The synapse has dominated the conceptual model of neurotransmission; o
ther mechanisms, such as neuromodulation, have been considered to supp
ort and complement synaptic transmission. In this commentary, the conc
eptual framework considers synaptic transmission as one of several mec
hanisms of neurotransmission. One of these is nonsynaptic diffusion ne
urotransmission (NDN), which includes both the diffusion of neurotrans
mitters and other neuroactive substances through the extracellular flu
id to reach extrasynaptic receptors, and the diffusion of substances s
uch as nitric oxide through both the extracellular fluid and cellular
membranes to act within the cell. The possible roles of NDN in mass, s
ustained functions such as mood, sleep and brain ''tone'', as well as
in various other functions, such as in long term potentiation, at the
retinal, lateral geniculate nucleus and visual cortex levels of the vi
sual system, in recovery from brain damage and in neuropharmacology, a
re explored.