Previous studies have suggested that alveolar Na,K-ATPases play an important role in active Na ϩ transport and lung edema clearance. We reasoned that overexpression of Na,K-ATPase subunit genes could increase Na,K-ATPase function in lung epithelial cells and edema clearance in rat lungs. To test this hypothesis we produced replication deficient human type 5 adenoviruses containing cDNAs for the rat ␣ 1 and  1 Na,K-ATPase subunits (adMRCMV ␣ 1 and adMRCMV  1 , respectively). As compared to controls, adMRCMV  1 increased  1 subunit expression and Na,KATPase function by 2.5-fold in alveolar type 2 epithelial cells and rat airway epithelial cell monolayers. No change in Na,K-ATPase function was noted after infection with adMRCMV ␣ 1 . Rat lungs infected with adMRCMV  1 , but not adMRCMV ␣ 1 , had increased  1 protein levels and lung liquid clearance 7 d after tracheal instillation. Alveolar epithelial permeability to Na ϩ and mannitol was mildly increased in animals infected with adMRCMV  1 and a similar Escherichia coli lacZ -expressing virus. Our data shows, for the first time, that transfer of the  1 Na,K-ATPase subunit gene augments Na,K-ATPase function in epithelial cells and liquid clearance in rat lungs. Conceivably, overexpression of Na,K-ATPases could be used as a strategy to augment lung liquid clearance in patients with pulmonary edema. (