Acute lung injury (ALI) is a devastating condition resulting from diverse causes. Genetic studies of human populations indicate that ALI is a complex disease with substantial phenotypic variance, incomplete penetrance, and gene-environment interactions. To identify genes controlling ALI mortality, we previously investigated mean survival time (MST) differences between sensitive A/J (A) and resistant C57BL/6J (B) mice in ozone using quantitative trait locus (QTL) analysis. MST was significantly linked to QTLs (Aliq1-3) on chromosomes 11, 13, and 17, respectively. Additional QTL analyses of separate and combined backcross and F 2 populations supported linkage to Aliq1 and Aliq2, and established significance for previously suggestive QTLs on chromosomes 7 and 12 (named Aliq5 and Aliq6, respectively). Decreased MSTs of corresponding chromosome substitution strains (CSSs) verified the contribution of most QTL-containing chromosomes to ALI survival. Multilocus models demonstrated that three QTLs could explain the MST difference between progenitor strains, agreeing with calculated estimates for number of genes involved. Based on results of QTL genotype analysis, a double CSS (B.A-6,11) was generated that contained Aliq1 and Aliq4 chromosomes. Surprisingly, MST and pulmonary edema after exposure of B.A-6,11 mice were comparable to B mice, revealing an unpredicted loss of sensitivity compared with separate CSSs. Reciprocal congenic lines for Aliq1 captured the corresponding phenotype in both background strains and further refined the QTL interval. Together, these findings support most of the previously identified QTLs linked to ALI survival and established lines of mice to further resolve Aliq1.Keywords: acute respiratory distress syndrome; chromosome substitution strain; congenic; mean survival; pulmonary edema Acute lung injury (ALI), resulting from both pulmonary and extrapulmonary insults (1-3), is a common outcome of diverse injuries. Although painstaking clinical research has investigated an ever-increasing number of viable candidate genes as potential therapeutic targets, little headway has been made to impact the survival rates of patients with ALI or acute respiratory distress syndrome (ARDS), the most severe manifestation of the disease (4-6). A recent report estimated an annual U.S. mortality rate of 74,500/year and 59,000/year for ALI and ARDS, respectively (6).To complement recent studies of ALI/ARDS candidate genes in human populations (7-12), we initiated studies in inbred mice aimed at identifying the genetic factors controlling ALI. Because our long-term goal is to improve mortality rates, survival time from oxidant-induced ALI has been a common theme used as the quantitative trait (phenotype). Ozone, one of the most potent oxidants known (13), quickly produces a pulmonary response in inbred mice that resembles the exudative phase of ARDS; at doses greater than or equal to 4 ppm, ozone causes death within 2 days (14). In contrast to the rapid time course of ozone, nickel (15) and hyperoxia (16, 17) can i...