King TL, Ruyle BC, Kline DD, Heesch CM, Hasser EM. Catecholaminergic neurons projecting to the paraventricular nucleus of the hypothalamus are essential for cardiorespiratory adjustments to hypoxia. Am J Physiol Regul Integr Comp Physiol 309: R721-R731, 2015. First published July 8, 2015 doi:10.1152/ajpregu.00540.2014.-Brainstem catecholamine neurons modulate sensory information and participate in control of cardiorespiratory function. These neurons have multiple projections, including to the paraventricular nucleus (PVN), which contributes to cardiorespiratory and neuroendocrine responses to hypoxia. We have shown that PVN-projecting catecholaminergic neurons are activated by hypoxia, but the function of these neurons is not known. To test the hypothesis that PVN-projecting catecholamine neurons participate in responses to respiratory challenges, we injected IgG saporin (control; n ϭ 6) or anti-dopamine -hydroxylase saporin (DSAP; n ϭ 6) into the PVN to retrogradely lesion catecholamine neurons projecting to the PVN. After 2 wk, respiratory measurements (plethysmography) were made in awake rats during normoxia, increasing intensities of hypoxia (12, 10, and 8% O 2) and hypercapnia (5% CO 2-95% O2). DSAP decreased the number of tyrosine hydroxylase-immunoreactive terminals in PVN and cells counted in ventrolateral medulla (VLM; Ϫ37%) and nucleus tractus solitarii (nTS; Ϫ36%). DSAP produced a small but significant decrease in respiratory rate at baseline (during normoxia) and at all intensities of hypoxia. Tidal volume and minute ventilation (V E) index also were impaired at higher hypoxic intensities (10-8% O 2; e.g., VE at 8% O2: IgG ϭ 181 Ϯ 22, DSAP ϭ 91 Ϯ 4 arbitrary units). Depressed ventilation in DSAP rats was associated with significantly lower arterial O 2 saturation at all hypoxic intensities. PVN DSAP also reduced ventilatory responses to 5% CO 2 (VE: IgG ϭ 176 Ϯ 21 and DSAP ϭ 84 Ϯ 5 arbitrary units). Data indicate that catecholamine neurons projecting to the PVN are important for peripheral and central chemoreflex respiratory responses and for maintenance of arterial oxygen levels during hypoxic stimuli.chemoreflex; blood pressure; ventilation; anti-dopamine -hydroxylase saporin; brainstem PERIPHERAL CHEMOREFLEX ACTIVATION by systemic hypoxia produces highly integrated respiratory, autonomic, behavioral, and endocrine responses (15,17). Together these responses are critical for homeostasis, serving to restore and maintain tissue oxygenation. The central nervous system pathways involved in responses to acute hypoxia are complex. Peripheral chemoreceptor afferent nerves from the carotid bodies project onto neurons located in the nucleus tractus solitarii (nTS) (40, 51), where chemoreceptor afferent input is modulated and integrated. The nTS sends projections to the rostral ventrolateral medulla (RVLM) (28,30), and this projection is considered the primary pathway mediating cardiorespiratory chemoreflex responses.The hypothalamic paraventricular nucleus (PVN) is also important in the integrated respo...