Abstract-The dorsomedial portion of the nucleus tractus solitarius (dmNTS) is the site of termination of baroreceptor and cardiorespiratory vagal afferents and plays a critical role in cardiovascular regulation. Angiotensin II (Ang II) is a powerful signaling molecule in dmNTS neurons and exerts some of its biological effects by modulating Ca 2ϩ currents via reactive oxygen species (ROS) derived from reduced nicotinamide-adenine dinucleotide phosphate (NADPH) oxidase. We investigated whether a Nox2-containing NADPH oxidase is the source of the Ang II-induced ROS production and whether the signaling mechanisms of its activation require intracellular Ca 2ϩ or protein kinase C (PKC). Second-order dmNTS neurons were anterogradely labeled with 4-(4-[didecylamino]styryl)-N-methylpyridinium iodide transported from the vagus and isolated from the brain stem. ROS production was assessed in 4-(4-[didecylamino]styryl)-N-methylpyridinium iodide-positive dmNTS neurons using the fluorescent dye 6-carboxy-2Ј,7Ј-dichlorodihydro-fluorescein di(acetoxymethyl ester). Ang II (3 to 2000 nmol/L) increased ROS production in dmNTS neurons (EC 50 ϭ38.3 nmol/L). The effect was abolished by the ROS scavenger Mn (III) porphyrin 5,10,20-tetrakis (benzoic acid) porphyrin manganese (III), the Ang II type 1 receptor antagonist losartan, or the NADPH oxidase inhibitors apocynin or gp91ds-tat. Ang II failed to increase ROS production or to potentiate L-type Ca 2ϩ currents in dmNTS neurons of mice lacking Nox2. The PKC inhibitor GF109203X or depletion of intracellular Ca 2ϩ attenuated Ang II-elicited ROS production. We conclude that the powerful effects of Ang II on Ca 2ϩ currents in dmNTS neurons are mediated by PKC activation leading to ROS production via Nox2. Thus, a Nox2-containing NADPH oxidase is the critical link between Ang II and the enhancement of Key Words: arterial hypertension Ⅲ baroreflex Ⅲ calcium channels Ⅲ oxidative stress Ⅲ blood pressure Ⅲ autonomic nervous system A select group of brain stem nuclei regulates the systemic circulation by modulating cardiac output, vascular resistance, and fluid balance. 1,2 In particular, the dorsomedial region of the nucleus of the solitary tract (dmNTS), wherein vagal afferents from aortic baroreceptors and cardiorespiratory chemoreceptors terminate, plays a major role in cardiovascular regulation. [3][4][5] There is increasing evidence that angiotensin II (Ang II) is a critical neuromodulator in central autonomic nuclei, 6 -9 including the dmNTS. 10 -13 Within the dmNTS, activation of Ang II type 1 (AT 1 ) receptors alters cardiorespiratory reflexes including baroreceptor excitability and ion channel permeability. 10,14 These changes may contribute to Ang II-induced sympathoexcitation, 15-18 hypertension, 15,16 and heart failure. 17,18 Superoxide generated by the enzyme NADPH oxidase has emerged as a key intermediary in the central and peripheral effects of Ang II. 10,14 -16,18 -21 NADPH oxidase, initially described in neutrophils, 22,23 is now known to be present in diverse cell types, inc...