Acute exposure of sensitized mice to antigen elicits allergic airway disease (AAD) characterized by Th2 cytokine-dependent pulmonary eosinophilia, methacholine hyperresponsiveness and antigen-specific IgE elevation. However, chronic exposure induces a local inhalational tolerance (LIT), with resolution of the airway responses but persistent systemic IgE production. To further determine if systemic immunologic responses were maintained during LIT, we assessed subcutaneous late phase responses to ovalbumin in this model. Sensitized and AAD mice developed small subcutaneous responses to ovalbumin, with footpad thickness increasing to 113.7 and 113.6% of baseline, respectively. In comparison, LIT mice developed marked foot swelling (141.6%). Histologic examination confirmed increased inflammation in the chronic animals, with a significant contribution by eosinophils. Thus, the resolution of airway inflammatory responses with chronic antigen inhalation is a localized response, not associated with loss of systemic responses to antigen. Keywords: asthma; mouse; ovalbumin; sensitization; tolerance In antigen-sensitized humans and animals, inhalational exposure to the antigen can induce allergic airway disease (AAD), or asthma, characterized by eosinophilic airway inflammation, elaboration of Th2 cytokines and airway hyperresponsiveness. Such individuals also demonstrate systemic responses to antigen, including elevated levels of antigen-specific IgE. Numerous murine models exist in which inhalation of allergens in sensitized mice induces Th2-driven eosinophilic airway disease. We 1,2 and others 3-5 have shown that, in contrast to human subjects, mice exposed chronically to inhaled antigen can reverse their established airway inflammation and hyperresponsiveness, and develop what we have termed local inhalational tolerance (LIT). LIT is dependent upon continuous antigen exposure 2 and is associated with the persistence of CD4 + CD25 + Foxp3 + regulatory T cells in the lung and regional lymph nodes 6 and the establishment of bystander tolerance to unrelated antigens. 2,5 We emphasized the term 'local' because despite resolution of the airway eosinophilia and Th2 cytokine production, systemic IgE responses to antigen are sustained. 2 Although the persistence of the systemic IgE response has also been observed in other chronic inhalational models, 5 it is not a uniform finding in sensitized mice chronically exposed to antigen. 3,4 The maintenance of antigen-specific IgE elevation in the absence of airway inflammatory responses in LIT mice suggests that this form of inhalational tolerance is dependent upon local regulatory mechanisms rather than systemic lymphocyte clonal deletion or anergy. In addition, if chronic aerosolized antigen exposure induces clonal deletion or the development of a dominant, antigen-specific, inhibitory T-cell population, tolerance should be sustained in the absence of antigen or recalled with re-exposure to antigen. We found that such sustained tolerance did not occur in the absence of antigen, as ...