PYRAMIDAL cells in the mammalian neocortex do not normally contain det
ectable levels of the enzyme nitric oxide synthase. However one region
of the human neocortex contains pyramidal neurones that express neuro
nal nitric oxide synthase activity. These neurones are mainly located
in layer V of the precentral gyrus and frontal cortex and are predomin
antly Betz cells. The proportion of Betz cells stained in the eight br
ains examined varied from 5 to 80%. The brains of eight rats that had
received a stab wound to the parietal cortex were also examined. Follo
wing a survival period of 7 or 14 days, small groups of pyramidal neur
ones surrounding the lesion contained moderate levels of neuronal nitr
ic oxide synthase. We suggest that human pyramidal neurones may start
expressing nitric oxide synthase as a response to damage or age-relate
d stress and that the nitric oxide released may have a neuroprotective
role.