This review examines the neural network responsible for activation of
the sympathetic vasomotor system during stimulation of carotid chemore
ceptors (CC) in anesthetized vagotomized rats (sympathetic chemoreflex
, SChR). Based on unit recording studies and experiments designed to i
mpair synaptic transmission within selected lower brainstem nuclei or
subregions, a model of the SChR is proposed with the essential feature
s: i) key role of the nucleus of the solitary tract (NTS), rostral ven
trolateral medulla (RVL) and ventrolateral pens (A5 area), ii) no role
for caudal ventrolateral medulla (CVL), iii) modulatory role of dorso
lateral pens and pre-Botzinger area, iv) dual control of bulbospinal p
resympathetic (preS) cells by CC inputs, one via the central respirato
ry network and the other through a direct excitatory pathway independe
nt of the activity of this network, and v) independent medullary pathw
ays for SChR and baroreflex until the preS neuronal stage in RVL.