It has been proposed that thyroid hormones may have a role in the regulation of lung development and the maturation of the surfactant system. The purpose of this study was to examine the effects of exogenous thyroxine (T,) on rat lung development and to investigate possible interactions of this hormone with the glucocorticoids, other hormones implicated in the regulation of lung development.A number of different experimental protocols were utilized: T, was administered to day 17 and 18 rat fetuses from untreated animals as well as from animals which had been adrenalectomized or treated with the 11-P-hydroxylase inhibitor, Metopirone; replacement hydrocortisone was administered to some groups. Sham-operated and untreated animals were included as controls. Animals were sacrificed from days 19-22 (term, day 22-23) of gestation and the fetal lungs were examined. Accelerated lung development was observed in all experimental groups receiving T,. Alveolar epithelial cells were more differentiated in comparison to controls. Glycogen deposits were diminished, cell flattening was more advanced, mitochondria, Golgi complexes and rough endoplasmic reticulum were more prominent, and lamellar bodies, storage sites for pulmonary surfactant, were greatly increased in number. Secretion of lamellar bodies into the alveolar space was also stimulated. The results also indicated that T, and glucocorticoids act together in the acceleration of lung development. Under conditions of decreased glucocorticoids (Metopirone treatment and adrenalectomy), stimulatory effects of T, were still evident but less pronounced; hydrocortisone replacement increased the observed stimulation. Maximal acceleration of lung development was observed subsequent to T, and uncontrolled surgical stress. These results demonstrate that T, can accelerate rat lung development and that this acceleration is maximal in the presence of glucocorticoids.It is now well established that immaturity of the lung, leading to deficient pulmonary surfactant stores a t birth, is one of the major etiologic factors leading to the respiratory distress syndrome (RDS) of the newborn (for reviews, see Comroe, '77; Farrell and Avery, '75; Gluck, '72; King, '74; Scarpelli, '68; Tierney, '74). This finding has led to many investigations concerning the factors which may control the maturation of the lung as well as the initiation and regulation of the synthesis of '76) and its subsequent release onto the alveolar surface.Since the possibility that adrenal glucocorticoids might influence lung maturation was initially suggested (Buckingham et al., '68) and subsequently supported in studies by Liggins ('691, a large body of morphologic, biochemical and physiologic data has accumulated indicating that glucocorticoids can ac- celerate lung development and the maturation of the surfactant system (for reviews, see Avery, '75; Ballard and Ballard, '76; Ballard et al., '77; Farrell, '77). Though less well established as a regulatory factor, a number of experimental studies have indicate...