ABSTRACT. Prostacyclin is released during hyperventilation (HV); however, its role as mediator of HV-induced pulmonary vasodilation remains controversial. We have investigated this by studying the effects of HV on pulmonary artery pressure (PAP) in otherwise normal lungs versus lungs vasoconstricted with group B streptococci (GBS), with and without prior prostacyclin synthesis inhibition. Two-to 3-wk-old piglets were given tranylcypromine, a prostacyclin synthetase inhibitor (n = 6), or placebo (n = 6). Animals were mechanically ventilated normally, then hyperventilated (Pco2 1.5 * 0.2 kPa) and then returned to normal ventilation. After each 30-min segment, plasma 6-keto-prostaglandin F1, (6-keto-PGF,,) (prostacyclin hydrolysis product) levels and PAP were measured. Then GBS infusions were administered to both groups to induce pulmonary hypertension. With GBS, the normal ventilation/hyperventilation/normal ventilation protocol was repeated as above. Results are as follows: I) HV of normal lungs caused release of 6-keto-PGF,, (351 f 234 to 873 + 310 pg/mL; p e 0.05), but PAP was unaffected (1.4 f 0.2 kPa); 2) HV of lungs vasoconstricted with GBS caused a similar release of 6-keto-PGF,, (595 f 112 to 977 + 216 pg/mL; p < 0.05), this time accompanied by a significant decrease in PAP (3.1 2 0.5 to 2.3 f 0.5 kPa; p < 0.05); 3) HV of normal lungs pretreated with tranylcypromine produced neither an increase in 6-keto-PGF,, (400 + 24 to 436 f 33 pg/mL) nor a decrease in PAP (1.3 f 0.2 to 1.4 f 0.2 kPa; and 4) HV after tranylcypromine pretreatment and GBS-induced pulmonary hypertension also produced no change (6-keto-PGF,,: 527 + 54 to 556 f 93 pg/mL and PAP; 39.5 f 6.2 to 37.6 2 6.7 kPa). In conclusion, prostacyclin may mediate HV-induced pulmonary vasodilation after GBS-induced pulmonary hypertension. (Pediatr Res 29: 282-287,1991) Abbreviations PAP, pulmonary artery pressure GBS, group B &hemolytic streptococci PGF,,, prostaglandin F,, Tcp, tranylcypromine ' PVR, pulmonary vascular resistance AOP, aortic pressure HR, heart rate SVI, stroke volume index TxB2, thromboxane B2 Hyperventilation is able to alleviate the pulmonary vasoconstriction induced by hypoxia (1) and/or by the infusion of the thromboxane mimetic, U46 6 19 (2). Clinically, hyperventilation alkalosis has become a central component of the treatment of persistent pulmonary hypertension of the newborn (3), a syndrome characterized by persistent and excessive pulmonary vasoconstriction.However, the mechanism by which hyperventilation induces pulmonary vasodilation remains controversial. Prostacyclin is a potent pulmonary vasodilator that is released during hyperventilation and has been proposed by some to play a mediating role (4-8). In this study, we examined the effects of hyperventilation on 6-keto-PGF,, concentrations and on pulmonary artery pressure and on their interaction under various conditions. Our goals were to test the following hypotheses: 1 ) effects of hyperventilation on 6-keto-PGF,, concentrations and on pulmonary artery pressure in othe...