SUMMARY. Increased permeability of the pulmonary microvasculature is felt to cause acute noncardiogenic lung edema, and histological studies of edematous lungs show gaps between apparently healthy endothelial cells. To determine whether alterations in endothelial cell cytoskeletons would alter endothelial permeability, we exposed monolayers of pulmonary artery endothelial cells grown on micropore filters to cytochalasin B or D. Cytochalasin exposed monolayers demonstrated a 2-to 3-fold increase in endothelial permeability that was readily reversible by washing the monolayers free of cytochalasins. Parallel phase contrast and fluorescence microscopy demonstrated retraction of cell cytoplasm and disruption of bundles of microfilaments in cytochalasin exposed cells. These changes also were readily reversed after washing the cells free of cytochalasins. To test the relevance of these findings to an in situ microvasculature, we added cytochalasin B to the perfusate of isolated rabbit lungs and observed that cytochalasin B caused a high permeability lung edema. These studies suggest that endothelial cell cytoskeletons may be important determinants of endothelial permeability. (Circ Res 51: 657-661, 1982) ACUTE noncardiogenic lung edema is believed to result from increased permeability of the pulmonary microvasculature (Staub, 1978). Although many animal and ex vivo models of noncardiogenic lung edema have been studied, the mechanism of increased endothelial permeability remains unknown. Several studies of the systemic circulation have suggested that increased endothelial permeability induced by histamine is associated with endothelial cells pulling apart and gaps forming between cells (Majno and Palade, 1961;Majno et al., 1967). Hurley (1982) has provided evidence that similar gaps in the continuity of the endothelium may be important in high permeability lung edema.The permeability of epithelial surfaces has been studied more thoroughly than that of endothelial surfaces, and several studies have suggested a role of microfilaments of the cytoskeleton in regulating epithelial permeability (Meza et al., 1980;Bentzel et al., 1980;Duffey et al., 1981). We hypothesized that the cytoskeleton might also contribute to regulation of endothelial permeability. To test this, we added the microfilament disrupting agents, cytochalasin B and D, to monolayers of endothelial cells grown on micropore filters, and we observed that cytochalasins caused a readily reversible increase in endothelial permeability. The increased permeability was associated with disruption of the microfilament apparatus and formation of gaps between adjacent endothelial cells, whereas the recovery was associated initially with the localization of actin to the junction of adjacent cells and later reorganization into the normal pattern of microfilaments for endothelial cells. To support the relevance of these in vitro findings to an intact microvasculature, we added cytochalasin B to the perfusate of isolated lungs, and we found that cytochalasin B increased ...