Abstract: In healthy man, conditions that change muscle O2 delivery affect the achievable maximum rate of O2 uptake (V[dot above]O2,max) as well as the metabolic (e.g. lactate threshold, LT) and gas exchange (e.g. gas exchange threshold, Tge) responses to incremental exercise. Inclined (I) compared to level (L) running increases locomotory muscle EMG at a given speed in the horse, indicative of elevated metabolic demand. To our knowledge, the effect of treadmill incline on V[dot above]O2,max, LT and Tge has not been addressed in the exercising quadruped. We used blood sampling and breath-by-breath expired gas analysis to test the hypothesis that I (10 % gradient) would increase V[dot above]O2,max and the rate of O2 uptake (V[dot above]O2) at LT and Tge in six Thoroughbred horses during incremental running to volitional fatigue. V[dot above]O2,max was significantly higher for I (I, 77.8 ± 4.1; L, 65.5 ± 5.3 l min-1; P < 0.05), but peak plasma lactate concentration was not (I, 28.0 ± 3.7; L, 25.9 ± 3.0 mM). Arterial PCO2 increased to 62.1 ± 3.3 and 57.9 ± 2.7 Torr (I vs. L; P < 0.05), yet despite this relative hypoventilation, a distinct Tge was present. This Tge occurred at a significantly different absolute (I, 49.6 ± 3.2; L, 42.4 ± 3.2 l min-1; P < 0.05), but nearly identical relative V[dot above]O2 (I, 63.6 ± 1.2; L, 63.9 ± 1.6 % V[dot above]O2,max) in I and L. Similarly, LT occurred at a significantly greater absolute V[dot above]O2 (I, 37.3 ± 2.8; L, 26.9 ± 2.1 l min-1), but a relative V[dot above]O2 that was not different (I, 47.9 ± 2.1; L, 43.9 ± 4.5 % V[dot above]O2,max). In addition, Tge occurred at a significantly higher (P [less-than-or-equal] 0.05) absolute and relative V[dot above]O2 than LT for both I and L tests. In conclusion, V[dot above]O2,max is higher during inclined than level running and both LT and Tge in the horse occur at a similar percentage of V[dot above]O2,max irrespective of the absolute level of V[dot above]O2,max. In contrast to humans, LT is a poor analogue of Tge in the horse.