Although nitric oxide (NO) participates in development of hypersensitivity
states in the spinal cord thought to underlie chronic pain, it also partici
pates in analgesia produced by various drugs. In rats with a hypersensitivi
ty state following peripheral nerve injury, spinal administration of an NO
donor or l-cysteine alone produced no effect, whereas their combination. wh
ich yields s-nitroso-l-cysteine (SNC) powerfully reduced hypersensitivity.
In the current study, we examined the ability of SNC to stimulate release o
f a known spinal analgesic neurotransmitter, norepinephrine (NE), as a poss
ible mechanism of analgesic action of NO in the spinal cord. SNC (but not t
he NO donor alone or decomposed SNC) produced a concentration-dependent rel
ease of NE from rat spinal cord synaptosomes. The d-isomer of SNC was less
potent than the l-isomer, and the effect of SNC was partially blocked by l-
, but not d-leucine, implicating an interaction with the l-amino acid trans
porter. SNC-induced NE release was partially Na+ dependent, but largely Ca2
+ independent. NE uptake inhibitors partially antagonized the effect of SNC
, but guanylate cyclase inhibitors were without effect. These data are ther
efore consistent with NO stimulating NE release in the spinal cord via reac
tion with thiol containing compounds, such as cysteine, entry into NE termi
nals via active transport, and production of both exocytotic and carrier me
diated release. (C) 2000 Elsevier Science B.V. All rights reserved.