SummaryChemical sympathectomy was performed in fetal lambs in utero by daily intravenous administration of 6-hydroxydopamine (6HD) until a total dose of 60-70 mgFg was reached. The completeness of adrenergic denervation was confirmed by the absence of any cardiovascular response to tyramine infusion. Baseline plasma catecholamine concentrations in normoxemic, sympathectomized fetuses were slightly higher than controls but the differences were not statistically significant. The concentration of norepinephrine (NE) was 313 + 73 pg/ml after 6HD administration compared with 259 + 25 pg/ml in control animals. Similarly, the concentration of epinephrine (E) was 39 + 15 pg/ ml (6HD) versus 21 f 4 pg/ml (control). These mildly elevated catecholamine levels were accompanied by a small but significant increase in resting blood pressure (BP) ( P < 0.05). Heart rate (HR), however, was no different from control. Hypoxemia induced a marked increase in plasma catecholamines in control animals (NE, 2416 f 419 pg/ml and E, 2017 2 749 pg/ml) along with hypertension and bradycardia. Sympathectomized fetuses maintained a profound NE response to hypoxemia (NE, 1550 f 261 pg/ml) but a significant reduction in peak E response was observed (E, 244 + 42 pg/ml, P c 0.05). HR and BP responses to hypoxemia were generally similar to control animals though there ameared to be a brief 1-3-min lag ~eriod between the nadir of the bradycardia and the peak of the BP response. We conclude that the generalized chemical sympathectomy after 6HD administration in the fetal lamb in utero is useful in evaluating the interaction of the autonomic nervous system and adrenal medullary function on the regulation of the fetal cardiovascular system. Abbreviations BP, blood pressure E, epinephrine 6HD, 6-hydroxydopamine HR, heart rate NE, norepinephrine NS, not significant Hypertension and bradycardia characterize the fetal cardiovascular response to hypoxemia and are mediated by increases in sympathetic and parasympathetic tone (2,3,14,16,23). The increased level of sympathetic tone appears to be the result of synergism between elevated adrenergic neuronal activity and circulating catecholamines (4, 1 3, 15). Previous investigations in normoxemic fetal lambs have shown that NE is the predominant circulating catecholamine whereas E is present in relatively low concentrations (4,5,13,15). Under hypoxemic conditions, NE levels rise 8-10-fold whereas plasma E increases approximately 50-fold (8, 15). Additionally, increased activity in the sympathetic nerves supplying systemic arteriolar resistance vessels may augment further the degree of catecholamine-mediated vasoconstriction. Nevertheless, the relative contributions of both adrenergic neuronal tone and humoral catecholamines to the overall compensatory sympathetic response of the hypoxic fetus remains unclear.Sympathectomy has often been used to study the activity of the sympathetic nervous system. Comline and Silver (4, 5) have shown that splanchnic denervation of the fetal adrenal glands results in decrease i...