Air pollutant exposure is linked with childhood asthma incidence and exacerbations, and maternal exposure to airborne pollutants during pregnancy increases airway hyperreactivity (AHR) in offspring. To determine if exposure to diesel exhaust (DE) during pregnancy worsened postnatal ozone-induced AHR, timed pregnant C57BL/6 mice were exposed to DE (0.5 or 2.0 mg/m 3 ) 4 hours daily from Gestation Day 9-17, or received twice-weekly oropharyngeal aspirations of the collected DE particles (DEPs). Placentas and fetal lungs were harvested on Gestation Day 18 for cytokine analysis. In other litters, pups born to dams exposed to air or DE, or to dams treated with aspirated diesel particles, were exposed to filtered air or 1 ppm ozone beginning the day after birth, for 3 hours per day, 3 days per week for 4 weeks. Additional pups were monitored after a 4-week recovery period. Diesel inhalation or aspiration during pregnancy increased levels of placental and fetal lung cytokines. There were no significant effects on airway leukocytes, but prenatal diesel augmented ozone-induced elevations of bronchoalveolar lavage cytokines at 4 weeks. Mice born to the high-concentration dieselexposed dams had worse ozone-induced AHR, which persisted in the 4-week recovery animals. Prenatal diesel exposure combined with postnatal ozone exposure also worsened secondary alveolar crest development. We conclude that maternal inhalation of DE in pregnancy provokes a fetal inflammatory response that, combined with postnatal ozone exposure, impairs alveolar development, and causes a more severe and long-lasting AHR to ozone exposure.Keywords: diesel; fetal inflammation; ozone; airway hyperreactivity Increasing asthma prevalence among children in industrialized nations has stimulated a number of investigations focused on early life exposures to air pollutants (1). Maternal exposures to a variety of inhaled atmospheric pollutants, including side and mainstream tobacco smoke, diesel exhaust (DE), and ozone, have been linked in epidemiologic studies to asthma and other respiratory diseases in children (2-4). Animal models aimed at deciphering the mechanisms by which maternal exposures during pregnancy are linked to childhood asthma have largely focused on pathways relevant to allergic asthma (5).In addition to allergic sensitization, in utero exposure to air pollutants may also affect nonspecific pulmonary responses, such as airway hyperreactivity (AHR) (6). It has already been shown that fetal pulmonary inflammatory challenges are linked with impaired postnatal alveolar development (7-9), which affects airway stability and AHR (10). Previous studies have shown that maternal exposure to DE during pregnancy modified mouse placental cytokines relevant to airway inflammation (11), and lowered the threshold for AHR in ovalbuminsensitized offspring (12).We have previously shown that a standardized urban particulate delivered by oropharyngeal aspiration during pregnancy induced placental inflammatory cytokine expression and worsened neonatal ozone-induced...