After inhalation of 15% CO2, immunoreactions to glutamate and glutamic
acid decarboxylase were found in some c-Fos or c-Jun-labeled neurons
distributed in the reticular region just dorsal to the pyramidal tract
in the rostroventromedial medulla (parapyramidal RVMM). This region f
orms vertically the narrow strip between the nucleus raphe pallidus an
d nucleus parapyramidalis superficialis, and extends rostrocaudally fr
om the level just ahead of the inferior olivary complex to the level j
ust behind the nucleus of the trapezoid body. When we placed lesions w
ith kainate in the parapyramidal RVMM, hyperpneic and tachypneic respo
nses to brief inhalation of 15% CO2 were completely abolished, and the
eupneic rhythm changed into the gasping rhythm. This study suggests t
hat the parapyramidal RVMM consists of neuronal substrates that subser
ve as the respiratory rhythm modulator.