HYPERTENSION in the conscious rat, elicited by i.v. infusion of phenyl
ephrine, evoked expression of the immediate early gene c-fos in discre
te groups of brain stem neurons. Fos-immunoreactive neurons were locat
ed in the caudal ventrolateral medulla (CVLM); others were located in
the nucleus of the tractus solitarius (NTS). Because of their sensitiv
ity to alterations in arterial pressure, these neurons are likely to s
ubserve the arterial baroreceptor reflex. The aim of this study was to
identify the brain stem projections and the neurotransmitter content
of the barosensitive CVLM neurons using neuronal tracing and immunohis
tochemistry. Some of the barosensitive CVLM neurons projected directly
to the rostral ventrolateral medulla (RVLM), and many contained the G
ABA synthesizing enzyme, glutamic acid decarboxylase (GAD). Other CVLM
neurons, containing markers of glutamate or catecholamine synthesis,
were insensitive to baroreceptor stimulation. This study delineates ne
uronal pathways acting in the arterial baroreceptor reflex and identif
ies precisely GABA-synthesizing CVLM neurons as the source of inhibito
ry input to the RVLM.