Abstract-The paraventricular nucleus (PVN) contains spinally-projecting neurons implicated in fine-tuning the cardiovascular system. In vivo activity of "presympathetic" parvocellular neurons is suppressed by tonic inhibition from GABA-ergic inputs, inhibition of which increases sympathetic pressor activity and heart rate. Targeting of this specific neuronal population could potentially limit elevations of heart rate and blood pressure associated with disease. Here we show, for the first time, that "presympathetic" PVN neurons are disinhibited by the neuropeptide substance P (SP) acting via tachykinin NK1 receptor inhibition of GABA A currents. Application of SP to the paraventricular nucleus of rats increases heart rate and blood pressure. Key Words: cardiovascular control Ⅲ GABA Ⅲ substance P T he parvocellular subdivision of the hypothalamic paraventricular nucleus (PVN) contains both hypothalamicpituitary-adrenal axis control neurons, and spinally-projecting cardiovascular control neurons. [1][2][3][4][5][6] Estimates suggest that up to 2000 neurons project directly from the PVN to the intermediolateralis (IML) of the spinal cord. 7-9 These projecting parvocellular neurons have been implicated in a number of facets of cardiovascular control. For example, circadian regulation of blood pressure, 10 blood-volume regulation, 7,8 and the cardiovascular response to psychological stress. 11 Furthermore, elevated sympathetic activity is associated with congestive heart failure observed in humans and animals, 12-14 and rat models suggest that this is associated with a diminished GABA sensitivity of PVN neurons. 13,15,16 As such, spinally-projecting PVN neurons are prime targets for therapeutic intervention with the cardiovascular system.Although there have been, to date, few in vitro studies detailing cellular mechanisms potentially exploitable for therapeutic control of cardiovascular PVN neurons, there have been a number of, largely in vivo, studies investigating their basic control and physiological activity. Early in vivo electrophysiological studies on cats confirmed an anticipated monosynaptic connection between the PVN and spinal sympathetic motor area (the IML). 17 Furthermore, stimulation (electrical or glutamate) of the PVN was shown to give rise to an extremely rapid rise of blood pressure and renal sympathetic outflow in conscious rats. 18 Additional studies show that in vivo, the PVN receives tonic inhibition from GABAergic inputs and this maintains their activity at relatively low levels, 19 -21 despite the fact that these neurons also receive excitatory glutaminergic inputs. 18 Strikingly, excitation of this nucleus by glutamate, or by blockade of GABA A receptors with the antagonist bicuculline, increases blood pressure and heart rate. 18,22 Other physiological inputs to "presympathetic" parvocellular neurons have been, until now, unknown. Potentially, pharmacological inhibition of this neuronal population could limit sympathetically induced elevations of heart rate and blood pressure seen during hea...