Wilkinson KA, Fu Z, Powell FL. Ventilatory effects of substance P-saporin lesions in the nucleus tractus solitarii of chronically hypoxic rats. Am J Physiol Regul Integr Comp Physiol 301: R343-R350, 2011. First published May 18, 2011 doi:10.1152/ajpregu.00375.2010.-During ventilatory acclimatization to hypoxia (VAH), time-dependent increases in ventilation lower PCO2 levels, and this persists on return to normoxia. We hypothesized that plasticity in the caudal nucleus tractus solitarii (NTS) contributes to VAH, as the NTS receives the first synapse from the carotid body chemoreceptor afferents and also contains CO2-sensitive neurons. We lesioned cells in the caudal NTS containing the neurokinin-1 receptor by microinjecting the neurotoxin saporin conjugated to substance P and measured ventilatory responses in awake, unrestrained rats 18 days later. Lesions did not affect hypoxic or hypercapnic ventilatory responses in normoxic control rats, in contrast to published reports for similar lesions in other central chemosensitive areas. Also, lesions did not affect the hypercapnic ventilatory response in chronically hypoxic rats (inspired PO 2 ϭ 90 Torr for 7 days). These results suggest functional differences between central chemoreceptor sites. However, lesions significantly increased ventilation in normoxia or acute hypoxia in chronically hypoxic rats. Hence, chronic hypoxia increases an inhibitory effect of neurokinin-1 receptor neurons in the NTS on ventilatory drive, indicating that these neurons contribute to plasticity during chronic hypoxia, although such plasticity does not explain VAH. chemosensitivity; substance P conjugated saporin; ventilatory acclimatization to hypoxia MULTIPLE AREAS OF THE BRAIN stem have been established as CO 2 sensitive by both stimulation and lesion experiments (3-5, 11, 29, 36, 42-44, 47). The organization and significance of these multiple chemoreceptor sites is a major question in this field, and different sites may play different roles in controlling ventilation (V I) or the cardiovascular system during different states (19,38,41). We hypothesized that CO 2 -sensitive chemoreceptors in the nucleus tractus solitarii (NTS) play a role in ventilatory acclimatization to chronic hypoxia.This hypothesis is based on several published observations. First, chronic hypoxia changes the ventilatory response to CO 2 (60), and the NTS contains CO 2 -sensitive cells (11,14,43). Also, the NTS receives the first synapse from O 2 -sensitive afferents from the carotid bodies (15,21,22,33,59), and this could lead to hypoxic or activity-dependent plasticity that has been demonstrated in the central nervous system with chronic hypoxia (16,49,62). The NTS is, therefore, well suited to integrate the increased hypoxic drive to breathe from the arterial chemoreceptors with the decreased drive to breathe from hypocapnia in chronic hypoxia.To test the role of CO 2 -sensitive chemoreceptors in the NTS to ventilatory acclimatization to hypoxia, we studied the effects of NTS lesions. Large lesions to the NT...