The formation of intrapulmonary immune complexes in mice generates a v
igorous inflammatory response characterized by microvascular permeabil
ity and polymorphonuclear neutrophil influx. Gene-targeted disruption
of the substance P receptor (NK-1R) protected the lung from immune com
plex injury, as did disruption of the C5a anaphylatoxin receptor. Immu
noreactive substance P was measurable in fluids lining the lung at tim
e points before neutrophil influx and may thus be involved in an early
step in the inflammatory response to immune complexes in the lung.