In utero exposure to second-hand smoke (SHS) is associated with exacerbated asthmatic responses in children. We tested the hypothesis that in utero SHS will aggravate the lung responses of young adult mice re-exposed to SHS. We exposed Balb/c mice in utero to SHS (S) or filtered air (AIR; A), and re-exposed the male offspring daily from 11-15 weeks of age to either SHS (AS and SS) or AIR (AA and SA). After the adult exposures, we analyzed samples of bronchoalveolar lavage fluid (BALF), examined the results of histopathology, and assessed pulmonary function and gene expression changes in lung samples. In SS mice, compared with the other three groups (AA, AS, and SA), we found decreases in breathing frequency and increases in airway hyperresponsiveness (AHR), as well as low but significantly elevated concentrations of BALF proinflammatory cytokines (IL-1b, IL-6, and keratinocytederived chemokine). Lung morphometric analyses revealed enlarged airspaces and arteries in SA and SS mice compared with their in utero AIR counterparts, as well as increased collagen deposition in AS and SS mice. Unique gene expression profiles were found for in utero, adult, and combined exposures, as well as for mice with elevated AHR responses. The profibrotic metalloprotease genes, Adamts9 and Mmp3, were up-regulated in the SS and AHR groups, suggesting a role for in utero SHS exposure on the adult development of chronic obstructive pulmonary disease. Our results indicate that in utero exposures to environmentally relevant concentrations of SHS alter lung structure more severely than do adult SHS exposures of longer duration. These in utero exposures also aggravate AHR and promote a profibrotic milieu in adult lungs.Keywords: second-hand smoke; in utero exposure; airway hyperresponsiveness; lung structure changes; gene expressionIn utero exposure to second-hand smoke (SHS), which exerts striking effects on lung function (1), has been associated with exacerbated asthmatic responses in children (1, 2). Altered lung function, an increased risk of asthma, and persistent lung function deficits in children have been linked with in utero and postnatal exposures to SHS (3-7). The synergistic effects of in utero smoke exposure with various nontobacco allergens have also been reported. Mild in utero SHS exposure exacerbates responses of BALB/c mice exposed to ovalbumin (OVA) from 11-15 weeks of age (8). These functional, histological, and inflammatory responses are accompanied by distinct changes in lung gene expression (9). Children exposed in utero to maternal smoking manifest a higher risk of sensitization to house dust mites (10). A recent study of mice found that in utero smoke exposure promotes Th2 polarization and induces allergic asthma in response to Aspergillus fumigatus sensitization (11). Whether and how in utero SHS exposures potentiate subsequent adult physiological and transcriptome responses to SHS exposure, without any other irritant challenges, are not fully understood.Evidence also indicates that exposure to environmental pollu...