Prenatal administration of thyrotropin releasing hormone (TRH) plus dexamethasone (DEX) to pregnant rats produces significantly depressed fetal lung antioxidant enzyme (AOE) activities and AOE mRNA levels in late gestation. Because of this negative regulation of AOE gene expression in the late fetal lung, we hypothesized that hormonally pretreated prematurely delivered rats might demonstrate inferior tolerance to prolonged hyperoxia. Litters of prenatal TRH+DEX-treated and shamtreated prematurely delivered rat pups (gestational d 21 of 22) were randomized to either >95% O 2 or room air for up to 14 d. The right lungs of 2-and 7-d exposure pups were assayed for AOE activities; the left lungs of the same pups were used to quantitate the concentrations of AOE mRNA by solution hybridization. The prenatal TRH+ DEX-treated pups were able to induce adaptive lung AOE mRNA and activity responses to hyperoxia by 2 d of exposure; and by 7 d in O 2 they showed greater increases in AOE mRNA concentrations and AOE activities in response to hyperoxic challenge compared with the sham-treated controls. Lung lipid surfactant measurements after hyperoxia were not affected by prenatal TRH + DEX treatment. In addition, TRH + DEX-pretreated premature rats did not show the hypothesized increased susceptibility to 02-induced lung damage and lethality, but, in fact, had slightly improved hyperPrenatal hormonal therapy with maternal administration of a combination of TRH and glucocorticoids is now being extensively tested clinically in threatened premature deliveries to try to rapidly stimulate lung maturation and reduce the incidence and severity of respiratory distress syndrome in premature Received May 20, 1994; accepted December 1, 1994 oxic survival (d 3-7 of O 2 exposure) compared with shamtreated controls. Exposure to hyperoxia significantly reduced serum triiodothyronine and thyroxine levels in the sham-control pups. These findings suggest that although TRH + DEXpretreated premature rats have decreased lung AOE gene expression at the time of preterm delivery, subsequent hyperoxic exposure is able to convert AOE gene expression to positive regulation which results in more rapid and greater increases in protective AOE activity levels. This regulation is likely mediated differently for the individual AOE. (Pediatr Res 37: 611-616, 1995) Abbreviations TRH, thyrotropin releasing hormone DEX, dexamethasone AOE, antioxidant enzyme CuZnSOD, copper-zinc superoxide dismutase MnSOD, manganese superoxide dismutase CAT, catalase GP, glutathione peroxidase DSPC, disaturated phosphatidylcholine T3' triiodothyronine T 4 , thyroxine infants (1-3). It has been previously demonstrated by our laboratories that although prenatal administration of TRH +DEX to pregnant rats accelerates surfactant system development in the late fetal lung, this same hormonal treatment significantly decreases the normal fetal lung AOE (SOD, CAT, and GP) activity elevations in late gestation (4). This hormonal effect appears to depend on a pretranslational/ transcript...