Endothelin-converting-enzyme (ECE-1) catalyzes the proteolytic activation of big endothelin-1 to mature endothelin-1. Most homozygous ECE-1Ϫ/Ϫ embryos die in utero and show severe craniofacial, enteric, and cardiac malformations precluding ventilatory function assessment. In contrast, heterozygous ECE-1ϩ/Ϫ embryos develop normally. Their respiratory function at birth has not been studied. Taking into account previous respiratory investigations in mice with endothelin-1 gene disruption, we hypothesized that ECE-1-deficient mice may have impaired ventilatory control. We analyzed ventilatory responses to hypercapnia (8% CO 2 ) and hypoxia (10% O 2 ) in newborn and adult mice heterozygous for ECE-1 deficiency (ECE-1ϩ/Ϫ) and in their wild-type littermates (ECE-1ϩ/ϩ). Ventilation, breath duration, and tidal volume were measured using whole-body plethysmography. Ventilatory responses to hypoxia were significantly weaker in ECE-1ϩ/Ϫ than in ECE-1ϩ/ϩ newborn mice (percentage ventilation increase: 1 Ϯ 25% versus 33 Ϯ 29%, p ϭ 0.010). Baseline breathing variables and ventilatory responses to hypercapnia were normal in the ECE-1ϩ/Ϫ newborn mice. No differences were observed between adult ECE-1ϩ/Ϫ and ECE-1ϩ/ϩ mice. We conclude that ECE-1 is required for normal ventilatory response to hypoxia at birth. Abbreviations CCHS, congenital central hypoventilation syndrome ECE-1, endothelin-converting-enzyme-1 ET-1, endothelin-1 GDNF, glial-cell-line-derived neurotrophic factor HSCR, Hirschsprung's disease NTS, nucleus tractus solitarius RET, rearranged during transfection TTOT, breath duration VE, ventilation VT, tidal volume ECE-1 catalyzes the proteolytic activation of big ET-1 to mature ET-1 (1, 2). Targeted ECE-1 gene disruption, which has recently been achieved in mice, has important effects on embryonic development and autonomic functions (3). Among homozygous ECE-1Ϫ/Ϫ embryos, most die in utero (about 75% in a C57BL/6 -129SvEv hybrid background) and all exhibit craniofacial, enteric, and cardiac malformations (3) that preclude valid ventilatory function assessment. In contrast, heterozygous ECE-1ϩ/Ϫ newborns are apparently healthy and develop normally. In a recent study, the differences in respiratory function between adult heterozygous ECE-1ϩ/Ϫ and wild-type ECE-1ϩ/ϩ adult mice were found to be not significant (4). Newborn mice were not studied. In the present study, we tested the ventilatory responses to chemical stimuli in heterozygous ECE-1ϩ/Ϫ newborn mice, and we reexamined the normality of adult heterozygous ECE-1ϩ/Ϫ mice in a larger sample of mice than previously done (4).Our working hypothesis was based on previous data showing that ET-1 is required for normal ventilatory control. First, in anesthetized rats, topical applications of ET-1 in the chemosensitive area of the ventral medulla oblongata and other areas involved in respiratory control cause changes in phrenic nerve activity (2). Specifically, applications of ET-1 in regions extending between the caudal end of the trapezoid body and the rootlets of the XIIth ...