To test the hypothesis that vagal afferent (VA) stimulation modulates the first cervical dorsal horn (C 1 ) neuron activity, which is projected by tooth pulp (TP) afferent inputs through the activation of a local GABAergic mechanism via 5-hydroxytryptamine 3 (5-HT 3 ) receptors, we used the technique of microiontophoretic application of drugs. In pentobarbitalanesthetized rats, we recorded C 1 spinal neuron activity responding to TP stimulation. The TP stimulation-evoked C 1 spinal neuron excitation was inhibited by VA stimulation, and this inhibition was significantly attenuated by iontophoretic application of the 5-HT 3 receptor antagonist ICS 205-930 (3-tropanyl-indole-3-carboxylate hydrochloride [endo-8-methyl-8-azabicyclo [3.2.1] oct-3-ol indol-3-yl-carboxylate hydrochloride]) (40 nA) or the GABA A receptor antagonist bicuculline (40 nA). In another series of experiments, we determined that 60 nA iontophoretic application of glutamate produced a maximal increase in the C 1 spinal neuron activity at a minimal current. In 53 of 65 neurons (81.5%), VA conditioning stimulation (1.0 mA ϫ 0.1 ms, 50 Hz for 30 s) caused a significant inhibition (35.1%) of the glutamate (60 nA) application-evoked C 1 spinal neuron excitation. Iontophoretic application of ICS 205-930 (40 nA) or bicuculline (40 nA) significantly attenuated the VA stimulation-induced inhibition of glutamate iontophoretic application (60 nA)-evoked C 1 spinal neuron excitation. These results suggest that VA stimulation-induced suppression of C 1 spinal neuron activity, responding to TP stimulation, involve 5-HT 3 receptor activation, possibly originating in the descending serotonergic inhibitory system, and postsynaptic modulation of inhibitory GABAergic neurons.The trigeminal spinal nucleus is considered to be closely associated with the perception and transmission of orofacial sensory information, including nociceptive signals from tooth pulp (TP) (Strassman and Vos, 1993;Iwata et al., 1998). The trigeminal spinal nucleus is functionally and anatomically subdivided into three nuclei: oralis, interpolaris, and caudalis (Sessle, 1987). The subnucleus caudalis (spVc) is thought to be analogous to the spinal dorsal horn (Hu et al., 1981), and the histological structures of the first cervical dorsal horn (C 1 ) have an analogy to the spVc. From these observations, it is possible to speculate that certain inputs from TP afferent fibers terminate in the C 1 segment of the spinal cord. This possibility was confirmed by evidence that C 1 spinal neurons responded to electrical stimulation of the TP Takeda et al., 1999;Tanimoto et al., 2002). Furthermore, we reported that both N-methyl-D-aspartate (NMDA) and non-NMDA receptors contribute to excitation of the C 1 spinal neuron activity evoked by TP stimulation . These results led us to suggest that C 1 spinal neurons process nociceptive information carried in the trigeminal nerve from the TP, and this involves excitatory glutaminergic mechanisms.Vagal afferent (VA) inputs play an important role in the re...