Abstract Disclosure: E.A. Castellanos: None. S.A. Tobet: None. The autonomic nervous system (ANS) is a major integrator of stress responses throughout the body. Physical or psychological stressors lead to neuroendocrine outputs from the hypothalamus and neurotransmitter mediated alterations in circuitry that control peripheral body systems including cardiovascular, pulmonary, and gastrointestinal, among others. Chronic stress can activate immune components, including microglia, leading to increased levels of proinflammatory cytokines such as interleukin 6 (IL-6) and tumor necrosis factor alpha (TNF-a) in the blood. Increased levels of these cytokines have been associated with several psychiatric disorders including major depressive disorder. In the current study, the impact of pro-inflammatory cytokines was examined in the dorsal vagal complex (DVC), a key brainstem region responsible for integrating autonomic inputs and outputs. The DVC includes the area postrema (AP), a sensory circumventricular organ, the nucleus of the solitary tract (NTS), and the vagal dorsal motor complex. The AP is in the middle of the DVC region, adjacent to cerebrospinal fluid and lacking a blood brain barrier (i.e., fenestrated capillaries). These traits make the AP uniquely located to integrate peripheral and central interactions between circulating cytokines and select immune cells in the DVC. This study concentrated on the effects of a single peripheral injection on microglia quantities in the DVC. TNF-a (50µg/Kg) and IL-6 (50µg/Kg) were administered by intraperitoneal injection and 2h later animals were perfused with 4% paraformaldehyde. Immunoreactive ionized calcium-binding adapter molecule 1 (IBA1) was used to identify microglia in the brainstem. In the area postrema there was a trend towards more immunoreactive IBA1 total area (µm^2; p = 0.08, ns) in mice that were injected with TNF-a and IL-6 compared to controls. By contrast, in the adjacent NTS there was 1.5x’s more immunoreactive IBA1 in mice that were injected with IL-6 and TNF-a (µm^2; p < 0.001) compared to control vehicle injections. Comparing brain regions in the DVC, there is 1.7x more microglia cells in the area postrema per section (50µm) compared to the NTS (p < 0.001), but in the NTS cells are 1.3x larger in size in comparison to the microglia cells in the AP overall (µm^2/ number of cells; p < 0.05). Finally, in the NTS there was a 1.5x larger total area of the IBA1 immunoreactivity following TNF-a injections compared to IL-6 injected mice (µm^2; p < 0.05). These data reveal a rapid effect of peripherally injected pro-inflammatory cytokines on microglial quantities and size in the brainstem. Future investigations will elucidate the role of neural-immune pathways in influencing the ANS during a chronic immune stress response. Supported by ORWH U54-MH118919. Presentation: 6/3/2024