(IRt) region. This drive is mainly glutamatergic, but little is known about the neurochemical features of IRt XII premotor neurons. Prompted by the evidence that XII motoneuronal activity is controlled by both muscarinic (M) and nicotinic cholinergic inputs and that the IRt region contains cells that express choline acetyltransferase (ChAT), a marker of cholinergic neurons, we investigated whether some IRt XII premotor neurons are cholinergic. In seven rats, we applied single-cell reverse transcriptionpolymerase chain reaction to acutely dissociated IRt neurons retrogradely labeled from the XII nucleus. We found that over half (21/37) of such neurons expressed mRNA for ChAT and one-third (13/37) also had M2 receptor mRNA. In contrast, among the IRt neurons not retrogradely labeled, only 4 of 29 expressed ChAT mRNA (P Ͻ 0.0008) and only 3 of 29 expressed M2 receptor mRNA (P Ͻ 0.04). The distributions of other cholinergic receptor mRNAs (M1, M3, M4, M5, and nicotinic ␣4-subunit) did not differ between IRt XII premotor neurons and unlabeled IRt neurons. In an additional three rats with retrograde tracers injected into the XII nucleus and ChAT immunohistochemistry, 5-11% of IRt XII premotor neurons located at, and caudal to, the area postrema were ChAT positive, and 27-48% of ChAT-positive caudal IRt neurons were retrogradely labeled from the XII nucleus. Thus the pre-and postsynaptic cholinergic effects previously described in XII motoneurons may originate, at least in part, in medullary IRt neurons. inspiratory drive; muscarinic receptors; nicotinic receptors; single-cell reverse transcription-polymerase chain reaction; upper airway THE INSPIRATORY DRIVE TO HYPOGLOSSAL (XII) motoneurons originates in cells located between the ventrolateral border of the XII nucleus and nucleus ambiguus in the caudal medullary intermediate reticular (IRt) region (7,22,40,71). This drive is mainly glutamatergic (11, 58), consistent with the evidence that many IRt XII premotor neurons use glutamate as their main transmitter (61). Other than that, little is known about the neurochemical features of IRt XII premotor neurons.XII motoneurons innervate muscles of the tongue, including the genioglossus. In healthy individuals, the tongue has multiple functions related mainly to food intake and phonation. However, in obstructive sleep apnea (OSA) patients, the genioglossus and other upper airway muscles exhibit prominent tonic and phasic inspiratory activity, the function of which is to maintain the airway patent despite anatomic conditions that make the pharyngeal airway of these patients vulnerable to collapse (38, 60). Upper airway motor tone in OSA patients is high in wakefulness, decreases during slow-wave sleep, and nearly disappears during rapid eye movement (REM) sleep (16,21,39,48,53). The neurochemical mechanisms that determine the state-dependent changes in upper airway motor tone are the subject of intense basic and clinical research motivated by prospects of uncovering a pharmacological treatment for OSA and other sleep-relat...