-A technically easy, noninvasive means of delivering molecules to alveoli, which act selectively or specifically in the lung, would be experimentally and therapeutically useful. As proof of principle, we took advantage of the spreading ability of pulmonary surface active material (InfaSurf), mixed it with elastase, glyceraldehyde-3-phosphate dehydrogenase (GAPDH) small inhibitory RNA (siRNA), or all-trans retinoic acid (ATRA), and instilled microliter amounts of the mixture into the nose of lightly anesthetized mice. One instillation of elastase caused diffuse alveolar destruction (emphysema) demonstrating widespread alveolar delivery. A single nasal instillation of GAPDH siRNA, compared with scrambled GAPDH siRNA, lowered GAPDH protein in lung, heart, and kidney by ϳ50 -70% 1 and 7 days later. To test the possibility of lung-specific delivery of a potentially therapeutic drug, we administered ATRA and monitored its effect on expression of cellular retinol binding protein (CRBP)-1 mRNA, whose translation product is a key molecule in retinoid metabolism. Given intranasally, ATRA elevated CRBP-1 mRNA 4.3-fold in a lung-specific manner. The same dose and dose schedule of ATRA given intraperitoneally increased CRBP-1 mRNA only ϳ1.8-fold in lung; intraperitoneally administered ATRA elevated expression of CRBP-1 mRNA 1.7-fold or more in brain cortex, cerebellum, and testes, thereby increasing the risk of untoward effects. This simple noninvasive technique allows regulation of specific proteins in the lung and lung-specific delivery of reagents of experimental and potentially therapeutic importance. bronchopulmonary dysplasia; emphysema; brain; kidney; retinoic acid PULMONARY SURFACTANT (surface active material or SAM), a lipoprotein with great ability to spread, lines the alveoli (3, 4, 8), prevents alveolar collapse at low lung volume, and diminishes alveolar opening pressure (1, 9). Very prematurely born babies may develop bronchopulmonary dysplasia (BPD), which is characterized, in part, by an inadequate amount of SAM (1), pulmonary inflammation, excess matrix metalloproteinase activity, and arrested alveolar development (23). Exogenous SAM, delivered into the trachea, is commonly used to augment endogenous surfactant in very prematurely born babies (23). Anti-inflammatory corticosteroids given systemically are also used in the treatment of BPD (23), but they markedly impair alveolus formation in newborn rats (2, 16) and mice (11) and, hence, might do the same in humans. All-trans retinoic acid (ATRA) prevents the impairment of alveolus formation by corticosteroids in rats (15) and therefore might do the same in prematurely born babies; however, retinoids carry their own risks, especially on the developing brain (17, 21). These considerations of potential therapy and the need to easily alter specific gene expression in the lung for experimental purposes led us to test the hypothesis that reagents could be effectively delivered to the alveolus in a technically simple, noninvasive manner, using SAM as the delivery ve...