Contribution of oxygen‐sensitive neurons of the rostral ventrolateral medulla to hypoxic cerebral vasodilatation in the rat.

1. We sought to determine whether hypoxic stimulation of neurons of the rostral ventrolateral reticular nucleus (RVL) would elevate regional cerebral blood flow (rCBF) in anaesthetized paralysed rats. 2. Microinjection of sodium cyanide (NaCN; 150‐450 pmol) into the RVL rapidly (within 1‐2 s), transiently, dose‐dependently and site‐specifically elevated rCBF1 measured by laser Doppler flowmetry, by 61.3 +/‐ 22.1% (P < 0.01), increased arterial pressure (AP; +30 +/‐ 8 mmHg; P < 0.01)1 and triggered a synchronized 6 Hz rhythm of EEG activity. 3. Following cervical spinal cord transection, NaCN and also dinitrophenol (DNP) significantly (P < 0.05) elevated rCBF and synchronized the EEG but did not elevate AP; the response to NaCN was attenuated by hyperoxia and deepening of anaesthesia. 4. Electrical stimulation of NaCN‐sensitive sites in the RVL in spinalized rats increased rCBF measured autoradiographically with 14C iodoantipyrine (Kety method) in the mid‐line thalamus (by 182.3 +/‐ 17.2%; P < 0.05) and cerebral cortex (by 172.6 +/‐ 15.6%; P < 0.05) regions, respectively, directly or indirectly innervated by RVL neurons, and in the remainder of the brain. In contrast regional cerebral glucose utilization (rCGU), measured autoradiographically with 14C‐2‐deoxyglucose (Sokoloff method), was increased in proportion to rCBF in the mid‐line thalamus (165.6 +/‐ 17.8%, P < 0.05) but was unchanged in the cortex. 5. Bilateral electrolytic lesions of NaCN sensitive sites of RVL, while not altering resting rCBF or the elevation elicited by hypercarbia (arterial CO2 pressure, Pa,CO2, approximately 69 mmHg), reduced the vasodilatation elicited by normocapnic hypoxaemia (arterial O2 pressure, Pa,O2, approximately 27 mmHg) by 67% (P < 0.01) and flattened the slope of the Pa,O2‐rCBF response curve. 6. We conclude that the elevation of rCBF produced in the cerebral cortex by hypoxaemia is in large measure neurogenic, mediated trans‐synaptically over intrinsic neuronal pathways, and initiated by excitation of oxygen sensitive neurons in the RVL.