Infection with respiratory syncytial virus (RSV) in children can progress to respiratory distress and acute lung injury (ALI) necessitating mechanical ventilation (MV). MV enhances apoptosis and inflammation in mice infected with pneumonia virus of mice (PVM), a mouse pneumovirus that has been used as a model for severe RSV infection in mice. We hypothesized that the Fas/Fas ligand (FasL) system, a dual pro-apoptotic/pro-inflammatory system involved in other forms of lung injury, is required for enhanced lung injury in mechanically-ventilated mice infected with PVM. C57BL/6 mice and Fas-deficient ("lpr") mice were inoculated intratracheally with PVM. Seven or eight days after PVM inoculation the mice were subjected to 4 hours of MV (Tv 10 mL/kg, FiO(2) = 0.21 and PEEP = 3 cm H(2)O). Seven days after PVM inoculation, exposure to MV resulted in less severe injury in lpr mice than in C57BL/6 mice, as evidenced by decreased numbers of PMN in the BAL, and lower concentrations of the pro-inflammatory chemokines KC, MIP-1alpha and MIP-2 in the lungs. However, when PVM infection was allowed to progress one additional day, all of the lpr mice (7/7) died unexpectedly between one and 3.5 hours after the onset of ventilation, as compared with 3 of the 7 ventilated C57BL/6 mice. Parameters of lung injury were similar in non-ventilated mice, as was the viral content in the lungs and other organs. Thus, the Fas/FasL system was partly required for the lung inflammatory response in ventilated mice infected with PVM, but attenuation of lung inflammation did not prevent subsequent mortality.