Koganezawa T, Terui N. Differential responsiveness of RVLM sympathetic premotor neurons to hypoxia in rabbits. Am J Physiol Heart Circ Physiol 292: H408 -H414, 2007. First published September 22, 2006; doi:10.1152/ajpheart.00881.2006.-To determine whether differential sympathetic nerve responses to hypoxia are explained by opposing effects of hypoxia upon sympathetic premotor neurons in the rostral ventrolateral medulla (RVLM), the cardiac sympathetic nerve and the renal sympathetic nerve were recorded in anesthetized and vagotomized rabbits. Renal sympathetic nerve was activated by the injection of sodium cyanide solution close to the bifurcation of the common carotid artery and/or by inhalation of hypoxic gas (3% oxygen-97% nitrogen). On the other hand, cardiac sympathetic nerve was inhibited by these stimuli. Barosensitive (inhibited by the stimulation of baroreceptor afferents) reticulospinal (antidromically activated by the stimulation of the spinal cord) neurons in the RVLM were divided into three groups according to their responses to hypoxic stimulation: neurons (Type I, n ϭ 25), the activity of which was inhibited by the injection of sodium cyanide solution close to the bifurcation of the common carotid artery and/or by inhalation of hypoxic gas, neurons (Type II, n ϭ 99), the activity of which was facilitated by the same stimulation, and neurons (Type III, n ϭ 11), the activity of which was not changed. These data indicated that the differential responses of cardiac and renal sympathetic nerves might be due to opposing effects of hypoxia on individual RVLM neurons. rostral ventrolateral medulla; cardiac sympathetic nerve; renal sympathetic nerve; chemoreceptor; regional different response PREMOTOR NEURONS for cardiovascular sympathetic nerves are located in the rostral ventrolateral medulla (RVLM) and have been called RVLM neurons (6,8,15). In almost all of the previous papers, the consensus is that RVLM neurons have tonic activity; receive information from baroreceptors, chemoreceptors, and other peripheral and central sources; and control vasoconstrictors and cardiac sympathetic nerve activity (CSNA) that control heart function and arterial pressure (15). Because the activities of cardiac accelerators and vasoconstrictors usually proceed in the same direction, for instance, in the case of the baroreceptor reflex, it has not been established whether a single premotor neuron innervates both of the preganglionic neurons of cardiac accelerators and vasoconstrictors or premotor neurons differentially control functionally different target neurons.Generally, a hypoxic stimulation is believed to excite sympathetic nerves, as well as visceral vasoconstrictors and muscle vasoconstrictors (12). However, it has been known that hypoxia produces different responses in sympathetic nerves. For example, hypoxia induces inactivation of cutaneous vasoconstrictors in cats, rats, and rabbits (7, 9). Furthermore, at least in the rabbit, hypoxia induces bradycardia through the inhibition of the activity of the cardiac sym...