The mechanisms of the increased tolerance to hyperoxia of neonatal ani
mals of many species is incompletely understood. To investigate the et
iology of this difference we compared neutrophil entry into the lungs
of neonatal and adult rats after hyperoxic exposure. Adult rats were s
tudied after exposure to greater than or equal to 98% O-2 for 60 h and
neonatal rats after 3 and 7 d. Neonatal survival was prolonged compar
ed with that reported for adult rats (77% after 7 d of exposure). In a
dult rats, there were significant increases in pulmonary neutrophils a
fter 60 h of O-2 exposure. In neonatal rats, these changes were not ev
ident after 72 h of exposure, but pulmonary neutrophils increased afte
r 7 d of hyperoxia. Before mortality, pulmonary neutrophils were distr
ibuted differently in the age groups. After 7 d of O-2 exposure in the
neonates, total neutrophil counts in lung tissue (21.92 +/- 7.29 per
cm(2) grid) and lung myeloperoxidase (0.085 +/- 0.02 U/mg protein) rem
ained significantly lower than in adults after 60 h of O-2 exposure (4
1.44 +/- 9.08 per cm(2) grid and 0.411 +/- 0.085 U/mg protein, respect
ively). However, in histologic specimens, O-2-exposed neonates had hig
her percentages of neutrophils free in the alveolar air space than did
adults, corresponding to a trend toward higher neutrophil counts in b
ronchoalveolar lavage fluid in the neonates. It appears that, in addit
ion to delay in neutrophil influx into the lung, neonatal rats have lo
wered retention of neutrophils to the alveolar tissue.