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In study 1, spinal and intramedullary afferents to the visceral\u2010sensorimotor complex (NTS\u2010X) were traced to contiguous populations of cell bodies arranged in cylindrical segmental organization. NTS\u2010X afferents derive from curvilinear arrays of neurons that parallel the efferent radiations of the solitariotegmental tract. Newly discovered afferents arise from circumscribed cell groups in the dorsal reticular formation and periventricular zone. Another source was traced to a paraambigual cell column in the apex of the rostral ventrolateral reticular nucleus (n.RVL). In study 2, catecholaminergic afferents were initially defined with combined retrograde transport\u2010immunocytochemical methods. Deposits of retrograde tracers into NTS\u2010X transported to neurons containing tyrosine hydroxylase (TH) in the A1, C1, and C3 areas or phenylethanolamine N\u2010methyltransferase (PNMT) in the C1 area of the n.RVL and C3 area. In study 3, it was revealed that NTS\u2010X afferents arise, in part, as collaterals of thoracic reticulospinal neurons. Deposits of the retrograde fluorescent tracer Fluorogold into the upper thoracic cord and rhodamine\u2010labeled microbeads into NTS\u2010X transported to the same neurons within a subambigual locus in n.RVL and parts of nucleus raphe magnus. In study 4, dual retrograde tracer\u2010immunocytochemical analysis demonstrated that catecholamines are synthesized by a subset of neurons in the n.RVL that issue collaterals to the NTS\u2010X and thoracic cord. Double retrogradely labeled TH\u2010or PNMT\u2010immunoreactive cell bodies were restricted to the C1 area within a 450\u2010\u03bcm column bordered rostrally by the facial nucleus and ventrally by the medullary subpial surface. We conclude that visceral reflex arcs are reciprocally organized. Targets of NTS projection are also sources of local NTS\u2010X afferent innervation. Catecholaminergic and other local afferents from reticular formation, periventricular, and spinal gray may, via collaterals, simultaneously modulate visceral reflex excitability at the level of NTS and the outflow of autonomic and respiratory motoneurons. \u00a9 1995 Willy\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/cne.903510103","type":"journal-article","created":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T22:09:21Z","timestamp":1104617361000},"page":"5-26","source":"Crossref","is-referenced-by-count":37,"title":["Medullary visceral reflex circuits: Local afferents to nucleus tractus solitarii synthesize catecholamines and project to thoracic spinal cord"],"prefix":"10.1002","volume":"351","author":[{"given":"E. P.","family":"Mtui","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Anwar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. 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