Barman, Susan M., Shaun W. Phillips, and Gerard L. Gebber. Medullary lateral tegmental field mediates the cardiovascular but not respiratory component of the Bezold-Jarisch reflex in the cat. Am J Physiol Regul Integr Comp Physiol 289: R1693-R1702, 2005. First published August 11, 2005; doi:10.1152/ajpregu.00406.2005.-We determined the effects of bilateral microinjection of muscimol and excitatory amino acid receptor antagonists into the medullary lateral tegmental field (LTF) on changes in sympathetic nerve discharge (SND), mean arterial pressure (MAP), and phrenic nerve activity (PNA; artificially ventilated cats) or intratracheal pressure (spontaneously breathing cats) elicited by right atrial administration of phenylbiguanide (PBG; i.e., the Bezold-Jarisch reflex) in dial-urethane anesthetized cats. The PBG-induced depressor response (Ϫ66 Ϯ 8 mmHg; mean Ϯ SE) was converted to a pressor response after muscimol microinjection in two of three spontaneously breathing cats and was markedly reduced in the other cat; however, the duration of apnea (20 Ϯ 3 vs. 17 Ϯ 7 s) was essentially unchanged. In seven paralyzed, artificially ventilated cats, muscimol microinjection significantly (P Ͻ 0.05) attenuated the PBG-induced fall in MAP (Ϫ39 Ϯ 7 vs. Ϫ4 Ϯ 4 mmHg) and the magnitude (Ϫ98 Ϯ 1 vs. Ϫ35 Ϯ 13%) and duration (15 Ϯ 2 vs. 3 Ϯ 2 s) of the sympathoinhibitory response. In contrast, the PBG-induced inhibition of PNA was unaffected (3 cats). Similar results were obtained by microinjection of an N-methyl-D-aspartate (NMDA) receptor antagonist, D(-)-2-amino-5-phosphonopentanoic acid, into the LTF. In contrast, neither the cardiovascular nor respiratory responses to PBG were altered by blockade of non-NMDA receptors with 1,2,3,4-tetrahydro-6-nitro-2,3-dioxobenzo[f]quinoxaline-7-sulfonamide. We conclude that the LTF subserves a critical role in mediating the sympathetic and cardiovascular components of the Bezold-Jarisch reflex. Moreover, these data show separation of the pathways mediating the respiratory and cardiovascular responses of this reflex at a level central to bulbospinal outflows to phrenic motoneurons and preganglionic sympathetic neurons. cardiopulmonary chemosensitive afferent; medullary lateral tegmental field; phrenic nerve activity; sympathetic nerve discharge; vagal afferent SINCE THE PIONEERING WORK of von Bezold and Hirt (42) and Jarisch and Henze (18), many investigators have shown that activation of chemosensitive vagal C fibers in the cardiopulmonary region (e.g., juxtacapillary region of the alveoli, ventricles, atria, great veins, and pulmonary artery) leads to a profound bradycardia, hypotension, and a brief period of apnea followed by rapid shallow breathing [see reviews by Hainsworth (17) and Verberne et al. (39)]. The Bezold-Jarisch reflex can be elicited by a variety of substances including capsaicin, serotonin, phenylbiguanide (PBG), and veratridine in cats, rabbits, and rodents (9,11,14,20,28,33,36,37,41). Although originally viewed as a pharmacological curiosity, there is a growing body of...