ABSTRACT. Endothelium-derived relaxing factor (EDRF), believed to be nitric oxide or a compound that releases nitric oxide, has been previously identified in the pulmonary and systemic vasculature of the newborn guinea pig using isolated arterial rings. The aim of our study was to determine if EDRF regulates vasomotor tone a t the level of resistance vessels in the neonatal pulmonary circulation.Isolated lungs from guinea pigs (1-3 d old, n = 4-81 protocol) were ventilated with room air and perfused with a Krebs-Henseleit solution containing albumin a t a constant flow. Angiotensin I1 (AII, 6 nM) was added to the perfusate to give a stable elevation in mean pulmonary artery pressure (PAP) from 7.0 + 1.1 to 19.7 + 1.5 torr, a 182 f 32% (mean + S E M ) increase above baseline. Addition of bradykinin (BK, 10 nM) or L-arginine (2 mM) markedly reduced the All-induced elevation in PAP. At the steady state response to BK (33% above baseline), addition of H b (10 pM, binds EDRF), NG-monomethyl-Larginine (NMA, 100 pM, blocks EDRF production), N M A (200 pM), or NMA + Hb, reversed the effect of BK to the following levels of P A P above baseline: 77 + 5, 94 + 24, 163 2 20, or 246 f 25%, respectively (p < 0.05). Indomethacin had no effect on BK-induced vasodilation. In separate studies, N M A (200 pM) increased baseline P A P by 46 2 13% and N M A pretreatment raised the AIIpressor response (A11 6 n M ) from 133 f 49 to 306 + 65% above baseline PAP. NMA (200 pM) pretreatment also inhibited the dilator action of submaximal doses of BK on the AII-induced elevation of PAP. We conclude that, in the isolated neonatal guinea pig lung, EDRF plays an important role in the: I) control of baseline PAP, 2) vasoreactivity of AII, and 3) dilator mechanism of BK, EDRF may play an important role in the pulmonary hemodynamic adjustments a t birth. knowledge about the identity of EDRF, its biosynthesis, and its role in the control of vascular resistance in adult animals including the human. EDRF is now characterized as nitric oxide (2-4) or a nitrosothiol such as s-nitrosocysteine (5). The dilator effect of EDRF in vitro and in vivo has been studied by inhibitors such as free Hb, which binds EDRF produced by the endothelium, and methylene blue, which blocks EDRF-induced cGMP production in adjacent smooth muscle (6,7). L-arginine is a putative precursor of EDRF, and recently an analog of arginine, NMA, was shown to specifically block EDRF production in vitro (8, 9). In addition, NMA has been used in vivo in adult animals and humans to demonstrate an important role for EDRF in the control of resting systemic arterial pressure as well as mediation of changes in systemic vascular resistance by acetylcholine and other substances (I 0-12).Little is known about the role of EDRF in the control of the perinatal circulation. A very recent report suggests that EDRF synthesis may contribute to the decrease of pulmonary vascular resistance that occurs at birth ( 13), but it is not known whether impaired EDRF activity is involved in the pulmonary hyperte...