Wang G, Milner TA, Speth RC, Gore AC, Wu D, Iadecola C, Pierce JP. Sex differences in angiotensin signaling in bulbospinal neurons in the rat rostral ventrolateral medulla. Am J Physiol Regul Integr Comp Physiol 295: R1149 -R1157, 2008. First published August 6, 2008 doi:10.1152/ajpregu.90485.2008.-Sex differences may play a significant role in determining the risk of hypertension. Bulbospinal neurons in the rostral ventrolateral medulla (RVLM) are involved in the tonic regulation of arterial pressure and participate in the central mechanisms of hypertension. Angiotensin II (ANG II) acting on angiotensin type 1 (AT 1) receptors in RVLM neurons is implicated in the development of hypertension by activating NADPH oxidase and producing reactive oxygen species (ROS). Therefore, we analyzed RVLM bulbospinal neurons to determine whether there are sex differences in: 1) immunolabeling for AT 1 receptors and the key NADPH oxidase subunit p47 using dual-label immunoelectron microscopy, and 2) the effects of ANG II on ROS production and Ca 2ϩ currents using, respectively, hydroethidine fluoromicrography and patch-clamping. In tyrosine hydroxylase-positive RVLM neurons, female rats displayed significantly more AT 1 receptor immunoreactivity and less p47 immunoreactivity than male rats (P Ͻ 0.05). Although ANG II (100 nM) induced comparable ROS production in dissociated RVLM bulbospinal neurons of female and male rats (P Ͼ 0.05), an effect mediated by AT 1 receptors and NADPH oxidase, it triggered significantly larger dihydropyridine-sensitive longlasting (L-type) Ca 2ϩ currents in female RVLM neurons (P Ͻ 0.05). These observations suggest that an increase in AT 1 receptors in female RVLM neurons is counterbalanced by a reduction in p47 levels, such that ANG II-induced ROS production does not differ between females and males. Since the Ca 2ϩ current activator Bay K 8644 induced larger Ca 2ϩ currents in females than in male RVLM neurons, increased ANG IIinduced L-type Ca 2ϩ currents in females may result from sex differences in calcium channel densities or dynamics. C1 neurons; reactive oxygen species; NADPH oxidase; calcium channel; estrogen THERE IS INCREASING EVIDENCE that sex differences contribute to the risk of cardiovascular disease, including hypertension (14, 44). Under the age of 45 yr, fewer women than men die from cardiovascular disease (1), a pattern which is reversed after menopause (52). Similar sex-associated differences exist in animal hypertension models: females develop hypertension later, and less severely, than males (11,35,62). Studies in humans and animal models indicate that central nervous system pathways play a critical role in the development and maintenance of hypertension (27). Specifically, increases in sympathetic nerve activity and changes in arterial baroreflex function are strongly implicated in the pathogenesis of the disorder. The rostral ventrolateral medulla (RVLM) contains tonically active presympathetic bulbospinal neurons, most of which express tyrosine hydroxylase (TH) [the C1 cell...