SummaryShort-term (0-30 min) pulmonary and systemic vascular responses of oophorectomized ewes infused intravenously with a trichloroacetic acid (TCA) extract of a type I11 (strain 878) group B streptococci?s (GBS) were studied. TCA-878 extract induced significant pulmonary hypertension, reduction in femoral artery pressure and reduced femoral artery Po2. These responses were similar to those observed after the infusion of sublethal doses of E. coli endotoxin and could be prevented by priming the animal with ibuprofen or indomethacin. Ewes rechallenged 48 h after their initial dose of TCA-878 extract experienced pulmonary arterial pressure significantly higher than those induced by the first infusion. Similar augmented responses were not seen after rechallenge with endotoxin. Larger doses of TCA-878 extract resulted in increasingly higher pulmonary arterial pressure. We conclude that the venous infusion of TCA extracts of GBS-878 induces significant pulmonary hypertension in sheep and that this response may be mediated by prostaglandins. The vasoactive substance extracted from these streptococci could play a role in promoting the vascular instability experienced by the human neonate with early onset GBS disease. Abbreviations FAP, femoral artery pressure GBS, group B streptococci PAP, pulmonary artery pressure PG, prostaglandins SDS-PAGE, sodium dodecyl sulfate-polyacrylamid gel electrophoresis TCA, trichloroacetic acid GBS are common causes of serious infections in the human neonate (1,8). Though the clinical syndromes caused by GBS are well described, little is known of how these organisms induce the attendent physiologic abnormalities. Recently, Hellerqvist, et al. (7) and Rojas et al. (13) reported the isolation of a carbohydrate "exotoxin" from the culture media in which type 111 GBS had been grown. Intravenous infusion of this material was found to induce pulmonary hypertension, fever, and increase pulmonary lymphatic flow in adult sheep. At the time of the Hellerqvist and Rojas reports (7, 13), we were preparing TCA extracts of washed, whole GBS for utilization in studies of GBS antigens. One person in our group (W.F.O.) was utilizing the oophorectomized adult ewe model of Cefalo et al. (2, 3, 11) to examine the early phase of vascular responses in sheep after the venous infusion of E. coli endotoxin. Noting some striking similarities in PAP responses induced by the Rojas' "exotoxin" and E. coli endotoxin, we infused sterile TCA extract of whole GBS (type 111, 878) into an oophorectomized ewe. The infusion resulted in a prompt and impressive rise in PAP, a reduction in FAP, and a drop in femoral artery Po2. Once our studies had excluded endotoxin contamination of whole organism extracts (TCA-878) and produced a predictable vascular response in the available ewe model, we devised studies: 1) to compare the vascular responses induced by TCA-878 extract with those induced by E. coli endotoxin; 2 ) to examine responses to increasing concentrations of TCA-878; 3) to determine whether, as reported with endotoxi...