. Newborn lamb coronary artery reactivity is programmed by early gestation dexamethasone before the onset of systemic hypertension. Am J Physiol Regul Integr Comp Physiol 289: R1169 -R1176, 2006. First published June 16, 2005 doi:10.1152/ajpregu.00369.2005.-Exposure of the early gestation ovine fetus to exogenous glucocorticoids induces organ-specific alterations in postnatal cardiovascular physiology. To determine whether early gestation corticosteroid exposure alters coronary reactivity before the development of systemic hypertension, dexamethasone (0.28 mg ⅐ kg Ϫ1 ⅐ day Ϫ1 ) was administered to pregnant ewes by intravenous infusion over 48 h beginning at 27 days gestation (term, 145 days). Vascular responsiveness was assessed in endotheliumintact coronary arteries isolated from 1-wk-old steroid-exposed and age-matched control lambs (N ϭ 6). Calcium imaging was performed in fura 2-loaded primary cultures of vascular smooth muscle cells (VSMC) from the harvested coronary arteries. Early gestation steroid exposure did not significantly alter mean arterial blood pressure or coronary reactivity to KCl, thromboxane A 2 mimetic U-46619, or ANG II. Steroid exposure significantly increased coronary artery vasoconstriction to acetylcholine and endothelin-1. Vasodilatation to adenosine, but not nitroprusside or forskolin, was significantly attenuated following early gestation steroid exposure. Endothelin-1 or U-46619 stimulation resulted in a comparable increase in intracellular calcium concentration ([Ca 2ϩ ]i) in coronary VSMC isolated from either dexamethasone-treated or control animals. However, the ANG II-or KCl-mediated increase in [Ca 2ϩ ]i in control VSMC was significantly attenuated in VSMC harvested from dexamethasone-treated lambs. Coronary expression of muscle voltage-gated L-type calcium channel ␣-1 subunit protein was not significantly altered by steroid exposure, whereas endothelial nitric oxide synthase expression was attenuated. These findings demonstrate that early gestation glucocorticoid exposure elicits primary alterations in coronary responsiveness before the development of systemic hypertension. Glucocorticoidinduced alterations in coronary physiology may provide a mechanistic link between an adverse intrauterine environment and later cardiovascular disease. calcium imaging; endothelium; endothelial nitric oxide synthase; fetal programming EXPOSURE OF THE EARLY GESTATION ovine fetus to exogenous glucocorticoids induces organ-specific changes in postnatal cardiovascular physiology. The hypertensive aspect of this model of fetal programming was first described by Dodic et al. in 1998 (3). In their studies, the offspring of ewes given dexamethasone for 48 h beginning at 27 days gestation (term, 145-150 days) were hypertensive at 4 mo of age and remained hypertensive at 10 and 18 mo of age, despite normal intrauterine and postnatal growth. Using an identical model, we recently reproduced the hypertensive phenotype and demonstrated unique alterations in coronary artery reactivity (17). More speci...