C hronic intermittent hypoxia (CIH) is characterized by frequent activation of the peripheral chemoreceptors, which over time produces several cardiovascular dysfunctions, including mild hypertension. [1][2][3][4] The CIH-induced hypertension in rats can be prevented by sympathetic nerve chemical denervation, renal sympathectomy, and adrenal medullectomy. 1,5,6 Rats submitted to CIH also presented a larger fall in arterial pressure in response to ganglionic blockade and augmented power of oscillatory components at low and high frequencies in systolic arterial pressure.7 All these evidences indicate that hypertension in CIH rats is mediated through sympathetic overactivity. However, the mechanisms by which CIH produces sympathetic overactivity and hypertension are not yet characterized.The central generator of respiration in the brain stem modulates the activity of presympathetic neurons in the rostral ventrolateral medulla (RVLM), [8][9][10] GABAergic RVLM-projecting neurons in the caudal ventrolateral medulla (CVLM), 11 and the sympathetic nerves, 3,12-14 affecting cardiovascular function. Therefore, changes in the respiratory-related sympathetic activity after CIH may contribute to mechanisms underlying the sympathetic overactivity and hypertension in rats. In this regard, we previously demonstrated that hypertensive CIH rats exhibited increased expiratory-related firing frequency of barosensitive RVLM presympathetic neurons 9 and sympathetic activity, 3,4 which were generated by enhanced synaptic inputs from expiratory neurons. 9 These data suggest that sympathetic overactivity after CIH is because of changes in the pattern of respiratory rhythm generator and its central modulation of sympathetic outflow.Previous studies [15][16][17][18] proposed that reduction in baroreflex gain also plays an important role in the development of sympathetic overactivity and hypertension after several days of CIH. However, studies by Lai et al 16 demonstratedAbstract-Chronic intermittent hypoxia (CIH) produces respiratory-related sympathetic overactivity and hypertension in rats.In this study, we tested the hypothesis that the enhanced central respiratory modulation of sympathetic activity after CIH also decreases the sympathoinhibitory component of baroreflex of rats, which may contribute to the development of hypertension. Wistar rats were exposed to CIH or normoxia (control group) for 10 days. Phrenic nerve, thoracic sympathetic nerve, and neurons in the rostral ventrolateral medulla and caudal ventrolateral medulla were recorded in in situ preparations of rats. Baroreflex regulation of thoracic sympathetic nerve, rostral ventrolateral medulla, and caudal ventrolateral medulla neurons activities were evaluated in different phases of respiration in response to either aortic depressor nerve stimulation or pressure stimuli. CIH rats presented higher respiratory-related thoracic sympathetic nerve and rostral ventrolateral medulla presympathetic neurons activities at the end of expiration in relation to control rats, which are ...