ABSTRACT. It has been proposed that the high serum myoinositol promotes fetal growth and affects development of lung surfactant. However, it is unclear how the extracellular myoinositol becomes available in specific cells and whether &ere are developmental differences in myoinositol uptake. In the present study the mechanisms and perinatai development of intracellular myoinositol uptake into rabbit lung cells were investigated. Lung slices, lung explants, and type I1 alveolar cells were used. Evidence of saturable, sodium-and energy-dependent, and of non-saturable, sodium-and energy-independent myoinositol uptake was found. The nonsaturable uptake decreased by 67% during spontaneous maturation, as studied in lung slices. Betamethasone (0.2 mg/kg days 26.3 and 27.3, to the doe) decreased by 65% the nonsaturable myoinositol uptake in 28-day-old fetuses. However, the saturable uptake revealed only small changes during perinatal development. The effect of extracellular myoinositol on surfactant phospholipid synthesis was evaluated in lung explants from 28-day-old fetuses, cultured for 2 days. In the presence of M dexamethasone the concentration of extracellular myoinositol, required for half-maximal inhibition of surfactant phosphatidylglycerol incorporation was higher than in explants grown without the hormone (approximately 0.4 versus 0.2 mM). However, in the microsomal fraction the phosphatidylglycerol incorporation was always inhibited by as low as 4 pM myoinositol. Myoinositol was taken up by isolated type I1 cells preferably by nonsaturable mechanism. The -ihosphatidylglycerol incorporation was less sensitive to extracellular mvoinositol in adult than in fetal cells. Although there were bnly small changes in the concentration of free myoinositol in whole lung during perinatal development, the availability of this sugar alcohol to some specific cells decreased strikingly due to a decrease in serum concentration and a decrease in permeability of this putative growth factor. The present findings demonstrate that some cells within myoinositol-rich tissue can be devoid of this sugar alcohol and critically depend on extracellular source for their myoinositol supply. (Pediatr Res 20: 179-185, 1986)