Recurrent aspiration of milk into the respiratory tract has been implicated in the pathogenesis of a variety of inflammatory lung disorders including asthma. However, the lack of animal models of aspiration-induced lung injury has limited our knowledge of the pathophysiological characteristics of this disorder. This study was designed to evaluate the effects of recurrent milk aspiration on airway mechanics and lung cells in a murine model. Under light anesthesia, BALB/c mice received daily intranasal instillations of whole cow's milk (n ϭ 7) or sterile physiologic saline (n ϭ 9) for 10 d. Respiratory system resistance (Rrs) and dynamic elastance (Edyn,rs) were measured in anesthetized, tracheotomized, paralyzed and mechanically ventilated mice 24 h after the last aspiration of milk. Rrs and Edyn,rs were derived from transrespiratory and plethysmographic pressure signals. In addition, airway responses to increasing concentrations of i.v. methacholine (Mch) were determined. Airway responses were measured in terms of PD 100 (dose of Mch causing 100% increase from baseline Rrs) and Rrs,max (% increase from baseline at the maximal plateau response) and expressed as % control (mean Ϯ SE). We found recurrent milk aspiration did not affect Edyn and baseline Rrs values. However, airway responses to Mch were increased after milk aspiration when compared with control mice. These changes in airway mechanics were associated with an increased percentage of lymphocytes and eosinophils in the bronchoalveolar lavage, mucus production, and lung inflammation. Our findings suggest that recurrent milk aspiration leads to alterations in airway function, lung eosinophilia, and goblet cell hyperplasia in a murine model. Abbreviations Rrs, respiratory system resistance Edyn,rs, dynamic elastance of the respiratory system Mch, methacholine PD 100 , dose of methacholine causing 100% increase of Rrs from baseline Rrs,max, % increase from baseline at the maximal plateau response GER, gastroesophageal reflux ASM, airway smooth muscle BAL, bronchoalveolar lavage AHR, airway hyperresponsiveness NEP, neutral endopeptidase Recurrent aspiration of foreign material into the respiratory tract is a common problem in children and patients with predisposing anatomic and functional disorders such as tracheoesophageal fistula, GER, and neuromuscular disorders (1-3). As a result, it has been implicated in the etiology of a variety of pulmonary disorders (1-3). Clinically, children who aspirate may present with pneumonia, recurrent wheezing, unexplained cough, interstitial lung disease, and even apnea (1-3). Furthermore, an association between aspiration of milk and exacerbation and/or development of asthma has been suggested (4). Children with asthma commonly have GER, but it is not always clear if GER causes, exacerbates, or is the result of the asthma itself (4). In this respect, the interpretation of clinical studies represents a clinical challenge in terms of establishing a cause-effect relationship between GER, aspiration, and pulmonary sequelae (4 ...