In order to examine whether the hypoxia of high altitude increases angiogenic activity in skeletal muscle, six male Wistar rats were subjected to a simulated altitude of about 5,500 m (ambient pressure 380 mmHg) for 3 weeks, and the whole soleus, gastrocnemius, and extensor digitorum longus muscles were collected. As a result, any muscle extracts from high altitude rats did not significantly enhance the capillary growth in an in vitro angiogenesis model compared with those from sea-level rats. This appeared to confirm previous morphological studies that hypobaric-hypoxic environment did not cause the formation of new capillaries in skeletal muscles, simulated altitude; angiogenesis; skeletal muscle One obvious way to improve tissue diffusion under conditions of oxygen deprivation such as high altitude is to reduce the intra-capillary distance (Ward et al. 1989). For example, Cassin et al. (1971) found that the number of capillaries per unit surface area in skeletal muscle of rats exposed to 5,100 m for 5 weeks increased significantly. This result has been confirmed by other studies (Ward et al. 1989). However, Banchero (1975 has pointed out that the evidence of an increased capillarity in hypoxic conditions and its role in facilitating 02 delivery is not conclusive. Actually, Banchero (1975) has shown that although capillary density increases in skeletal muscle of dogs with a 3-week exposure to a simulated altitude of 4,880 m, this is not caused by the formation of new capillaries, but by