monitored with this technique only in the acute stage of focal cerebral ischemia, there is, to our knowledge, no information about a possible NO generation in the subacute phase (ie, beyond 24 hours). This uncertainty clearly contrasts with the general belief that NO is a key molecule in the pathogenesis of ischemic neurodegeneration and represents an important therapeutic target in ischemic stroke. 5 In this study we...