, and clinical signs of disease are generally more evident later in life. We previously showed that systemic vessels of adult Eng heterozygous (Eng ϩ/Ϫ ) mice exhibit increased vasorelaxation due to uncoupling of endothelial nitric oxide synthase (eNOS). We postulated that these changes may develop with age and evaluated pulmonary arteries from newborn and adult Eng ϩ/Ϫ mice for eNOS-dependent, acetylcholine (ACh-induced) vasorelaxation, compared with that of age-matched littermate controls. While ACh-induced vasorelaxation was similar in all newborn mice, it was significantly increased in the adult Eng ϩ/Ϫ vs. control vessels. The vasodilatory responses were inhibited by L-NAME suggesting eNOS dependence. eNOS uncoupling was observed in lung tissues of adult, but not newborn, heterozygous mice and was associated with increased production of reactive O2 species (ROS) in adult Eng ϩ/Ϫ vs. control lungs. Interestingly, ROS generation was higher in adult than newborn mice and so were the levels of NADPH oxidase 4 and SOD 1, 2, 3 isoforms. However, enzyme protein levels and NADPH activity were normal in adult Eng ϩ/Ϫ lungs indicating that the developmental maturation of ROS generation and scavenging cannot account for the increased vasodilatation observed in adult Eng ϩ/Ϫ mice. Our data suggest that eNOS-dependent H2O2 generation in Eng ϩ/Ϫ lungs accounts for the heightened pulmonary vasorelaxation. To the extent that these mice mimic human HHT1, age-associated pulmonary vascular eNOS uncoupling may explain the late childhood and adult onset of clinical lung manifestations. lung; newborn; pulmonary vascular resistance; hereditary hemorrhagic telangiectasia LUNG BLOOD FLOW IS MOSTLY dependent on the regional arteriolar and venular intraluminal diameter that ultimately determines the pulmonary vascular resistance (PVR). Nitric oxide (NO) is constitutively produced by endothelial and smooth muscle cells (39) via synthases (NOS) of which there are three isoforms: endothelial (eNOS), neuronal (nNOS), and inducible (iNOS). Although there is evidence that iNOS and nNOS are expressed in the fetal pulmonary vasculature (38), lung eNOS protein expression increases during gestation suggesting that its vascular tissue content and/or activity is in part responsible for the high PVR prenatally and the changes occurring after birth (15). In sheep, lung eNOS expression is maximal in late gestation (34), whereas in rats it is highest either before (33), or immediately after, birth (23). Postnatally, lung vascular tissue eNOS expression was shown to decrease with age in pigs (17).eNOS converts L-arginine to L-citrulline to generate NO. Its activity is dependent on Ca 2ϩ /calmodulin (CaM), but also on subcellular localization, posttranslational modifications, and interaction with several regulatory proteins, including Hsp90 (11,14). Hsp90 facilitates CaM-induced release from caveolae and acts as a scaffold factor for eNOS; it is necessary for eNOS phosphorylation at Ser1177 (13, 43). This complex process controls the state of eNOS ac...