The aim of this study was to determine which endothelial factors were involved in the decrease of pulmonary vascular resistance at birth, and how they changed with maturation.Response of intrapulmonary artery rings precontracted with prostaglandin F 2a were studied from piglets aged <2 h, 2±3 day, 10 day and adult pigs for pharmacological responses to acetylcholine (ACh) and cromakalim (CMK) in the presence and the absence of the nitric oxide synthase (NOS) inhibitor, N v -nitro-L-arginine (L-NA), the adenosine triphosphate sensitive potassium (KATP) channel blocker, glibenclamide and the endothelin (ET)-A receptor antagonist, BQ123. In situ hybridization and immunochemistry studies were performed in lung tissues of the same animals in order to determine the expression of NOS and ET.There was a small contractile effect of ACh in the newborn. Relaxation to ACh, which was blocked by L-NA and reduced by glibenclamide, only appeared from the age of 3 days. The significantly greater relaxation to CMK in rings without endothelium (p<0.05) was abolished by BQ123 in the newborn, and then disappeared by 2 days of age. Glibenclamide had a greater inhibitory effect on relaxation induced by CMK at 10 days than in the newborn and 2 days old piglets. NOS expression was low in pulmonary arteries of the newborn and increased by 2 days of age whereas the converse was seen with ET expression.It is concluded that: 1) relaxant response to acetylcholine was absent at birth and appeared at 2 days; 2) the reduced relaxant response to cromakalin in rings with endothelium at birth could be blocked by BQ123; and 3) the expression of endothelin decreased whereas the expression of nitric oxide synthase increased from birth to 2 days of age. Eur Respir J 2000; 15: 158±165. Pulmonary arterial pressure and resistance are high at birth, and decrease rapidly thereafter due to structural [1±3] and functional [4,5] changes. The underlying mechanisms of these modifications are not fully understood, but nitric oxide (NO) is known to play a role. NO [6±8] is released from the lungs of foetal and newborn animals [5,9,10]. It reduces basal tone in utero and contributes to the postnatal fall in pulmonary vascular resistance. However, endothelium-dependent relaxation to various agonists is either absent [11] or very weak [12] until the third day after birth. Then it rapidly increases during the first week of life [11,12]. These observations suggest that immediately after birth the interactions between the endothelium and the underlying smooth muscle may be different from those in adult porcine pulmonary vasculature.Vasodilators such as NO [13], prostacyclin [14], bradykinin [15], endothelium-derived hyperpolarizing factor (EDHF) [16], and vasoconstrictors such as endothelin (ET)-1 [17] and thromboxane [18] are important factors modulating pulmonary vascular tone. ET-1 plasma levels are higher at birth than at 3 days and in adults [19]. Although endothelium-dependent relaxation to acetylcholine (ACh) is absent, the amount of cyclic guanosine...