Roux, Etienne, Michel Duvert, and Roger Marthan. Combined effect of chronic hypoxia and in vitro exposure to gas pollutants on airway reactivity. Am J Physiol Lung Cell Mol Physiol 283: L628-L635, 2002. First published April 19, 2002 10.1152/ajplung.00387.2001.-This study investigated the interaction between exposure to air pollutants and chronic hypoxia (CH). We used a hypobaric chamber (14 days at barometric pressure 380 mmHg) to produce CH in rats. Exposure to various doses of acrolein or ozone did not modify the mechanical response to cholinergic agonists. Exposure to 3 M/min acrolein did not alter epithelium-free trachea responsiveness. In contrast, direct exposure of freshly isolated myocytes to 2 and 3 M/min acrolein enhanced the amplitude of the first intracellular [Ca 2ϩ ] rise in response to 0.1 M ACh and the calcium oscillation frequency in response to 10 M ACh. CH alone did not alter smooth muscle cross-sectional area (SMA) or epithelium-plus-submucosa thickness. CH decreased maximal contractile response (maximal force normalized to SMA) but increased sensitivity (pEC 50) to cholinergic agonists. We conclude that unlike in normoxic rats, exposure to air pollutants does not induce airway hyperresponsiveness in CH rats, although it increased calcium signaling. These results cannot be explained by change in smooth muscle accessibility, but may be linked to the effect of CH on calcium-contraction coupling.ozone; acrolein; smooth muscle; rat trachea; excitation-contraction coupling INHALATION OF AIR POLLUTANTS induces airway hyperresponsiveness and, therefore, poses a possible risk to human health, especially in patients whose airways are already compromised by preexisting pathologies such as asthma or chronic obstructive pulmonary disease (COPD) (8,9,11). Unlike the interaction between asthma and air pollution that has largely been investigated by epidemiological, clinical, as well as experimental studies (16,17,29), very little is known about the combined effect of air pollution and chronic hypoxia (CH), a condition that is frequently observed in patients suffering from COPD (21, 31). The effect of CH, per se, on airway responsiveness remains unclear, since very few experimental studies have addressed this issue (1, 6).We previously reported that ex vivo administration of a variety of gas pollutants, such as ozone or acrolein, to either human lung or rat isolated airways alters the subsequent in vitro mechanical response (2-4, 26, 29). This alteration is related to changes in calcium signaling at the site of the smooth muscle cell (15, 28). We have also developed an experimental model of CH using a hypobaric chamber and observed that CH modifies the mechanical response of isolated airways as a consequence of an effect on calcium signaling (1, 5).The aim of the present study was thus to investigate the interaction between CH and exposure to pollutants in rat isolated trachea. We examined the effect in CH rats of preexposure to ozone and acrolein on the contractile response to muscarinic stimulation i...