Dehydroepiandrosterone (DHEA) prevents chronic hypoxia-induced pulmonary hypertension and associated right ventricle dysfunction in rats. In this animal model, reoxygenation following hypoxia reverses pulmonary hypertension but not right ventricle dysfunction. We thus studied the effect of DHEA on the right ventricle after reoxygenation, i.e. after a normoxic recovery phase secondary to chronic hypoxia in rats.Right ventricle function was assessed in vivo by Doppler echocardiography and in vitro by the isolated perfused heart technique in three groups of animals: control, recovery (21 days of hypoxia followed by 21 days of normoxia) and recovery DHEA (30 mg?kg -1 every 2 days during the recovery phase). Right ventricle tissue was assessed by optical and electron microscopy. DHEA abolished right ventricle diastolic dysfunction, as the echographic E wave remained close to that of controls (mean¡SD 76.5¡2.4 and 79.7¡1.7 cm?s -1 , respectively), whereas it was diminished to 40.3¡3.7 in the recovery group. DHEA also abolished right ventricle systolic dysfunction, as shown by the inhibition of the increase in the slope of the pressure-volume curve in isolated heart. The DHEA effect was related to cardiac myocytes proliferation.In conclusion, DHEA prevents right ventricle dysfunction in this animal model by preventing cardiomyocyte alteration. KEYWORDS: Cardiac myocyte, chronic hypoxia, dehydroepiandrosterone, mitochondria, pulmonary hypertension T ypical chronic lung hypoxaemic diseases, such as chronic obstructive pulmonary disease (COPD) [1], can lead to pulmonary hypertension (PH) and ultimately to right ventricular failure [2][3][4]. Rodents exposed to chronic hypoxia, either normo-or hyperbaric, consistute a classical animal model used to investigate mechanisms as well as therapeutic targets in this pulmonary vascular disease [5,6]. In a rat model of hypobaric chronic hypoxia, we have previously demonstrated that dehydroepiandrosterone (DHEA), an adrenal steroid, prevents and decreases hypoxic PH and associated right ventricle hypertrophy [7]. In the same animal model, reoxygenation following hypoxia, i.e. a normoxic recovery phase of 21 days of normoxia secondary to a chronic hypoxic period of 21 days, also reverses PH as it normalises pulmonary pressure and antagonises vascular remodelling [8]. However, such normoxic recovery period does not correct right ventricular dysfunction [9].We believe that such an experimental model may be relevant in patients suffering from COPD, as they may alternate between successive severe hypoxic episodes related to exacerbations [10] and fewer hypoxic episodes related their oxygen therapy [11].As mentioned, DHEA has been studied in animal [7,12] and human PH [13,14]. More recently, it has been shown that DHEA can modulate cardiac function. DHEA reverses left ventricular stiffness and fibrosis, which typically accompanies ageing in mice [15], and decreases the production of type I collagen by cardiac fibroblasts [16]. DHEA can also modulate oxidative stress in the rat h...