-Acute lung injury is usually a complication of sepsis, and endotoxin treatment of mice is a frequently used experimental model. To define this model and to clarify pathogenesis of the lung injury, we injected with 1 mg/kg endotoxin ip and measured pulmonary function, pulmonary edema, serum concentrations of cytokines and growth factors, and lung histology over 48 h. During the first 6 h, tidal volume and minute volume increased and respiratory frequency decreased. Serum concentrations of cytokines showed three patterns: 10 cytokines peaked at 2 h and declined rapidly, two peaked at 6 h and declined, and two had biphasic peaks at 2 and 24 h. Growth factors increased later and remained elevated longer. Both collagen and fibronectin were deposited in the lungs beginning within hours of endotoxin and resolving over 48 h. Histologically, lungs showed increased cellularity at 6 h with minimal persistent inflammation at 48 h. Lung water peaked at 6 h and gradually decreased over 48 h. We conclude that intraperitoneal administration of endotoxin to mice causes a transient systemic inflammatory response and transient lung injury and dysfunction. The response is characterized by successive waves of cytokine release into the circulation, early evidence of lung fibrogenesis, and prolonged increases in growth factors that may participate in lung repair. acute lung injury; acute respiratory distress syndrome; cytokines; growth factors; lipopolysaccharide; animal model ACUTE LUNG INJURY (ALI) is a clinical syndrome associated with respiratory dysfunction often as a complication of sepsis and with ϳ50% mortality (16). The pathophysiology of ALI involves inflammation (11) with diffuse alveolar damage, increased capillary permeability, interstitial and alveolar edema, influx of circulating inflammatory cells, and formation of hyaline membranes.Because the most common cause of ALI in humans is sepsis, administration of gram-negative bacterial endotoxin lipopolysaccharide (LPS) has been used as an animal model of sepsisrelated lung injury in several species (5,7,13,14,25). Endotoxin is a biologically active component of the gramnegative bacterial cell wall that exists as complexes of LPS and protein. Low-dose exposure to LPS activates macrophages (21) and polymorphonuclear cells, presumably aimed at eliminating the toxic agent, whereas higher doses cause tissue injury. Although virtually all mammalian species react to endotoxin, species sensitivity is highly variable (22).Although LPS is often used as a stimulus for lung injury in mice, the pathophysiology of this model has not been thoroughly described. To maximize pathogenetic information from this model and permit comparisons to data from human studies, it is important to delineate the time course of the biochemical, functional, and structural alterations induced by endotoxin. To accomplish those goals, we conducted studies in C57BL/6 mice. We measured body weight, pulmonary function (plethysmograph), total lung water (wet-dry lung weight), serum concentrations of cytokines and...