1. It has been hypothesized that CO2-sensitive neurons an located in t
he rostral ventral medulla. To demonstrate this at the cellular level,
perforated patch-clamp recordings were made from rat medullary slices
in vitro. The effect of respiratory acidosis/alkalosis on the electro
physiologic properties of neurons was studied by recording membrane po
tential while changing the CO2 of the bath solution and allowing pH to
vary. 2. At baseline, most neurons in the rostral ventrolateral medul
la (VLM) and rostral medullary raphe spontaneously tired repetitively
at a regular rate (3.3 +/- 3.5 Hz, mean +/- SD) with a linear interspi
ke ramp depolarization (n = 102 of 135). Spontaneous firing continued
after synaptic blockade with high-magnesium, low-calcium solution (n =
14 of 15). Spontaneous firing of calcium spikes continued in tetrodot
oxin (TTX; n = 13 of 13), but was blocked by TTX and cadmium (n = 4 of
4). 3. The effect of respiratory acidosis/alkalosis on neurons was ex
amined by changing the CO2 of the bicarbonate-buffered bath solution w
ithin the range of 3-9%. Most neurons studied (n = 74 of 105) did not
change their firing rate in response to this stimulus, however, some n
eurons were stimulated (n = 16) and other neurons were inhibited (n =
15) by increases in CO2. 4. In many CO2-stimularcd neurons. the increa
se in firing rate caused by an increase in CO2 was associated with an
increase in slope of the linear interspike ramp depolarization, wherea
s in many CO2-inhibited neurons the opposite occurred, i.e., an increa
se in CO2 resulted in a decrease in slope of the ramp depolarization.
These changes occurred without a change in the level of afterhyperpola
rization polarization or spike threshold. 5. Whole cell patch-clamp re
cording invariably resulted in loss of spontaneous and stimulated repe
titive firing over 10-40 min despite good resting potential, input res
istance, and amplitude of single depolarization-evoked spikes, CO2 pro
duced no change in membrane potential in neurons after rundown of repe
titive firing. The loss of repetitive firing and CO2 sensitivity with
whole cell recording required the use of perforated-patch recordings o
f mem brane potential or cell-attached-patch recordings of spike trans
ients to accurately study the baseline electrophysiologic properties a
nd CO2 sensitivity of rostral medullary neurons. 6. Neuronal location
was determined before each recording using direct visualization of liv
ing slices, and after some recordings using biocytin staining. CO2-sti
mulated and CO2-inhibited neurons were both found to have cell bodies
in the rostral VLM, an area thought to contain central respiratory che
moreceptors. However, other neurons with similar baseline properties a
nd CO2 response were also found in the medullary raphe, an area known
to influence respiration but not previously associated with chemorecep
tion. 7. These results provide direct evidence for neurons with chemor
eceptive properties in VLM. The presence of neurons with a similar res
ponse within the medullary raphe contributes to the accumulating evide
nce that CO2-sensitive neurons are more widely distributed than previo
usly believed. CO2 sensitivity may be a widespread property of neurons
within nuclei involved in control or modulation of respiration, or ma
y be present in neurons involved in control of other, nonrespiratory,
CO2-sensitive CNS functions.