A two-site enzyme immunoassay is described which does not suffer from artifacts inherent in previous assays and has the necessary high sensitivity to determine the endogenous levels of nerve growth factor (NGF) in the sympathetic nervous system and its target organs. Monoclonal and affinity-purified polyclonal antibodies against mouse NGF (mNGF) were covalently linked to glass beads as the first site and coupled to the enzyme (t-galactosidase as the second site. Detection of the fluorescent 13-galactosidase reaction product permitted the determination of 0.01-0.02 fmol of mNGF per assay. The recovery of mNGF added to homogenates varied between 50% and 100%, depending on the tissue. Rat superior cervical and stellate ganglia were found to contain (mean ± SEM) 25 ± 4 and 19 ± 3 ng of NGF per g wet weight, respectively, and the densely innervated submandibular gland, heart atrium, and iris contained 0.5 ± 0.1, 1.0 ± 0.1, and 1.9 ± 0.3 ng of NGF per g wet weight, respectively. Heart ventricle and skeletal muscle, which are poorly innervated by the sympathetic nervous system, did not contain detectable levels of NGF (<0.3 ng/g wet weight). Serum contained <0.05 ng of NGF per ml. The correlation between NGF levels and density of innervation is consistent with the concept that the production of NGF in target organs determines their density of innervation by the sympathetic nervous system. Nerve growth factor (NGF) is a protein essential for the development and maintenance of function of the peripheral sympathetic nervous system (for a review, see ref. 1). However, evidence of the local synthesis of NGF in sympathetically innervated effector organs and of its function as a retrograde trophic messenger between effector organs and innervating neurons has only been indirect. (a) Exogenous NGF is taken up by a selective and saturable mechanism by sympathetic nerve terminals and is then transported retrogradely to the corresponding perikarya, where it evokes its characteristic biochemical effects (1, 2). (b) Interruption of the retrograde axonal transport by surgical or chemical procedures has the same effect as the neutralization of endogenous NGF by specific antibodies (1-3). Thus, during early stages of development, both interruption of retrograde axonal transport and neutralization of endogenous NGF by antibodies lead to a degeneration of the corresponding neurons. In differentiated neurons, the two procedures lead only to an impairment of function reflected by a decrease in levels of enzymes involved in the synthesis of the adrenergic transmitter norepinephrine.Despite many attempts, it has not been possible to determine the levels of NGF in sympathetically innervated target tissues by reliable quantitative methods (4, 5). With bioassay techniques, NGF became detectable only if the tissues were denervated either in situ (6) or by being brought into culture (6, 7). This suggests that the levels of NGF in sympathetically innervated target tissues are extremely low because the locally synthesized NGF is rapidly re...