Major basic protein and other native cationic proteins increase airway hyperresponsiveness when administered to the luminal surface of the airways in vitro. To determine whether the same applies in vivo, we assessed airway responsiveness in rats challenged with both aerosolized and intravenously infused methacholine. We partitioned total lung resistance into its airway and tissue components using the alveolar capsule technique. Neither poly-L-lysine nor major basic protein altered baseline mechanics or its dependence on positive end-expiratory pressures ranging from 1 to 13 cmH2O. When methacholine was administered to the lungs as an aerosol, both cationic proteins increased responsiveness as measured by airway resistance, tissue resistance, and tissue elastance. However, responsiveness of all three parameters was unchanged when the methacholine was infused. Together, these findings suggest that cationic proteins alter airway responsiveness in vivo by an effect that is apparently limited to the bronchial epithelium. airway resistance; epithelium; major basic protein; poly-L-lysine; rat CATIONIC PROTEINS DERIVED from eosinophils are thought to play a central role in the pathogenesis of bronchial asthma (16). More specifically, a role for cationic proteins in airway hyperresponsiveness is supported by the finding that rats develop an enhanced response to inhaled methacholine after they are pretreated with intratracheal instillations of major basic protein (MBP) and the synthetic cationic proteins poly-L-arginine and poly-L-lysine (PLL) (35). We have also shown that when cationic proteins are instilled into the lumen of an isolated airway, the airway becomes hyperresponsive to methacholine administered to the luminal surface but not to the outside of the airway wall (6, 7). The hyperresponsiveness caused by intraluminal cationic proteins thus appears to be due to an alteration of epithelial function rather than to an effect on the airway smooth muscle itself. Indeed, cationic proteins are highly charged, which gives them the capacity to disrupt delicate structures such as epithelial cell membranes in a chargedependent fashion (36). If cationic proteins are able to compromise the integrity of the airway epithelium, the underlying smooth muscle would become more accessible to an agonist present in the airway lumen. This would, in turn, increase the degree of bronchoconstriction elicited by the agonist.The above line of reasoning makes a compelling hypothesis for the mechanism by which intraluminal cationic proteins induce airway hyperresponsiveness. However, this hypothesis rests on our in vitro observation that hyperresponsiveness only manifests when the challenging agonist has to cross the epithelium to reach the airway smooth muscle (7). The hypothesis would obviously be greatly strengthened by corresponding in vivo evidence concerning the importance of the route of agonist administration and is the purpose of the present investigation. We pretreated rats with intratracheal cationic proteins and then measured the ...