Previous data indicate that there are anatomically segregated and phys
iologically independent parasympathetic ganglia on the surface of the
heart which are capable of selective control of sino-atrial rate, atri
o-ventricular conduction, and atrial contractility. We have injected a
retrograde tracer into the cardiac ganglion which selectively regulat
es heart rate (the SA ganglion). Medullary tissues were processed for
the histochemical visualization of retrogradely labeled neurons and fo
r the immunohistochemical detection of the neurotransmitter substance
P (SP) by dual labeling light and electron microscopic methods. Negati
ve chronotropic retrogradely labeled cells were found in a long slende
r column in the ventrolateral nucleus ambiguus (NA-VL) which enlarged
somewhat at the level of the area postrema. These cells were found bil
aterally, but they were asymmetrically distributed. Half the animals s
howed a pronounced right side predominance in retrograde labeling, whi
le the other half of the animals showed a lesser left side predominanc
e. These observations may help to explain some of the controversy in t
he literature concerning the relative influence of the right and left
vagus nerves on sinus rate. Ultrastructural examination demonstrated a
xo-somatic and axo-dendritic contacts between SP nerve terminals and r
etrogradely labeled negative chronotropic NA-VL neurons. SP immunoreac
tivity was often associated with large dense-core vesicles in terminal
s forming either symmetric or asymmetric synapses. These observations
provide a potential anatomical substrate for the centrally mediated br
adycardia elicited by microinjections of SP into the NA, SP immunoreac
tive terminals were also observed to make axe-somatic, axo-dendritic,
and axo-axonic synapses with unlabeled neurons in NA-VL. These data su
ggest that SP may also modulate the activity of other vagal preganglio
nic neurons.