Hydrogen sulfide (H 2 S) acts as an endogenous gaseous transmitter in the central nervous system and plays important roles in regulating cardiovascular function. The rostral ventrolateral medulla (RVLM) is a putative critical central region in the control of sympathetic vasomotor tone and plays an important role in the baroreflex by integrating the inputs from a variety of visceral and somatic stimuli. In this study, we tested the hypothesis that H 2 S decreases sympathetic vasomotor tone through ATP-sensitive potassium channels (K ATP ) in the RVLM. The arterial blood pressure (ABP), heart rate (HR), and renal sympathetic nerve activity (RSNA) of anesthetized rats were recorded. Bilateral microinjections of sodium hydrosulfide (NaHS; 4, 8, and 16 mM, 50 nl), an H 2 S donor, into the RVLM decreased ABP, HR, and RSNA in a dose-dependent manner. Preinjection of glibenclamide (40 M, 50 nl), a K ATP channel blocker, abolished the sympathoinhibitory effects of NaHS (8 mM, 50 nl). Preinjection of a nitric-oxide synthase inhibitor, N -nitro-L-arginine methyl ester (200 M, 50 nl) partially inhibited the sympathoinhibitory effects of NaHS. Prior microinjection of 1,4-dihydro-2,6-dimethyl-5-nitro-4-(2-[trifluoromethyl]phenyl)pyridine-3-carboxylic acid methyl ester (Bay K8644) (1 M, 50 nl), an agonist of Ca 2ϩ channels, did not alter the effects of NaHS. Infusion of hydroxylamine (30 mM, 50 nl), a cystathionine -synthase inhibitor, increased ABP, HR, and RSNA. Taken together, these findings suggest that exogenous H 2 S in the RVLM inhibits sympathetic vasomotor tone by opening K ATP channels. Nitricoxide signaling may partially be involved in the sympathoinhibitory effect of H 2 S in the RVLM.