Ϫ ) and hydrogen peroxide (H2O2), contribute to altered pulmonary vascular responses in piglets with chronic hypoxia-induced pulmonary hypertension. Piglets were raised in either room air (control) or hypoxia for 3 days. The effect of the cell-permeable superoxide dismutase mimetic (SOD; M40403) and/or PEG-catalase (PEG-CAT) on responses to acetylcholine (ACh) was measured in endotheliumintact and denuded pulmonary resistance arteries (PRAs; 90-to-300-m diameter). To determine whether NADPH oxidase is an enzymatic source of ROS, PRA responses to ACh were measured in the presence and absence of a NADPH oxidase inhibitor, apocynin (APO). A Western blot technique was used to assess expression of the NADPH oxidase subunit, p67phox. A lucigenin-derived chemiluminescence technique was used to measure ROS production stimulated by the NADPH oxidase substrate, NADPH. ACh responses, which were dilation in intact control arteries but constriction in both intact and denuded hypoxic arteries, were diminished by M40403, PEG-CAT, the combination of M40403 plus PEG-CAT, as well as by APO. Although total amounts were not different, membrane-associated p67phox was greater in PRAs from hypoxic compared with control piglets. NADPH-stimulated lucigenin luminescence was nearly doubled in PRAs from hypoxic vs. control piglets. We conclude that ROS generated by NADPH oxidase contribute to the aberrant pulmonary arterial responses in piglets exposed to 3 days of hypoxia.superoxide; superoxide dismutase; p67phox; hydrogen peroxide; M40403; M40401 THERE IS INCREASING APPRECIATION that reactive oxygen species (ROS), such as O 2 Ϫ and H 2 O 2 , may act as essential participants in normal cell signaling and be involved in regulation of tone and reactivity in a number of vascular beds including the pulmonary circulation (8,29,33,42,49,50). NADPH oxidases are enzymes that have been shown to be prominent sources of ROS in many vascular beds (5,21,29). Moreover, evidence is accumulating that ROS, derived at least in part from NADPH oxidases, play a role in abnormal cell signaling and reactivity and thereby contribute to a number of vascular diseases, including pulmonary hypertension (5,7,21,29,37,43,47). For example, there is evidence that ROS produced by NADPH oxidase are involved in the development of chronic hypoxiainduced pulmonary hypertension in adult animals (20,31,37,38,53). However, the potential contribution of ROS derived from NADPH oxidase to the altered regulation of pulmonary vascular tone in newborns with chronic hypoxia-induced pulmonary hypertension is not yet known. Awareness of the fundamental differences in the regulation of pulmonary vascular tone in newborns and adults limits the ability to extrapolate to the newborn findings on the role of ROS in altered cell signaling in adult lungs (41,55).Regulation of pulmonary vascular tone is also known to differ between large, conduit level arteries and smaller, resistance level arteries (1, 2, 45). The vast majority of studies to date have evaluated the potential contribution from ...