Male ICR mice were exposed to mosquito-coil smoke with d-allethrin or without d-allethrin at airborne particles concentration of 1.27 mg/m3, 7 h/day, 7 days/week for 1, 3, 6, and 12 months. Additional groups of air exposure animals served as controls. At 1 month after exposure, the histopathological lesions included the loss of cilia, and the alteration of the alveolar pattern in the treated and the sham mice. Volume fractions of the type I and II cells were smaller (0.028 +/- 0.006, 0.044 +/- 0.002) in the treated group than those of the controls (0.049 +/- 0.008, 0.059 +/- 0.003). Fractions of the lumina of vessels and the vessel wall decreased in both the treated and the sham groups as compared to the control group. However, the volume fraction of alveolar air space increased significantly in both treated and sham groups as compared to the controls (0.619 +/- 0.022, 0.685 +/- 0.018 vs. 0.507 +/- 0.025). After 3- and 6-months exposure, the lesions observed in the trachea persisted. The intercellular fibrosis in the lung was increased in both the treated and sham groups at 6 months and became more severe at the later stages. At 12-months exposure, an increase in vascularity of the alveolar wall was observed and fine granular debris was frequently present in the alveolar space. The fraction volumes of the type II cells in the treated group and the type I cells in the sham group were significantly increased (0.059 +/- 0.010, 0.042 +/- 0.003) compared with those of the controls (0.038 +/- 0.008, 0.033 +/- 0.003). However, the fraction volume of air space and vessel lumen were not different among the three groups. Finally, there were no differences in the morphologic appearance of the airways and the lung periphery between the treated and the sham-exposed animals.