and duration of ventilation on expression of genes involved in alveolarization [tropoelastin (Eln), lysyloxidase-like 1 (Loxl1), fibulin5 (Fbln5), and tenascin-C (Tnc)] and angiogenesis [platelet derived growth factors (Pdgf) and vascular endothelial growth factors (Vegf) and their receptors] in 8-day-old rats. First, pups were ventilated for 8 h with low (LV T: 3.5 ml/kg), moderate (MVT: 8.5 ml/kg), or high (HV T: 25 ml/kg) tidal volumes. LVT and MVT decreased Tnc expression, whereas HV T increased expression of all three elastogenic genes and Tnc. PDGF ␣-receptor mRNA was increased in all ventilation groups, while Pdgfb expression was decreased after MV T and HVT ventilation. Only HVT ventilation upregulated Vegf expression. Independent of V T, ventilation upregulated Vegfr1 expression, while MVT and HVT downregulated Vegfr2 expression. Next, we evaluated duration (0 -24 h) of MV T ventilation on gene expression. Although expression of all elastogenic genes peaked at 12 h of ventilation, only Fbln5 was negatively affected at 24 h. Tnc expression decreased with duration of ventilation. Changes in expression of Pdgfr and Vegfr were maximal at 8 h of ventilation. Disturbed elastin fiber deposition and decrease in small vessel density was only observed after 24 h. Thus, an imbalance between Fbln5 and Eln expression may trigger dysregulated elastin fiber deposition during the first 24 h of mechanical ventilation. Furthermore, ventilation-induced alterations in Pdgf and Vegf receptor expression are tidal volume dependent and may affect pulmonary vessel formation. mechanical ventilation; fibulin5; elastin; tenascin-C; PDGF; VEGF BRONCHOPULMONARY DYSPLASIA (BPD), a chronic lung disease of premature born infants, is a major cause of morbidity and mortality. In severely affected infants symptoms last into early adulthood (10, 53). BPD is a consequence of an inflammatory lung injury that leads to remodeling of the developing lung. Inflammation results from a variety of stimuli with mechanical ventilation, hyperoxia, and infection being the most prominent (22, 48). The incidence of BPD increases with decreasing gestational age. Due to the improved survival of extremely premature infants, the pathological features of BPD have evolved since its first description in 1967 by Northway et al. (40). Nowadays the pathology of BPD is characterized by alveolar simplification and a dysmorphic vasculature. It is not surprising that these findings are believed to be the result of an arrest in alveolar development. After all, lungs of infants born at 24 -32 wk are in the saccular stage of development and structurally and biochemically immature. During this period of development extensive vasculogenesis takes place within the developing terminal sacculi, followed by secondary crest formation with interstitial extracellular matrix (ECM) remodeling and capillary growth (12). Among the factors that contribute to normal alveologenesis, elastin, platelet-derived growth factors (PDGFs), and vascular endothelial growth factor (VEGF) have a pr...