. CCK enhances response to gastric distension by acting on capsaicin-insensitive vagal afferents. Am J Physiol Regul Integr Comp Physiol 289: R695-R703, 2005. First published May 19, 2005 doi:10.1152/ajpregu.00809.2004.-Capsaicin treatment destroys vagal afferent C fibers and markedly attenuates reduction of food intake and induction of hindbrain Fos expression by CCK. However, both anatomical and electrophysiological data indicate that some gastric vagal afferents are not destroyed by capsaicin. Because CCK enhances behavioral and electrophysiological responses to gastric distension in rats and people, we hypothesized that CCK might enhance the vagal afferent response to gastric distension via an action on capsaicin-insensitive vagal afferents. To test this hypothesis, we quantified expression of Fos-like immunoreactivity (Fos) in the dorsal vagal complex (DVC) of capsaicin-treated (Cap) and control rats (Veh), following gastric balloon distension alone and in combination with CCK injection. In Veh rats, intraperitoneal CCK significantly increased DVC Fos, especially in nucleus of the solitary tract (NTS), whereas in Cap rats, CCK did not significantly increase DVC Fos. In contrast to CCK, gastric distension did significantly increase Fos expression in the NTS of both Veh and Cap rats, although distension-induced Fos was attenuated in Cap rats. When CCK was administered during gastric distension, it significantly enhanced NTS Fos expression in response to distension in Cap rats. Furthermore, CCK's enhancement of distension-induced Fos in Cap rats was reversed by the selective CCK-A receptor antagonist lorglumide. We conclude that CCK directly activates capsaicin-sensitive C-type vagal afferents. However, in capsaicin-resistant A-type afferents, CCK's principal action may be facilitation of responses to gastric distension.Fos; dorsal vagal complex; C fibers; A fibers VAGAL AFFERENT NEURONS THAT detect gastric distension play an important role in the process of satiation for food and subsequent meal termination (for review, see Ref. 28). However, during ingestion of a normal meal, gastric distension does not occur in the absence of postgastric signals. Rather, gastric distension, intestinal nutrients, and gut hormones all are potential contributors to vagal afferent activation. Therefore, vagal afferents constitute a potential location for integration and modulation of these multiple meal-related signals. Indeed, interactions between gastric distension and other gastrointestinal stimuli have been reported. For example, the gut hormone CCK has been reported to sensitize gastric and duodenal mechanosensitive vagal afferents (7,8). Likewise, CCK and gastric distension appear to interact to reduce food intake in a variety of species, including rats, monkeys, and humans (14,15,17,18,38). Thus there is compelling evidence for cooperation between gastric distension and postgastric signals, such as CCK, in vagal activation and reduction of food intake.Capsaicin has been used successfully as a tool to study the involveme...