A brain stem circuit integrating reflexive and anticipatory salivation

Salivation supports oral health, taste sensation, swallowing, and digestion, but the brain mechanisms that regulate this process remain largely unknown. Here, we identify a salivatory center in the mouse brain stem that integrates sensory and learned anticipatory signals to control salivation. We show that activating choline acetyltransferase-expressing neurons in the inferior salivatory nucleus (IS) is sufficient to trigger saliva secretion. Using fiber photometry, we monitor real-time IS neural responses to mechanosensory and gustatory stimulation and find tight correlation with salivatory output. We further demonstrate that IS neurons receive input from local brain stem circuits, mediating rapid hardwired responses to taste, as well as direct cortical projections. Notably, gustatory cortex input is required for salivatory responses to predictive sensory cues in a Pavlovian conditioning paradigm. Together, our findings define the circuit underlying taste-evoked and anticipatory salivation and provide a foundation for dissecting this autonomic response in health and disease.