Brain Fumes: Yes, We have NO Brain Gas

Stephen M. Stahl, M.D., Ph.D.


Issue: Nitric oxide (NO) is improbable as a conventional neurotransmitter. It is not an amine, amino acid, or peptide; it is not stored in synaptic vesicles or released by exocytosis; and it does not interact with specific receptor subtypes in neuronal membranes. However, NO is synthesized upon demand in the brain, diffuses to receptor sites within the enzyme guanylyl cyclase, and has neurotransmitter-like functions. (J Clin Psychiatry 1998;59:6-7)


No Laughing Matter

Nitrous oxide (N2O) is “laughing gas,” one of the earliest known inhalation anesthetics. Nitric oxide (NO) is a far different gas, although the two are often confused. It is NO that is made by the brain and used as a neurotransmitter, not N2O.1,2 Incredible as it may appear, NO, a poisonous unstable gas, which is part of car fumes and helps deplete the ozone layer, is also a chemical messenger both in the brain and in blood vessels.