Physiological evidence from several studies suggests that endogenous v
asoactive peptides, such as substance P (SP), and their respective rec
eptor populations may participate in the mechanisms that govern the au
toregulatory capacity of the cochlear vascular system. However, these
studies do not provide evidence regarding the origin or mechanism of a
ction of SP. Capsaicin sensitivity has been used as a marker for senso
ry neurons, and the release of SP following capsaicin treatment sugges
ts a sensory transmitter role for SP. The present investigation examin
es the relationship between the capsaicin-sensitive sensory neurons an
d SP in the regulation of cochlear blood flow (CBF). In 75 pigmented g
uinea pigs, the cochlea was surgically exposed and a laser Doppler flo
wmeter probe placed on the bony surface of the first turn to monitor C
BF. Capsaicin solutions (2 mu l, 0.01%, 0.001% and 0.0001%) applied to
the round-window membrane (RWM) resulted in a dose-related CBF increa
se, without change in the systemic blood pressure. This effect could b
e inhibited by application of a specific SP receptor antagonist, [D-Pr
o(2),D-Trp(7,9)]-SP, after which none of the capsaicin concentrations
used induced a change in CBF. Moreover, after RWM application of 50 nm
ol/2 mu l of SP there was a significant increase in CBF. No CBF change
was observed with the lower concentrations of 10 nmol SP or 100 pmol
SP. These results indicate a role of SP in CBF regulation and give ind
irect evidence that SP is released from capsaicin-sensitive primary se
nsory neurons.