We sought to examine the role of the basomedial hypothalamus in the regulation of breathing in neonatal rats. Small basomedial hypothalamic lesions were produced by a lesioning agent, goldthioglucose, in 5-d-old male rat pups, and 2 d later, baseline ventilation and the ventilatory responses to hypoxia and hypercapnia were examined. When compared with vehicleinjected controls, goldthioglucose-lesioned rat pups had a significantly slower respiratory rate and longer expiratory time at baseline. Lesioned rats displayed an impaired increase in breathing frequency in response to hypoxia, and augmented increases in tidal volume and respiratory drive (the ratio of tidal volume to inspiratory time) during hypoxia relative to controls. Hypercapnic responses were not affected. These data demonstrate that cells in a restricted area of the hypothalamus specifically influence the respiratory response to hypoxia. It is well established that ventilatory responses to hypoxia are mediated by discrete neural pathways involving peripheral chemoreceptors, primary afferents, and brainstem respiratoryrelated neurons. The characteristics of the response, however, depend on complex interactions at multiple levels of the neuraxis, including suprapontine structures. Several studies have suggested that the caudal hypothalamus modulates responses to hypoxia and hypercapnia (1, 2). For example, one study showed that 21% of hypothalamic units are activated by hypoxia and 31% by hypercapnic loading (3). Furthermore, hypoxia and hypercapnia stimulate neurons in various hypothalamic nuclei (paraventricular, supraoptic, and dorsomedial) to synthesize the transcription-regulating protein Fos (4 -6). Binding of the adipocyte hormone leptin to receptors in either the hypothalamus or area postrema modulates respiration and may underlie the respiratory abnormalities observed in genetically obese rodents (7-9). Finally, electrolytic lesions that destroy extensive amounts of perifornical cells in the posterior hypothalamus enhance the ventilatory response to hypoxia (10). However, the role of these structures in regulating ventilatory responses to chemical drive is not well understood.Functional effects of relatively large electrolytic lesions of the hypothalamus are instructive, but are less helpful in pinpointing the precise location of hypothalamic cells critical for respiratory control. Likewise, unit recording or examination of Fos expression throughout the hypothalamus during hypoxia does not identify cells initiating a hypothalamic response to hypoxia because of multisynaptic projections among activated neuronal pools. These techniques also do not determine the functional role of hypothalamic cells in the regulation of respiratory responses to changes in chemical drive. One approach to this problem is to examine the effects of relatively restricted hypothalamic damage. This can be achieved via the systemic administration of a toxin, GTG, which diffuses into the hypothalamus via the permeable capillaries of the median eminence and which damages o...