CAVEOLAE ARE 50-to 100-nm -shaped invaginations of the cell surface plasma membrane enriched in glycosphingolipids and cholesterol that occur in a variety of cell types including epithelial and endothelial cells, fibroblasts, smooth muscle cells, and adipocytes (1). These structures facilitate endocytosis of particles and participate in vesicular trafficking. Caveolin-1 (cav-1), a 21-to 24-kDa protein, is the major resident scaffolding protein constituent of caveolae (1). In addition to providing the structural integrity of caveolae, cav-1 exerts major regulatory functions on intracellular signaling pathways, in particular, those that originate at the plasma membrane. Cav-1 can form complexes with many signaling-associated proteins that reside in the caveolae, resulting in the modulation and usually inhibition of corresponding enzymatic activities. Among these are the endothelial (constitutive) nitric oxide synthase (eNOS; Ref. 5), heme oxygenase-1 (9), phosphatidylinositol 3-kinase, GTPases, estrogen receptors, the EGF and PDGF receptors, and others (1, 16).The profound involvement of cav-1 in cellular and tissue homeostasis is evident by the aberrant pulmonary and vascular phenotypes observed in cav-1 (cav-1 Ϫ/Ϫ ) animals, among which include hypercellularity in the lungs and heart (2, 4, 17-18). Although cav-1 Ϫ/Ϫ mice are viable, they display a dramatically shortened life span and a distinct loss of caveolae structures (4, 13). Furthermore, cav-1 Ϫ/Ϫ mice exhibit insulin resistance and hyperproliferation of adipose tissue (3). Significant cardiac defects were observed in cav-1 Ϫ/Ϫ mice including increased right ventricular volume and hypertrophy, left ventricular wall thickening, loss of systolic function, and evidence of cardiac fibrosis (2,4,22). The lungs of cav-1 Ϫ/Ϫ mice display a thickening of the parenchyma and alveolar septae resulting from bronchial and alveolar epithelial cell hyperproliferation (12, 17), evidence of endothelial cell proliferation (17), and pulmonary fibrosis (4).Despite systemic hypotension, cav-1 Ϫ/Ϫ animals develop significant pulmonary hypertension and associated increases in pulmonary artery pressure and right ventricular hypertrophy as described in this issue of AJP-Lung by Maniatis et al. (11) and by others (4, 17,23). Endothelial cell-specific reconstitution of cav-1 expression in cav-1 Ϫ/Ϫ mice restored the pulmonary and vascular defects observed in these animals, as evident by the reversal of the pulmonary hypertension and cardiac hypertrophy (12). Alveolar hypercellularity was also partially compensated by cav-1 reconstitution, which inhibited the endothelial cell proliferation (12). These studies illustrate a major role for endothelium-expressed cav-1 in vascular homeostasis, although the importance of this molecule is not limited to endothelial cells.Extensive experimentation with cav-1 Ϫ/Ϫ mice has revealed the critical role of cav-1 in the regulation of signaling processes. Cav-1 Ϫ/Ϫ mice display increased eNOS expression in cardiac tissue, increased eNOS activity i...