1. To examine the effects of glucose on the central components of the vago-vagal reflex control of gastric function, we performed both in vivo and in vitro experiments on neurones in the medial nucleus of the tractus solitarius (mNTS) and in the dorsal motor nucleus of the vagus (DMV).2. In the in vivo anaesthetized rat preparation, unilateral microinjection of D-glucose (10 or 50 mM (60 nl)
_1) in mNTS produced inhibition of gastric motility and an increase in intragastric pressure. D-glucose had no effect in the DMV.3. In the in vitro rat brainstem slice preparation, whole-cell recordings of DMV neurones showed that increasing the glucose concentration of the perfusion solution from 5 mM to 15 or 30 mM produced outward currents of 35 ± 5 pA (n = 7) and 51 ± 10 pA (n = 11), respectively. These were blocked by tetrodotoxin and picrotoxin, indicating that glucose was acting indirectly to cause the release of GABA. Decreasing the glucose concentration of the perfusing solution by one-half produced an inward current of 36 ± 5 pA (n = 7).4. Stimulation of the NTS evoked inhibitory postsynaptic currents (IPSCs) in DMV neurones. The amplitude of the evoked IPSCs was positively correlated with glucose concentration. Perfusion with the ATP-sensitive K + (K ATP ) channel opener diazoxide mimicked the effect of reduced glucose, while perfusion with the K ATP channel blocker glibenclamide mimicked the effects of increased glucose. 5. Our data indicate that glucose had no direct excitatory effect on DMV neurones, but DMV neurones appear to be affected by an action of glucose on cell bodies of mNTS neurones via effects on an ATP-sensitive potassium channel.Journal of Physiology (2001), 536.1, pp.141-152 12276 141 project to the parasympathetic ganglia and the enteric ganglia innervating the digestive tract (Rogers et al. 1995). Most of the projections from the NTS to the DMV appear to be inhibitory (McCann & Rogers, 1994) and, although the neurotransmitter released is unknown, indirect evidence suggests that it is GABA (Feng et al. 1990;Travagli et al. 1991;Washaban et al. 1995;Sivarao et al. 1998;.Glucose exerts pronounced effects both on vagal sensory nerves and on central components of the reflexes. The hepatic portal area appears to have glucose sensors linked to hepatic vagal afferent nerves (Sakaguchi & Shimojo, 1984;Sakaguchi et al. 1994). In fact, glucose administered into the hepatic portal vein has been reported to decrease hepatic vagal afferent discharge rate (Niijima, 1969;Niijima & Mequid, 1994). Neurones in both NTS and DMV have also been shown to be affected by glucose. Glucose injected into the DMV of anaesthetized rats has been shown to decrease gastric motility and intragastric pressure (Sakaguchi et al. 1985(Sakaguchi et al. , 1994. Conversely, gastric motility or pressure did not seem to be affected when glucose was injected into the NTS, although additional studies indicated that glucose injected into the NTS could reduce gastric acid secretion (Sakaguchi & Sato, 1987).Electrophysiological studie...