Systemic hypoxemia , occurring in space-occupyin g lung pathologies such as in ammation and neoplasms, reduces the gas exchange area and stimulates catecholamine secretion from the adrenal medulla where chronic endocrine hyperactivity may lead to hyperplasia and neoplasia. We investigated the possible correlation between nonneoplasti c chronic pulmonary lesions and adrenal pheochromocytom a in 9 recent, NTP, 2-year particulate inhalation studies in male F344 rats. Re-evaluation for chronic active in ammation, interstitial brosis, alveolar epithelial hyperplasia, squamous metaplasia, proteinosis, and histiocytosis revealed signi cant associations of pheochromocytom a only with the severity of in ammation and brosis. Nickel oxide, cobalt sulfate, indium phosphide , talc, and nickel subsul de studies showed chemical-related incidences of adrenal pheochromocytom a and signi cant ( p < 0.01) associations with in ammation and brosis. Gallium arsenide, vanadium pentoxide, molybdenum trioxide, and nickel sulfate hexahydrat e studies revealed an increased incidence and/or severity of nonneoplasti c lung lesions, but no increased incidence of pheochromocytoma . Although gallium arsenide and molybdenum trioxide showed no dose-related increase in pheochromocytoma , a signi cant ( p < 0.01) correlation of the latter with the severity of brosis and in ammation occurred. In the vanadium pentoxide and nickel sulfate hexahydrat e studies, no relationship between nonneoplasti c lung lesions and pheochromocytom a was manifested. Our investigation assessed the strength of these various associations and supports the possible roles of 2 chronic pulmonar y lesions-brosis and in ammation-and hypoxemi a in the induction of pheochromocytom a in the F344 male rat.